2019, Number 2
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Rev Cubana Invest Bioméd 2019; 38 (2)
Auditory evoked responses obtained by a broad-band chirp stimulus
Alvero GLM, Gaya VJA, Miret FC, Velarde RE, Alvero GLM
Language: Spanish
References: 27
Page: 136-152
PDF size: 411.02 Kb.
ABSTRACT
Introduction: Estimation of audition through brainstem auditory evoked potentials obtained by chirp stimuli is an alternative of recent application. It has been shown by several authors that this type of stimulation compensates for retardation of the sound wave in the coding of frequencies, generating auditory evoked responses with components of higher amplitudes.
Objectives: Design and develop a broad-band chirp stimulus to be implemented in the AUDIX system and conduct a control series evaluation of its viability to register brainstem auditory evoked potentials in normal-hearing subjects.
Methods: The formulations used to generate the stimulus were implemented as a function on Matlab
® and then incorporated into the AUDIX system with the following technical specifications: sampling frequency: 48 kHz, frequency composition (rising): 350-11 300 Hz, and total duration: 4.95 ms. BAEP registries were obtained with chirp and click stimuli at a fixed intensity level (60 dB nHL) in nine normal-hearing adult subjects (18 ears).
Results: The chirp stimulus designed had a functional behavior similar to the one reported in the literature. When compared with the click-BAEP, the V wave of chirp-BAEP displayed significantly higher amplitude values (chirp/click amplitude ratio: 1.62), with an average gain of 54 % (p< 0.001, n= 18, Wilcoxon rank test).
Conclusions: The broad band chirp stimulus designed proved to be more efficient than the click stimulus to obtain registries of Brainstem Auditory Evoked Potentials. Regarding V wave amplitude, the system was found to function linearly (better neural synchrony). This type of stimulation could be very useful in neonatal hearing screening programs, since a higher amplitude V wave could facilitate its fast and easy detection and possible automation.
REFERENCES
Jewett DL. Auditory-evoked far fields averaged from scalp of humans. Brain. 1971;94(4):681-96.
Moller AR, Jannetta PJ. Interpretation of brainstem auditory evoked-potentials: results from intracranial recordings in humans. Scan Audiol. 1983;12(2):125-33.
Shore SE, Nuttall AL. High-synchrony cochlear compound action potentials evoked by rising frequency-swept tone bursts. J Acoust Soc Am. 1985;78(4):1286-95.
Dau T, Wegner O, Mellert V, Kollmeier B. Auditory brainstem responses with optimized chirp signals compensating basilar-membrane dispersion. J Acoust Soc Am. 2000;107(3):1530-40.
Fobel O, Dau T. Searching for the optimal stimulus eliciting auditory brainstem responses in humans. J Acoust Soc Am. 2004;116(4):2213-22.
Kristensen SG, Elberling C. Auditory brainstem responses to level-specific chirps in normal-hearing adults. J Am Acad Audiol. 2012;23(9):712-21.
Elberling C, Kristensen SG, Don M. Auditory brainstem responses to chirps delivered by different insert earphones. J Acoust Soc Am. 2012;131(3):2091-100.
Gotsche-Rasmussen K, Poulsen T, Elberling C. Reference hearing threshold levels for chirp signals delivered by an ER-3A insert earphone. Int J Audiol. 2012;51(11):794-9.
Rodrigues GR, Lewis DR. Comparison of click and CE-chirp® stimuli on brainstem auditory evoked potential recording. Rev Soc Bras Fonoaudiol. 2012;17(4):412-6.
Elberling C, Don M. A direct approach for the design of chirp stimuli used for recording of auditory brainstem responses. J Acoust Soc Am. 2010;128(5):2955-64.
Elberling C, Don M. Auditory brainstem responses to a chirp designed from derived-band latencies in normal-hearing subjects. J Acoust Soc Am. 2008;124(5):3022-37.
Junius D, Dau T. Influence of cochlear traveling wave and neural adaptation on auditory brainstem responses. Hear Res. 2005;205(1-2):53-67.
Wegner O, Dau T. Frequency specificity of chirp-evoked auditory brainstem responses. J Acoust Soc Am. 2002;111(3):1318-29.
Uppenkamp S, Fobel S, Patterson RD. The effects of temporal asymmetry on the detection and perception of short chirps. Hear Res. 2001;158(1-2):71-83.
Cobb KM, Stuart A. Neonate auditory brainstem responses to CE-Chirp and CE-Chirp octave band stimuli I: vs. click and tone burst stimuli. Ear Hear. 2016;37(6):710-23.
Cobb KM, Stuart A. Neonate auditory brainstem responses to CE-Chirp and CE-Chirp octave band stimuli II: vs. adult auditory brainstem responses. Ear Hear. 2016;37(6):724-43.
Cobb KM, Stuart A. Auditory brainstem response thresholds to air- and bone-conducted CE-Chirps in neonates and adults. J Speech Lang Hear Res. 2016;59(4):853-9.
Venail F, Artaud JP, Blanchet C, Uziel A, Mondain M. Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. Int J Audiol. 2015;54(2):106-13.
Bargen GA. Chirp-evoked auditory brainstem response in children: a review. Am J Audiol. 2015;24(4):573-83.
Xu Z, Cheng W, Yao Z. Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses. Int J Pediatr Otorhinolaryngol. 2014;78(5):812-6.
Seidel DU, Flemming TA, Park JJ, Remmert S. Hearing threshold estimation by auditory steady-state responses with narrow-band chirps and adaptive stimulus patterns: implementation in clinical routine. Eur Arch Otorhinolaryngol. 2015;272(1):51-9.
Maloff ES, Hood LJ. A comparison of auditory brainstem responses elicited by clicks and chirp stimuli in adults with normal hearing and sensory hearing loss. Ear Hear. 2014;35(2):271-82.
Schmidt CM, Huebner JR, Deuster D, Zehnhoff-Dinnesen AA, Knief A. A positive wave at 8 ms (P8) and modified auditory brainstem responses measurement in auditory neuropathy spectrum disorder. Int J Pediatr Otorhinolaryngol. 2012;76(5):636-41.
Cebulla M, Lurz H, Shehata-Dieler W. Evaluation of waveform, latency and amplitude values of chirp ABR in newborns. Int J Pediatr Otorhinolaryngol. 2014;78(4):631-6.
Goncalvez M, Argolo T, Freixo I, Nobrega M, Lewis D. Automated auditory brainstem responses with CE-Chirp at different intensity levels. Audiol Com Res. 2014;19(2):117-23.
Muhler R, Rahne T, Verhey JL. Auditory brainstem responses to broad-band chirps: amplitude growth functions in sedated and anaesthetized infants. Int J Pediatr Otorhinolaryngol. 2013;72(1):49-53.
Cebulla M, Shehata-Dieler W. ABR-based newborn hearing screening with MB11 BERAphone® using an optimized chirp for acoustical stimulation. Int J Pediatr Otorhinolaryngol. 2012;76(4):536-43.