Mühler R
Abteilung für Experimentelle Audiologie, Otto-von-Guericke-Universität, Magdeburg.
HNO. 2012 May;60(5):421-6. doi: 10.1007/s00106-011-2382-0.
Recording human auditory steady-state responses (ASSR) at different frequencies allows objective assessment of auditory thresholds. Common practice has been to record ASSR to pure tones that are sinusoidally modulated in amplitude and frequency. Recently, optimized chirp stimuli have been proposed to evoke transient as well as steady-state responses. Because of the resulting uncertainty about the different methods, this paper aims to reconsider the terminology of transient and steady-state responses.
Two experiments demonstrate the smooth transition between transient and steady-state responses. In experiment 1, click-evoked auditory brainstem responses (ABR) were recorded over a wide range of stimulus repetition rates (24/s to 72/s). In experiment 2, auditory steady-state responses were recorded for the same stimulus repetition rates, using three different stimulus types: an amplitude modulated 1-kHz tone (AM), a 1-kHz tone-burst (TB) and a flat-spectrum chirp.
Experiment 1 demonstrates the merging of the typical ABR wave complexes at higher repetition rates, forming a steady-state response. This effect can only be observed if the time window is extended far beyond the window traditionally used for clinical ABR recordings. Experiment 2 reveals similar ASSR amplitude spectra regardless of the stimulus type and repetition rate used.
Steady-state responses can be evoked for a large variety of stimulus types and repetition rates. Thus, from a clinician's point of view, steady-state responses cannot be considered a new type of evoked responses. They differ from transient responses primarily in the frequency response method and the longer timeframe required.
记录不同频率下的人类听觉稳态反应(ASSR)有助于客观评估听觉阈值。常见的做法是记录对在幅度和频率上呈正弦调制的纯音的ASSR。最近,有人提出了优化的啁啾刺激来诱发瞬态和稳态反应。由于不同方法导致的不确定性,本文旨在重新审视瞬态和稳态反应的术语。
两项实验证明了瞬态和稳态反应之间的平滑过渡。在实验1中,在很宽的刺激重复率范围(24/秒至72/秒)内记录点击诱发的听觉脑干反应(ABR)。在实验2中,使用三种不同的刺激类型,以相同的刺激重复率记录听觉稳态反应:幅度调制的1千赫纯音(AM)、1千赫短音(TB)和平谱啁啾。
实验1表明,在较高重复率下典型的ABR波复合体合并,形成稳态反应。只有当时间窗口扩展到远远超出传统临床ABR记录所用的窗口时,才能观察到这种效应。实验2显示,无论使用何种刺激类型和重复率,ASSR幅度谱相似。
对于多种刺激类型和重复率都可以诱发稳态反应。因此,从临床医生的角度来看,稳态反应不能被视为一种新型的诱发反应。它们与瞬态反应的主要区别在于频率响应方法和所需的更长时间范围。