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多组交叠宽带啁啾声的听觉脑干反应记录。

Auditory brainstem response recording to multiple interleaved broadband chirps.

机构信息

Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Julius-Maximilian University of Wuerzburg, Josef-Schneider-Strasse 11, Wuerzburg, Germany.

出版信息

Ear Hear. 2012 Jul-Aug;33(4):466-79. doi: 10.1097/AUD.0b013e318241e85a.

Abstract

OBJECTIVE

The simultaneous application of multiple stimuli that excite different frequency regions of the cochlea is a well-established method for recording frequency-specific auditory steady state responses. Because the stimuli are applied at different repetition rates, they actually do not appear exactly simultaneously. There is always a certain time difference between the multiple frequency-specific stimuli. This is true also for multiple interleaved broadband stimuli. Therefore, because of this time difference, one may expect a successful recording of responses to multiple broadband chirp stimuli even when such stimuli activate the whole cochlear partition. This article describes a technique for recording auditory brainstem responses evoked by trains of broadband chirps presented simultaneously at equal stimulus levels but at different repetition rates. The interactions between the interleaved stimulus trains were studied to lay the foundation for a rapid method of assessing temporal aspects of peripheral auditory processing. The first step in laying this foundation is to determine the characteristics of responses from an intact and normal-hearing system to these interleaved chirp trains. Subsequently, the studied interactions between the interleaved applied stimuli may provide a referential framework for future clinical studies aimed at assessing pathological populations.

DESIGN

Two chirp trains were applied concurrently at the same stimulus level but at different repetition rates of 20/sec and 22/sec, respectively. Two overall stimulus levels were investigated: 50 and 30 dB nHL. Because of the 2 Hz difference between the repetition rates, the time difference between the stimuli of the two stimulus trains followed a periodic cycling. The cycling period of 0.5 sec contained ten 20/sec stimuli and eleven 22/sec-stimuli. The response to a single train of chirps with the repetition rate of 20/sec was also recorded. The test group consisted of 11 young adult subjects, all with normal hearing. The subjects were between 18 and 21 years of age. Recordings were made with the MB11 Classic instrument equipped with EAR-3A earphones, and special software. During the recording session the EEG was continuously stored on hard disc. The analyzed epoch length was 0.5 sec. Each epoch contained the responses to 10 chirps presented at 20/sec and the responses to 11 chirps presented at 22/sec. The epochs were averaged and the mean value of the amplitude was calculated for each of the 21 chirp responses in the epoch.

RESULTS

: There were clear interactions between the two interleaved stimulus trains. The amplitude of the grouped responses in the cycle decreased with decreasing distance to the preceding stimulus of the other stimulus train. The mean amplitude of the responses to all ten 20/sec stimuli of a cycle is 82% (50 dB nHL) and 87.3% (30 dB nHL) of the amplitude of the singly presented stimuli. For the mean of the 11 responses to the 22/sec chirps the amplitude values are 84.5% and 87.2%, respectively.

CONCLUSIONS

The study proved that it is possible to record auditory responses to multiple interleaved stimulation of the whole cochlear partition by broadband chirps. The response reduction caused by the interaction between the stimulus trains is relatively small such that evaluations of the responses are not compromised. The temporal interactions observed in the normal-hearing individuals by using these interleaved trains of chirps might be useful in assessing functional pathological changes in the auditory periphery.

摘要

目的

同时应用多个刺激,这些刺激激发耳蜗的不同频率区域,这是记录频率特异性听觉稳态反应的一种成熟方法。由于刺激以不同的重复率施加,它们实际上并不完全同时出现。在多个频率特异性刺激之间始终存在一定的时间差。对于多个交错的宽带刺激也是如此。因此,由于这种时间差,即使多个宽带啁啾刺激同时以相等的刺激水平激发整个耳蜗分区,也可以成功记录对这些刺激的反应。本文描述了一种用于记录同时以相等的刺激水平但以不同重复率(分别为 20/sec 和 22/sec)呈现的宽带啁啾刺激序列诱发的听觉脑干反应的技术。研究了交错刺激序列之间的相互作用,为评估外周听觉处理的时间方面的快速方法奠定了基础。为了确定对这些交错啁啾刺激序列的正常听力系统的反应特征,这是奠定基础的第一步。随后,研究的交错应用刺激之间的相互作用可能为旨在评估病理人群的未来临床研究提供参考框架。

设计

同时以相同的刺激水平,但以 20/sec 和 22/sec 的不同重复率施加两个啁啾刺激序列。研究了两种整体刺激水平:50 和 30 dB nHL。由于重复率之间存在 2 Hz 的差异,两个刺激序列之间的刺激时间差遵循周期性循环。0.5 秒的循环周期包含十个 20/sec 的刺激和十一个 22/sec 的刺激。还记录了具有 20/sec 重复率的单个啁啾刺激序列的反应。实验组由 11 名年轻成年受试者组成,他们均具有正常听力。受试者年龄在 18 至 21 岁之间。使用配备 EAR-3A 耳机的 MB11 Classic 仪器和特殊软件进行记录。在记录过程中,脑电图连续存储在硬盘上。分析的时程为 0.5 秒。每个时程包含在 20/sec 下呈现的 10 个啁啾的反应和在 22/sec 下呈现的 11 个啁啾的反应。对每个时程中的 21 个啁啾反应进行平均,计算每个时程中啁啾响应的幅度的平均值。

结果

两个交错的刺激序列之间存在明显的相互作用。与另一刺激序列的前一个刺激的距离越近,分组反应的幅度越低。周期中所有十个 20/sec 刺激的分组反应的平均幅度为 82%(50 dB nHL)和 87.3%(30 dB nHL),分别为单独呈现的刺激的幅度。对于 22/sec 啁啾的 11 个响应的平均值,幅度值分别为 84.5%和 87.2%。

结论

该研究证明,通过宽带啁啾可以记录整个耳蜗分区的多个交错刺激的听觉反应。刺激序列之间的相互作用引起的响应减少相对较小,因此不会影响响应的评估。在正常听力个体中使用这些交错的啁啾刺激序列观察到的时间相互作用可能有助于评估听觉外围的功能病理变化。

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