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 Dear Dick, 
Chuping, and auditory.org list: Thank you 
(Dick) for your summary of Brian Moore?s talk. I wasn?t present, but I am 
familiar with Brian?s ideas on this topic. Contrary to 
Brian?s assertion that the audiogram isn?t enough, I have had considerable 
success predicting speech intelligibility scores for hearing-impaired listeners 
using just the audiogram.  I use 
Harvey Fletcher?s full-blown Articulation Index [H. Fletcher and R.H. Galt 
(1950), J. Acous. Soc. Am. 22, 89-151].  
To use the AI, I model the hearing loss as noise, and calculate expected 
masking spread for any external noise, and then plug these into an otherwise 
unaltered Fletcher calculation. I have 
published three evaluations of prediction accuracy of Fletcher?s AI for 
hearing-impaired listeners.  These 
included quiet and noisy conditions (steady-state noise, not fluctuating), 
amplified and filtered speech, and a variety of audiograms [C.M. Rankovic 
(1997), Chapter 26 in Modeling Sensorineural Hearing Loss, edited by W. 
Jesteadt, Erlbaum, Mahwah, NJ; C.M. Rankovic (1998), J. Acous. Soc. Am. 
103, 1043-1057].  I also evaluated 
Brian?s dead region hypothesis, using Brian?s own published data, and I was able 
to predict his speech intelligibility scores with very good accuracy [C.M. 
Rankovic (2002), J. Acous. Soc. Am. 111, 
2545-2548]. I?ve 
recently extended Fletcher?s AI calculation to predict binaural speech 
intelligibility for normal and hearing-impaired listeners.  This is necessary because, after all, 
most hearing aid fittings are binaural. I believe 
there are important implications of my success with Fletcher?s articulation 
index for hearing-impaired listeners: 1.  Fletcher?s calculation is the 
culmination of decades of basic research at Bell Labs that investigated the 
normal processes of hearing [Fletcher, H. (1995), edited by J.B. Allen, The ASA 
Edition of Speech and Hearing in Communication available from http://asa.aip.org,  C.M. Rankovic and J.B. 
Allen (2000), Study of Speech and Hearing at Bell Telephone Laboratories, CD 
available from http://asa.aip.org].  As 
such, it includes extensive psychoacoustical modeling that considers intensity 
level effects, loudness growth, masking spread, and more.  Fletcher?s rigorous and elaborate 
efforts led to a robust model for normal listeners to which extensions for 
hearing loss can be added. 2.  There is no denying that there are many 
psychoacoustical abnormalities associated with hearing loss--such as abnormal 
temporal processing mentioned above.  
Researchers (including myself) have struggled for decades to quantify the 
contribution of these factors to speech intelligibility.  Nevertheless, it seems that the 
AUDIOGRAM encompasses these factors in a way that is sufficient for predicting 
speech intelligibility.  
 Within the 
next couple of months, I will make available a simple-to-use version of my AI 
calculation.  It will feature 
audiogram entry and binaural capability.  
Please contact me if you are interested and I will keep you 
posted. Christine 
Rankovic, PhD  |