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Optimal hearing aid design through restoration of the neural code
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Optimal hearing aid design through restoration of the neural code

Fotios Drakopoulos, Lloyd Pellatt, Shievanie Sabesan +4 more
February 2026
 ·
bioRxiv
 ·
DOI 
10.64898/2026.02.02.703273
94
%
Reproducible
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QED's automated review checked the evidence supporting each claim, the statistical methods, and whether the results are reproducible from the data provided.

It ranks in the top 1% of preprints assessed in Bioengineering this quarter.
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Why this is interesting

By training neural surrogate models and optimizing sound processing to restore normal brain activity, this work overturns hearing aids' amplification paradigm and establishes closed-loop neural restoration as a viable design principle for sensory neurotechnology.

QED claims analysis

Summary

Deep neural networks trained through closed-loop optimization to restore normal neural coding patterns in the inferior colliculus can identify novel hearing aid processing strategies that substantially outperform state-of-the-art amplification approaches, achieving 81% restoration of neural activity distortions compared to 7-25% for conventional methods, with performance validated in both in silico simulations and in vivo recordings.

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Main Claim 1 –

ICNets Accurately Simulate Normal and Impaired Inferior Colliculus Coding

Supporting evidence

  • Maximum Covariance Analysis Aligns Brains While Preserving Hearing-Loss Distortions
Main Claim 2 –

Closed-Loop AidNets Outperform WDRC in Restoring Neural Coding

Supporting evidence

  • AidNet Neural Restoration Transfers from Simulation to In Vivo Recordings

Abstract

Hearing loss introduces complex distortions in the neural coding of sound that current hearing aids fail to address. Here, we leverage tools for neural control via deep learning to identify novel sound processing strategies to correct these distortions. We use large-scale intracranial recordings from the gerbil inferior colliculus to train deep neural network models of neural coding (ICNets) to serve as in silico surrogates for brains with normal and impaired hearing. We then use the ICNets to train another network (AidNet) to act as an optimal hearing aid, providing the individualized sound processing required to elicit normal neural activity in impaired brains. We find that AidNet outperforms state-of-the-art hearing aid processing by a wide margin in correcting both distortions in neural coding and deficits in simulated phoneme recognition. This successful demonstration of neural restoration via closed-loop optimization opens up new possibilities for improving not only hearing aids, but also other sensory devices and neurotechnologies.

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