Determination and evaluation of clinically efficient stopping criteria for the multiple auditory steady-state response technique

Background: Although the auditory steady-state response (ASSR) technique utilizes objective statistical detection algorithms to estimate behavioural hearing thresholds, the audiologist still has to decide when to terminate ASSR recordings introducing once more a certain degree of subjectivity. Aims: The present study aimed at establishing clinically efficient stopping criteria for a multiple 80-Hz ASSR system. Methods: In Experiment 1, data of 31 normal hearing subjects were analyzed off-line to propose stopping rules. Consequently, ASSR recordings will be stopped when (1) all 8 responses reach significance and significance can be maintained for 8 consecutive sweeps; (2) the mean noise levels were ≤ 4 nV (if at this “≤ 4-nV” criterion, p-values were between 0.05 and 0.1, measurements were extended only once by 8 sweeps); and (3) a maximum amount of 48 sweeps was attained. In Experiment 2, these stopping criteria were applied on 10 normal hearing and 10 hearing-impaired adults to asses the efficiency. Results: The application of these stopping rules resulted in ASSR threshold values that were comparable to other multiple-ASSR research with normal hearing and hearing-impaired adults. Furthermore, in 80% of the cases, ASSR thresholds could be obtained within a time-frame of 1 hour. Investigating the significant response-amplitudes of the hearing-impaired adults through cumulative curves indicated that probably a higher noise-stop criterion than “≤ 4 nV” can be used. Conclusions: The proposed stopping rules can be used in adults to determine accurate ASSR thresholds within an acceptable time-frame of about 1 hour. However, additional research with infants and adults with varying degrees and configurations of hearing loss is needed to optimize these criteria

Music-induced cortical plasticity and lateral inhibition in the human auditory cortex as foundations for tonal tinnitus treatment

Over the past 15 years, we have studied plasticity in the human auditory cortex by means of magnetoencephalography (MEG). Two main topics nurtured our curiosity: the effects of musical training on plasticity in the auditory system, and the effects of lateral inhibition. One of our plasticity studies found that listening to notched music for 3 h inhibited the neuronal activity in the auditory cortex that corresponded to the center-frequency of the notch, suggesting suppression of neural activity by lateral inhibition. Subsequent research on this topic found that suppression was notably dependent upon the notch width employed, that the lower notch-edge induced stronger attenuation of neural activity than the higher notch-edge, and that auditory focused attention strengthened the inhibitory networks. Crucially, the overall effects of lateral inhibition on human auditory cortical activity were stronger than the habituation effects. Based on these results we developed a novel treatment strategy for tonal tinnitus—tailor-made notched music training (TMNMT). By notching the music energy spectrum around the individual tinnitus frequency, we intended to attract lateral inhibition to auditory neurons involved in tinnitus perception. So far, the training strategy has been evaluated in two studies. The results of the initial long-term controlled study (12 months) supported the validity of the treatment concept: subjective tinnitus loudness and annoyance were significantly reduced after TMNMT but not when notching spared the tinnitus frequencies. Correspondingly, tinnitus-related auditory evoked fields (AEFs) were significantly reduced after training. The subsequent short-term (5 days) training study indicated that training was more effective in the case of tinnitus frequencies ≤ 8 kHz compared to tinnitus frequencies >8 kHz, and that training should be employed over a long-term in order to induce more persistent effects. Further development and evaluation of TMNMT therapy are planned. A goal is to transfer this novel, completely non-invasive and low-cost treatment approach for tonal tinnitus into routine clinical practice

Processing asymmetry of transitions between order and disorder in human auditory cortex

Purpose: To develop an algorithm to resolve intrinsic problems with dose calculations using pencil beams when particles involved in each beam are overreaching a lateral density interface or when they are detouring in a laterally heterogeneous medium. Method and Materials: A finding on a Gaussian distribution, such that it can be approximately decomposed into multiple narrower, shifted, and scaled ones, was applied to dynamic splitting of pencil beams implemented in a dose calculation algorithm for proton and ion beams. The method was tested in an experiment with a range-compensated carbon-ion beam. Its effectiveness and efficiency were evaluated for carbon-ion and proton beams in a heterogeneous phantom model. Results: The splitting dose calculation reproduced the detour effect observed in the experiment, which amounted to about 10% at a maximum or as large as the lateral particle-disequilibrium effect. The proton-beam dose generally showed large scattering effects including the overreach and detour effects. The overall computational times were 9 s and 45 s for non-splitting and splitting carbon-ion beams and 15 s and 66 s for non-splitting and splitting proton beams. Conclusions: The beam-splitting method was developed and verified to resolve the intrinsic size limitation of the Gaussian pencil-beam model in dose calculation algorithms. The computational speed slowed down by factor of 5, which would be tolerable for dose accuracy improvement at a maximum of 10%, in our test case.AAPM Annual Meeting 200

Selective attention and the auditory vertex potential. 2: Effects of signal intensity and masking noise

A randomized sequence of tone bursts was delivered to subjects at short inter-stimulus intervals with the tones originating from one of three spatially and frequency specific channels. The subject's task was to count the tones in one of the three channels at a time, ignoring the other two, and press a button after each tenth tone. In different conditions, tones were given at high and low intensities and with or without a background white noise to mask the tones. The N sub 1 component of the auditory vertex potential was found to be larger in response to attended channel tones in relation to unattended tones. This selective enhancement of N sub 1 was minimal for loud tones presented without noise and increased markedly for the lower tone intensity and in noise added conditions

Bottom-up driven involuntary attention modulates auditory signal in noise processing

<p>Abstract</p> <p>Background</p> <p>Auditory evoked responses can be modulated by both the sequencing and the signal-to-noise ratio of auditory stimuli. Constant sequencing as well as intense masking sounds basically lead to N1m response amplitude reduction. However, the interaction between these two factors has not been investigated so far. Here, we presented subjects tone stimuli of different frequencies, which were either concatenated in blocks of constant frequency or in blocks of randomly changing frequencies. The tones were presented either in silence or together with broad-band noises of varying levels.</p> <p>Results</p> <p>In silence, tones presented with random sequencing elicited a larger N1m response than tones presented with constant sequencing. With increasing noise level, this difference decreased and even vanished in the condition where noise intensity exceeded the tone intensity by 10 dB. Furthermore, under noisy conditions, the N1m latency was shorter in the constant sequencing condition compared to the random sequencing condition.</p> <p>Conclusions</p> <p>Besides the well-known neural habituation mechanisms, bottom-up driven attention plays an important role during auditory processing in noisy environments. This bottom-up driven attention would allow us to track a certain auditory signal in noisy situations without voluntarily paying attention to the auditory modality.</p

Functional anatomy of the masking level difference, an fMRI study

Introduction: Masking level differences (MLDs) are differences in the hearing threshold for the detection of a signal presented in a noise background, where either the phase of the signal or noise is reversed between ears. We use N0/Nπ to denote noise presented in-phase/out-of-phase between ears and S0/Sπ to denote a 500 Hz sine wave signal as in/out-of-phase. Signal detection level for the noise/signal combinations N0Sπ and NπS0 is typically 10-20 dB better than for N0S0. All combinations have the same spectrum, level, and duration of both the signal and the noise. Methods: Ten participants (5 female), age: 22-43, with N0Sπ-N0S0 MLDs greater than 10 dB, were imaged using a sparse BOLD fMRI sequence, with a 9 second gap (1 second quiet preceding stimuli). Band-pass (400-600 Hz) noise and an enveloped signal (.25 second tone burst, 50% duty-cycle) were used to create the stimuli. Brain maps of statistically significant regions were formed from a second-level analysis using SPM5. Results: The contrast NπS0- N0Sπ had significant regions of activation in the right pulvinar, corpus callosum, and insula bilaterally. The left inferior frontal gyrus had significant activation for contrasts N0Sπ-N0S0 and NπS0-N0S0. The contrast N0S0-N0Sπ revealed a region in the right insula, and the contrast N0S0-NπS0 had a region of significance in the left insula. Conclusion: Our results extend the view that the thalamus acts as a gating mechanism to enable dichotic listening, and suggest that MLD processing is accomplished through thalamic communication with the insula, which communicate across the corpus callosum to either enhance or diminish the binaural signal (depending on the MLD condition). The audibility improvement of the signal with both MLD conditions is likely reflected by activation in the left inferior frontal gyrus, a late stage in the what/where model of auditory processing. © 2012 Wack et al

Involuntary Monitoring of Sound Signals in Noise Is Reflected in the Human Auditory Evoked N1m Response

Constant sound sequencing as operationalized by repeated stimulation with tones of the same frequency has multiple effects. On the one hand, it activates mechanisms of habituation and refractoriness, which are reflected in the decrease of response amplitude of evoked responses. On the other hand, the constant sequencing acts as spectral cueing, resulting in tones being detected faster and more accurately. With the present study, by means of magnetoencephalography, we investigated the impact of repeated tone stimulation on the N1m auditory evoked fields, while listeners were distracted from the test sounds. We stimulated subjects with trains of either four tones of the same frequency, or with trains of randomly assigned frequencies. The trains were presented either in a silent or in a noisy background. In silence, the patterns of source strength decline originating from repeated stimulation suggested both, refractoriness as well as habituation as underlying mechanisms. In noise, in contrast, there was no indication of source strength decline. Furthermore, we found facilitating effects of constant sequencing regarding the detection of the single tones as indexed by a shortening of N1m latency. We interpret our findings as a correlate of a bottom-up mechanism that is constantly monitoring the incoming auditory information, even when voluntary attention is directed to a different modality

Brain activation display functional asymmetry in response to action, background and tonal frequency during a pitch memory processing: an fMRI study

In this study, the asymmetry of the main effects of action, background and tonal frequency during a pitch memory processing were investigated by means of brain activation. Eighteen participants (mean age 27.6 years) were presented with low and high frequency tones in quiet and in noise. They listen, discriminate and recognize the target tone against the final tone in a series of four distracting tones. The main effects were studied using the analysis of variance (ANOVA) with action (to wring (rubber bulb) vs. not to wring), background (in quiet vs. in noise) and frequency (low vs. high) as the factors (and levels respectively). The main effect of action is in the right pre-central gyrus (PCG), in conformation with its contralateral behavior. The main effect of background indicated the bilateral primary auditory cortices (PAC) and is right lateralized, attributable to white noise. The main effect of frequency is also observed in PAC but bilaterally equal and attributable to low frequency tones. Despite the argument that the temporo-spectral lateralization dichotomy is not especially rigid as revealed by the main effect of frequency, right lateralization of PAC for the respective main effect of background clearly demonstrates its functional asymmetry suggesting different perceptual functionality of the right and left PAC

The neural representation and behavioral detection of frequency modulation

Understanding a speech signal is reliant on the ability of the auditory system to accurately encode rapidly changing spectral and temporal cues over time. Evidence from behavioral studies in humans suggests that relatively poor temporal fine structure (TFS) encoding ability is correlated with poorer performance on speech understanding tasks in quiet and in noise. Electroencephalography, including measurement of the frequency-following response, has been used to assess the human central auditory nervous system’s ability to encode temporal patterns in steady-state and dynamic tonal stimuli and short syllables. To date, the FFR has been used to investigate the accuracy of phase-locked auditory encoding of various stimuli, however, no study has demonstrated an FFR evoked by dynamic TFS contained in the modulating frequency content of a carrier tone. Furthermore, the relationship between a physiological representation of TFS encoding and either behavioral perception or speech-in-noise understanding has not been studied. The present study investigated the feasibility of eliciting FFRs in young, normal-hearing listeners using frequency-modulated (FM) tones, which contain TFS. Brainstem responses were compared to the behavioral detection of frequency modulation as well as speech-in-noise understanding. FFRs in response to FM tones were obtained from all listeners, indicating a reliable measurement of TFS encoding within the brainstem. FFRs were more accurate at lower carrier frequencies and at shallower FM depths. FM detection ability was consistent with previously reported findings in normal-hearing listeners. In the present study, however, FFR accuracy was not predictive of behavioral performance. Additionally, FFR accuracy was not predictive of speech-in-noise understanding. Further investigation of brainstem encoding of TFS may reveal a stronger brain-behavior relationship across an age continuum