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评估人工耳蜗使用者蜗神经中电诱发听神经复合动作电位(eCAP)的N1-P2峰间潜伏期及其试验间变异性,作为神经同步性的潜在指标。

Evaluating the N1-P2 interpeak latency of the eCAP and its inter-trial variability as potential indicators of neural synchrony in the cochlear nerve of cochlear implant users.

作者信息

He Shuman, Bruce Ian C, Gao Zi, Aiello Ross A, Mueller Christopher R

机构信息

Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, 915 Olentangy River Road, Columbus, OH 43212.

Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON, L8S 4K1, Canada.

出版信息

medRxiv. 2025 May 3:2025.05.01.25326811. doi: 10.1101/2025.05.01.25326811.

DOI:10.1101/2025.05.01.25326811
PMID:40657319
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12248155/
Abstract

OBJECTIVE

The goal of this study was to evaluate the use of interpeak latency (IPL) and its inter-trial variability (VIL) of the electrically evoked compound action potential as potential alternative indicators to the phase locking value (PLV) metric that has previously been used to quantify neural synchrony in the cochlear nerve (CN) of cochlear implant (CI) users.

DESIGN

IPLs were compared among children with auditory neuropathy spectrum disorder, cochlear nerve deficiency, or typical sensorineural hearing loss, and postlingually deafened adult CI users. The VIL was assessed only in adults. Their associations with gap detection thresholds (GDT), speech perception scores, and PLVs were examined.

RESULTS

The VIL, but not the IPL, was correlated with GDT, speech perception outcomes, and the PLV. Group, age and electrode location effects on the IPL could not be explained solely by neural synchrony.

CONCLUSIONS

The VIL, but not the IPL, is indicative of neural synchrony in the CN. Similar to the PLV, the VIL is affected by the CI's sampling rate and internal noise.

摘要

目的

本研究的目的是评估电诱发复合动作电位的峰间潜伏期(IPL)及其试验间变异性(VIL)作为潜在替代指标的用途,此前曾使用锁相值(PLV)指标来量化人工耳蜗(CI)使用者的蜗神经(CN)中的神经同步性。

设计

比较了患有听觉神经病谱系障碍、蜗神经缺损或典型感音神经性听力损失的儿童以及语后聋成年CI使用者的IPL。仅在成年人中评估了VIL。检查了它们与间隙检测阈值(GDT)、言语感知分数和PLV的关联。

结果

VIL而非IPL与GDT、言语感知结果和PLV相关。IPL的组、年龄和电极位置效应不能仅由神经同步来解释。

结论

VIL而非IPL可指示CN中的神经同步性。与PLV类似,VIL受CI的采样率和内部噪声影响。

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Evaluating the N1-P2 interpeak latency of the eCAP and its inter-trial variability as potential indicators of neural synchrony in the cochlear nerve of cochlear implant users.评估人工耳蜗使用者蜗神经中电诱发听神经复合动作电位(eCAP)的N1-P2峰间潜伏期及其试验间变异性,作为神经同步性的潜在指标。
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本文引用的文献

1
Contributions of Auditory Nerve Density and Synchrony to Speech Understanding in Older Cochlear Implant Users.听觉神经密度和同步性对老年人工耳蜗使用者言语理解的贡献
J Assoc Res Otolaryngol. 2025 Apr 4. doi: 10.1007/s10162-025-00984-3.
2
Assessing Neural Synchrony in the Cochlear Nerve to Electrical Stimulation in Children With Auditory Neuropathy Spectrum Disorder.评估听觉神经病谱系障碍儿童耳蜗神经对电刺激的神经同步性。
Ear Hear. 2024 Jul 22. doi: 10.1097/AUD.0000000000001567.
3
Delayed hearing loss after cochlear implantation: Re-evaluating the role of hair cell degeneration.
人工耳蜗植入后迟发性听力损失:重新评估毛细胞变性的作用。
Hear Res. 2024 Jun;447:109024. doi: 10.1016/j.heares.2024.109024. Epub 2024 May 3.
4
Peripheral Neural Synchrony in Postlingually Deafened Adult Cochlear Implant Users.后天耳聋成年人工耳蜗使用者的外周神经同步性。
Ear Hear. 2024;45(5):1125-1137. doi: 10.1097/AUD.0000000000001502. Epub 2024 Mar 20.
5
Neural Degeneration in Normal-Aging Human Cochleas: Machine-Learning Counts and 3D Mapping in Archival Sections.正常衰老人类耳蜗中的神经退行性变:基于机器学习的计数和存档切片的 3D 映射。
J Assoc Res Otolaryngol. 2023 Oct;24(5):499-511. doi: 10.1007/s10162-023-00909-y. Epub 2023 Nov 13.
6
The Effect of Interphase Gap on Neural Response of the Electrically Stimulated Cochlear Nerve in Children With Cochlear Nerve Deficiency and Children With Normal-Sized Cochlear Nerves.间期间隙对蜗神经发育不全儿童及蜗神经大小正常儿童电刺激蜗神经神经反应的影响
Ear Hear. 2020 Jul/Aug;41(4):918-934. doi: 10.1097/AUD.0000000000000815.
7
Temporal Response Properties of the Auditory Nerve in Implanted Children with Auditory Neuropathy Spectrum Disorder and Implanted Children with Sensorineural Hearing Loss.听觉神经病谱系障碍植入儿童和感音神经性听力损失植入儿童的听神经的时间响应特性
Ear Hear. 2016 Jul-Aug;37(4):397-411. doi: 10.1097/AUD.0000000000000254.
8
Gap detection measured with electrically evoked auditory event-related potentials and speech-perception abilities in children with auditory neuropathy spectrum disorder.电诱发听觉事件相关电位与言语感知能力检测听神经病谱系障碍患儿的间隙。
Ear Hear. 2013 Nov-Dec;34(6):733-44. doi: 10.1097/AUD.0b013e3182944bb5.
9
Effect of monopolar and bipolar electric stimulation on survival and size of human spiral ganglion cells as studied by postmortem histopathology.死后组织病理学研究单极和双极电刺激对人螺旋神经节细胞存活和大小的影响。
Hear Res. 2013 Aug;302:9-16. doi: 10.1016/j.heares.2013.04.007. Epub 2013 May 6.
10
Spike-train variability of auditory neurons in vivo: dynamic responses follow predictions from constant stimuli.体内听觉神经元的脉冲序列变异性:动态反应符合恒定刺激的预测。
J Neurophysiol. 2005 Jun;93(6):3270-81. doi: 10.1152/jn.00758.2004. Epub 2005 Feb 2.