The Effect of Stimulus Choice on an EEG-Based Objective Measure of Speech Intelligibility

Objectives: Recently, an objective measure of speech intelligibility (SI), based on brain responses derived from the electroencephalogram (EEG), has been developed using isolated Matrix sentences as a stimulus. We investigated whether this objective measure of SI can also be used with natural speech as a stimulus, as this would be beneficial for clinical applications. Design: We recorded the EEG in 19 normal-hearing participants while they listened to two types of stimuli: Matrix sentences and a natural story. Each stimulus was presented at different levels of SI by adding speech weighted noise. SI was assessed in two ways for both stimuli: (1) behaviorally and (2) objectively by reconstructing the speech envelope from the EEG using a linear decoder and correlating it with the acoustic envelope. We also calculated temporal response functions (TRFs) to investigate the temporal characteristics of the brain responses in the EEG channels covering different brain areas. Results: For both stimulus types, the correlation between the speech envelope and the reconstructed envelope increased with increasing SI. In addition, correlations were higher for the natural story than for the Matrix sentences. Similar to the linear decoder analysis, TRF amplitudes increased with increasing SI for both stimuli. Remarkable is that although SI remained unchanged under the no-noise and +2.5 dB SNR conditions, neural speech processing was affected by the addition of this small amount of noise: TRF amplitudes across the entire scalp decreased between 0 and 150 ms, while amplitudes between 150 and 200 ms increased in the presence of noise. TRF latency changes in function of SI appeared to be stimulus specific: the latency of the prominent negative peak in the early responses (50 to 300 ms) increased with increasing SI for the Matrix sentences, but remained unchanged for the natural story. Conclusions: These results show (1) the feasibility of natural speech as a stimulus for the objective measure of SI; (2) that neural tracking of speech is enhanced using a natural story compared to Matrix sentences; and (3) that noise and the stimulus type can change the temporal characteristics of the brain responses. These results might reflect the integration of incoming acoustic features and top-down information, suggesting that the choice of the stimulus has to be considered based on the intended purpose of the measurement.