search
Back to results

Flexible Representation of Speech

Primary Purpose

Epilepsy

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Dimension-Based Statistical Learning
Sponsored by
University of Pittsburgh
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Epilepsy focused on measuring sEEG, Speech representation, Supratemporal plane

Eligibility Criteria

15 Years - 25 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Individuals 15-25 years old
  • Undergoing sEEG placement in the supratemporal plane for clinically necessary localization of epileptic foci or language mapping
  • Fluent English speakers
  • Cognition and speech-language skills within normal limits (as determined by evaluation prior to surgery)
  • Normal or correct-to-normal visual acuity
  • Normal hearing acuity in each ear (as determined by audiometric assessment)
  • No history of autism or ADHD

Exclusion Criteria:

  • Individuals with intellectual disabilities
  • Abnormal epileptiform activity in the supratemporal plane
  • Lack of fluent English comprehension/production
  • Severe language or auditory-specific cognitive dysfunction
  • History of autism or ADHD

Sites / Locations

  • UPMC Children's Hospital of PittsburghRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Patient Participants

Arm Description

This single-group study will recruit patients through the PI's clinical practice who are undergoing invasive neurophysiological monitoring (sEEG) with clinically necessary placement of electrodes in the supratemporal plane. All participants will complete the same behavioral response paradigms.

Outcomes

Primary Outcome Measures

Supratemporal Neural Response to Change in Acoustic-Phonetic Dimensions
Neural activity will be measured via simultaneous EEG-sEEG monitoring in the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli with gradually manipulated acoustic dimensions, fundamental frequency (F0) and voice onset time (VOT).
Behavioral Impact of Change in Acoustic-Phonetic Dimensions
Behavioral responses in the form of a category judgment will be obtained as participants listen to acoustic stimuli in with gradually varying fundamental frequency (F0) and voice onset time (VOT). Participants will provide a behavioral response by indicating the phoneme perceived at the beginning of stimulus words (/b/ or /p/).
Supratemporal Neural Response to Change in Listening Context
Neural activity will be measured via simultaneous EEG-sEEG monitoring in the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli in two listening contexts: speech-in-noise and accented speech.
Behavioral Impact of Change in Listening Context
Behavioral responses in the form of a category judgment will be obtained as participants listen to acoustic stimuli in two different listening contexts: speech-in-noise and accented speech. Participants will provide a behavioral response by indicating the phoneme perceived at the beginning of stimulus words (/b/ or /p/).

Secondary Outcome Measures

Neural Response of Non-Regions of Interest to Change in Acoustic-Dimension
Neural activity will be measured via simultaneous EEG-sEEG monitoring of cortical regions outside the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli with gradually manipulated acoustic dimensions, fundamental frequency (F0) and voice onset time (VOT).
Neural Response of Non-Regions of Interest to Change in Listening Context
Neural activity will be measured via simultaneous EEG-sEEG monitoring in cortical regions outside the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli in two listening contexts: speech-in-noise and accented speech.

Full Information

First Posted
January 12, 2022
Last Updated
October 2, 2023
Sponsor
University of Pittsburgh
Collaborators
National Institutes of Health (NIH), Carnegie Mellon University, National Institute on Deafness and Other Communication Disorders (NIDCD)
search

1. Study Identification

Unique Protocol Identification Number
NCT05209386
Brief Title
Flexible Representation of Speech
Official Title
Flexible Representation of Speech in the Supratemporal Plane
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 2, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Pittsburgh
Collaborators
National Institutes of Health (NIH), Carnegie Mellon University, National Institute on Deafness and Other Communication Disorders (NIDCD)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The overarching goal of this exploratory research is to understand the dynamic and flexible nature of speech processing in the human supratemporal plane. The temporal lobe has long been established as a region of interest in the speech perception and processing literature because it contains the auditory cortex. More recently, research has localized the supratemporal plane as an area that exhibits response specificity to acoustic properties of complex auditory signals like speech. The supratemporal plane, comprised of Heschl's gyrus, the planum polare, and the planum temporale, is capable of the rapid spectrotemporal analysis required to map acoustic information to linguistic representation. Neural activity in this area, however, is rarely studied directly because it is difficult to access with non-invasive measures like scalp electroencephalography (EEG). Capitalizing on the unique opportunity to access these areas via routine clinical stereoelectroencephalography (sEEG) in a patient population, this study seeks to understand how cortical responses reflect the diagnosticity of two acoustic-phonetic dimensions of interest and how responses rapidly and flexibly adapt to changes in listening demands. Examining how neural response to voice onset time (VOT) and fundamental frequency (F0) modulates as a function of perceptual weight carried in signaling phoneme categories, and identifying how changes in listening context shift perceptual weight, will provide invaluable data that indicates how speech processing flexibly adapts to short-term acoustic patterns.
Detailed Description
The purpose of this study is to understand the dynamic, flexible nature of speech processing as a function of perceptual weight applied to acoustic-phonetic dimensions within varying listening contexts and demands. The specific aims of this study are as follows: To establish the neural response to two acoustic-phonetic dimensions as a function of the perceptual weight they carry when signaling phoneme identity. Aim 1 will specifically evaluate responses to voice onset time (VOT) and fundamental frequency (F0). Data collected will provide a baseline response for participants. To identify how experimental manipulation of listening context impacts perceptual weighting strategies of VOT and F0. Aim 2 will evaluate modulation of neural response to the introduction of noise and the introduction of an "accent." A secondary aim of this study is to use "control" electrodes, which are those placed in clinically necessary regions of the brain but outside of the region of interest for this study (supratemporal plane), to determine if additional regions of the brain are implicated in adaptive plasticity of speech processing. Speech is the primary means by which we convey our needs, wants, and thoughts to others and the ability to process speech is crucial to our everyday functioning, as well as our ability to establish and maintain relationships. Impairments in speech processing have an undeniable negative impact on individuals and society. While habilitative and rehabilitative strategies exist that can improve auditory processing and quality of life, understanding the exact neural mechanism underlying the human brain's ability to process speech would contribute to a more well-defined means by which to target deficits. This study seeks to understand the regions of the brain involved in speech processing, how those regions analyze specific acoustic-phonetic dimensions, and how the system adapts to successfully process speech in different listening contexts. Modern electrophysiological techniques have revolutionized research into activity in the human brain, allowing investigators to identify specific regions or patterns of activity associated with various behaviors and sensory experiences. sEEG recordings, which involve intracerebral measurements of neural activity using depth electrodes, are capable of providing unique access to regions of the brain that are otherwise inaccessible with less invasive measurements. Capitalizing on PI Abel's work with pediatric patients undergoing sEEG recording for localization of seizure foci or language mapping, this study will allow researchers to directly study activity in regions that have already been implicated in the literature as crucial to spectrotemporal analysis of complex acoustic signals like speech. These regions within the supratemporal plane (STP) include Heschl's gyrus, the planum polare, and the planum temporale, all of which are uniquely targeted via sEEG. Existing literature in speech processing has indicated that the mapping of physical input (acoustic signal) to linguistic representation (identification of phonemes or words) is not a static process, but rather highly dependent on listening context. The auditory processing system regularly adapts to changes in signal quality, adverse listening conditions, and short-term deviations from expected and learned regularities in native language input by applying varying importance, or perceptual weight, to specific acoustic-phonetic parameters. This indicates the existence of adaptive plasticity in speech processing, yet existing neurophysiological models do not account for this flexibility in cortical response. Data from pilot EEG and sEEG studies demonstrated that high gamma activity in the STP and behavioral responses were graded by the perceptual weight given to two acoustic-phonetic dimensions, voice onset time (VOT) and fundamental frequency (F0). The proposed study will contribute to existing knowledge by helping to establish a more detailed model of on-line cortical response and adaptation to changing acoustic signals. It is unique in its accounting for the role that perceptual weight of acoustic-phonetic dimensions play in signaling phonemes and making category-based judgments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
Keywords
sEEG, Speech representation, Supratemporal plane

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Patient Participants
Arm Type
Experimental
Arm Description
This single-group study will recruit patients through the PI's clinical practice who are undergoing invasive neurophysiological monitoring (sEEG) with clinically necessary placement of electrodes in the supratemporal plane. All participants will complete the same behavioral response paradigms.
Intervention Type
Behavioral
Intervention Name(s)
Dimension-Based Statistical Learning
Intervention Description
Each participant will complete self-paced blocks of stimuli that will first establish a baseline for neural activity and behavioral responses with clear speech, and will then record responses for experimentally manipulated blocks to introduce 1) speech-in-noise and 2) a Canonical-Reverse block to model an "accent." Auditory stimuli will be adjusted to a comfortable level for each participant as determined by a calibration process completed by the participant. Each block involves listening to sound via earphones and making a categorical decision between initial consonants (/b/ or /p/) by tapping a button to indicate the word heard by the participant.
Primary Outcome Measure Information:
Title
Supratemporal Neural Response to Change in Acoustic-Phonetic Dimensions
Description
Neural activity will be measured via simultaneous EEG-sEEG monitoring in the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli with gradually manipulated acoustic dimensions, fundamental frequency (F0) and voice onset time (VOT).
Time Frame
During sEEG-EEG recording sessions, up to 3 hours total
Title
Behavioral Impact of Change in Acoustic-Phonetic Dimensions
Description
Behavioral responses in the form of a category judgment will be obtained as participants listen to acoustic stimuli in with gradually varying fundamental frequency (F0) and voice onset time (VOT). Participants will provide a behavioral response by indicating the phoneme perceived at the beginning of stimulus words (/b/ or /p/).
Time Frame
During sEEG-EEG recording sessions, up to 3 hours total
Title
Supratemporal Neural Response to Change in Listening Context
Description
Neural activity will be measured via simultaneous EEG-sEEG monitoring in the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli in two listening contexts: speech-in-noise and accented speech.
Time Frame
During sEEG-EEG recording sessions, up to 3 hours total
Title
Behavioral Impact of Change in Listening Context
Description
Behavioral responses in the form of a category judgment will be obtained as participants listen to acoustic stimuli in two different listening contexts: speech-in-noise and accented speech. Participants will provide a behavioral response by indicating the phoneme perceived at the beginning of stimulus words (/b/ or /p/).
Time Frame
During sEEG-EEG recording sessions, up to 3 hours total
Secondary Outcome Measure Information:
Title
Neural Response of Non-Regions of Interest to Change in Acoustic-Dimension
Description
Neural activity will be measured via simultaneous EEG-sEEG monitoring of cortical regions outside the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli with gradually manipulated acoustic dimensions, fundamental frequency (F0) and voice onset time (VOT).
Time Frame
During sEEG-EEG recording sessions, up to 3 hours total
Title
Neural Response of Non-Regions of Interest to Change in Listening Context
Description
Neural activity will be measured via simultaneous EEG-sEEG monitoring in cortical regions outside the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli in two listening contexts: speech-in-noise and accented speech.
Time Frame
During sEEG-EEG recording sessions, up to 3 hours total

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Maximum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Individuals 15-25 years old Undergoing sEEG placement in the supratemporal plane for clinically necessary localization of epileptic foci or language mapping Fluent English speakers Cognition and speech-language skills within normal limits (as determined by evaluation prior to surgery) Normal or correct-to-normal visual acuity Normal hearing acuity in each ear (as determined by audiometric assessment) No history of autism or ADHD Exclusion Criteria: Individuals with intellectual disabilities Abnormal epileptiform activity in the supratemporal plane Lack of fluent English comprehension/production Severe language or auditory-specific cognitive dysfunction History of autism or ADHD
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Taylor J Abel, MD
Phone
412-692-8142
Email
abeltj@upmc.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Taylor J Abel, MD
Organizational Affiliation
University of Pittsburgh
Official's Role
Principal Investigator
Facility Information:
Facility Name
UPMC Children's Hospital of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15224
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Taylor J Abel, MD
Phone
412-692-8142
Email
abeltj@upmc.edu
First Name & Middle Initial & Last Name & Degree
Taylor J Abel, MD
First Name & Middle Initial & Last Name & Degree
Lori Holt, PhD

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
The individual deidentified participant data intended to be shared include the individual participant data that underlie the results to be reported in published articles after deidentification. Other documents that will be made available include the study protocol and statistical analysis plan. Data will be available as soon as possible following publication, but no later than one year upon completion. There is no end date. IPD will be made available for any purpose via open access.
IPD Sharing Time Frame
Data will be made available as soon as possible, but no later than one year upon completion of the study.
IPD Sharing Access Criteria
Our data will be made publicly available online as soon as possible. Data will be easily and widely accessible.

Learn more about this trial

Flexible Representation of Speech

We'll reach out to this number within 24 hrs