Comparison of transient evoked otoacoustic emission thresholds recorded conventionally and using maximum length sequences

Auditory brainstem and middle latency responses recorded at fast rates with randomized stimulation

Randomized stimulation and averaging (RSA) allows auditory evoked potentials (AEPs) to be recorded at high stimulation rates. This method does not perform deconvolution and must therefore deal with interference derived from overlapping transient evoked responses. This paper analyzes the effects of this interference on auditory brainstem responses (ABRs) and middle latency responses (MLRs) recorded at rates of up to 300 and 125 Hz, respectively, with randomized stimulation sequences of a jitter both greater and shorter than the dominant period of the ABR/MLR components. Additionally, this paper presents an advanced approach for RSA [iterative-randomized stimulation and averaging (I-RSA)], which includes the removal of the interference associated with overlapping responses through an iterative process in the time domain. Experimental results show that (a) RSA can be efficiently used in the recording of AEPs when the jitter of the stimulation sequence is greater than the dominant period of the AEP components, and (b) I-RSA maintains all the advantages of RSA and is not constrained by the restriction of a minimum jitter. The significance of the results of this study is discussed.

Theoretical analysis of signal-to-noise ratios for transient evoked otoacoustic emission recordings

Recordings of transient-evoked otoacoustic emissions (TEOAEs) suffer from two main sources of contamination: Random noise and the stimulus artifact. The stimulus artifact can be substantially reduced by using a derived non-linear recording paradigm. Three such paradigms are analyzed, called here the level derived non-linear (LDNL), the double-evoked (DE), and the rate derived non-linear (RDNL) paradigms. While these methods successfully reduce the stimulus artifact, they lead to an increase in contamination by random noise. In this study, the signal-to-noise ratio (SNR) achievable by these three paradigms is compared using a common theoretical framework. This analysis also allows the optimization of the parameters of the RDNL paradigm to achieve the maximum SNR. Calculations based on the analysis with typical parameters used in practice suggest that when ranked in terms of their SNR for a given averaging time, RDNL performs best followed by the LDNL and DE paradigms.

Recording of auditory brainstem response at high stimulation rates using randomized stimulation and averaging

The recording of auditory brainstem response (ABR) at high stimulation rates is of great interest in audiology. It allows a more accurate diagnosis of certain pathologies at an early stage and the study of different mechanisms of adaptation. This paper proposes a methodology, which we will refer to as randomized stimulation and averaging (RSA) that allows the recording of ABR at high stimulation rates using jittered stimuli. The proposed method has been compared with quasi-periodic sequence deconvolution (QSD) and conventional (CONV) stimulation methodologies. Experimental results show that RSA provides a quality in ABR recordings similar to that of QSD and CONV. Compared with CONV, RSA presents the advantage of being able to record ABR at rates higher than 100 Hz. Compared with QSD, the formulation of RSA is simpler and allows more flexibility on the design of the pseudorandom sequence. The feasibility of the RSA methodology is validated by an analysis of the morphology, amplitudes, and latencies of the most important waves in ABR recorded at high stimulation rates from eight normal hearing subjects.

Effect of prenatal androgens on click-evoked otoacoustic emissions in male and female sheep (Ovis aries)

Otoacoustic emissions (OAEs) were measured in male and female Suffolk sheep (Ovis aries). Some sheep had been administered androgens or estrogens during prenatal development, some were gonadectomized after birth, and some were allowed to develop normally. As previously reported for spotted hyenas, gonadectomy did not alter the OAEs for either sex; accordingly, the untreated/intact and the untreated/gonadectomized animals were pooled to form the control groups. The click-evoked otoacoustic emissions (CEOAEs) exhibited by the female control group (N=12) were slightly stronger (effect size=0.42) than those in the male control group (N=15), which is the same direction of effect reported for humans and rhesus monkeys. Females administered testosterone prenatally (N=16) had substantially weaker (masculinized) CEOAEs than control females (effect size=1.15). Both of these outcomes are in accord with the idea that prenatal exposure to androgens weakens the cochlear mechanisms that underlie the production of OAEs. The CEOAEs of males administered testosterone prenatally (N=5) were not different from those of control males, an outcome also seen in similarly treated rhesus monkeys. Males administered dihydrotestosterone (DHT) prenatally (N=3) had slightly stronger (hypo-masculinized) CEOAEs than control males. No spontaneous otoacoustic emissions (SOAEs) were found in any ears, a common finding in non-human species. To our knowledge, this is the first ruminant species measured for OAEs.

Transient evoked otoacoustic emission input/output function and cochlear reflectivity: experiment and model

The complex input/output function of transient evoked otoacoustic emissions is evaluated at different stimulus levels. The experimental response functions were best fitted to the reflectivity functions predicted by theoretical one-dimensional transmission-line models in the perturbative limit. Along with the otoacoustic emission sources usually considered, linear reflection from roughness (place-fixed) and nonlinear distortion (wave-fixed), a wave-fixed scattering potential is also considered, associated with the breaking of the scale-invariance symmetry, as a new additional mechanism for otoacoustic emission generation. A good fit was obtained, across stimulus level and frequency, for roughness, and not for nonlinear distortion, nor for scale-invariance violation. The phase-gradient delay of the same transient evoked otoacoustic emissions was consistent with the latency measured using a wavelet time-frequency technique, at all stimulus levels and frequencies. The results suggest that cochlear reflectivity is dominated by a component with a rapidly rotating phase, at all stimulus levels, in apparent contradiction with the usual assumption that, at high stimulus levels, a significant contribution to the transient evoked otoacoustic response should come from nonlinear distortion. Possible interpretations of this phenomenology are critically reviewed and discussed, considering the theoretical uncertainties and the limitations of the experimental technique.

Neural correlates of perceptual learning in the auditory brainstem: efferent activity predicts and reflects improvement at a speech-in-noise discrimination task

An extensive corticofugal system extends from the auditory cortex toward subcortical nuclei along the auditory pathway. Corticofugal influences reach even into the inner ear via the efferents of the olivocochlear bundle, the medial branch of which modulates preneural sound amplification gain. This corticofugal system is thought to contribute to neuroplasticity underlying auditory perceptual learning. In the present study, we investigated the involvement of the medial olivocochlear bundle (MOCB) in perceptual learning as a result of auditory training. MOCB activity was monitored in normal-hearing adult listeners during a 5 d training regimen on a consonant-vowel phoneme-in-noise discrimination task. The results show significant group learning, with great inter-individual variability in initial performance and improvement. As observed in previous auditory training studies, poor initial performers tended to show greater learning. Strikingly, MOCB activity measured on the first training day strongly predicted the subsequent amount of improvement, such that weaker initial MOCB activity was associated with greater improvement. Moreover, in listeners that improved significantly, an increase in MOCB activity was observed after training. Thus, as discrimination thresholds of listeners converged over the course of training, differences in MOCB activity between listeners decreased. Additional analysis showed that MOCB activity did not explain variation in performance between listeners on any training day but rather reflected an individual listener's performance relative to their personal optimal range. The findings suggest an MOCB-mediated listening strategy that facilitates speech-in-noise perception. The operation of this strategy is flexible and susceptible to training, presumably because of task-related adaptation of descending control from the cortex.

Click-evoked otoacoustic emissions (CEOAEs) recorded from neonates under 13 hours old using conventional and maximum length sequence (MLS) stimulation

Maximum length sequence (MLS) stimulation allows click evoked otoacoustic emissions (CEOAEs) to be averaged at very high stimulation rates. This enables a faster reduction of noise contamination of the response, and has been shown to improve the signal-to-noise ratio (SNR) of CEOAEs recorded from adult subjects. This study set out to investigate whether MLS averaging can enhance the SNR of CEOAEs recorded in newborns within the first day after birth, and so improve the pass rates for OAE screening in this period, when false alarm rates are very high. CEOAEs were recorded in a neonatal ward from 57 ears in 37 newborns ranging from 6 to 13h old, using both conventional (50/s) and high rate (5000/s) MLS averaging. SNR values and pass rates were compared for responses obtained within equal recording times at both rates. MLS averaging produced an SNR improvement of up to 3.8dB, with the greatest improvement found in higher frequency bands. This SNR advantage resulted in pass rate improvement between 5% and 10%, depending on pass criterion. A significant effect of age was found on both SNR and pass rate, with newborns between 6 and 10h old showing significantly lower values than those tested between 10 and 13h after birth, as well as a much greater improvement due to MLS averaging. The findings show that MLS averaging can reduce false alarm rates by up to 15% in very young neonates in a neonatal ward setting.

An investigation into the relationship between input–output nonlinearities and rate-induced nonlinearities of click-evoked otoacoustic emissions recorded using maximum length sequences

The maximum length sequence (MLS) technique allows otoacoustic emissions (OAEs) to be recorded using clicks presented at very high presentation rates. It has previously been found that increasing the click presentation rate leads to increasing suppression (termed "rate-suppression") of the MLS evoked OAE (Hine, J.E., Thornton, A.R.D., 1997. Transient evoked otoacoustic emissions recorded using maximum length sequences as a function of stimulus rate and level. Ear Hear. 18, 121-128). It has been suggested that the source of rate-suppression arises from the same nonlinear processes that give rise to the well-known nonlinear growth of OAEs. Based on this assumption, a simple model of rate-suppression (Kapadia, S., Lutman, M.E., 2001. Static input-output nonlinearity as the source of nonlinear effects in maximum length sequence click-evoked OAEs. Br. J. Audiol. 35, 103-112) predicts that both input-output (I/O) nonlinearity and rate-suppression can be unified by characterising the stimulus in terms of its acoustic power which, at high rates, is proportional to the click presentation rate. The objective of this study was to test this simple model by recording MLS OAEs from a group of normally hearing adults over a range of stimulus rates from 40 to 5000 clicks/s, and of stimulus levels from 45 to 70dB peSPL. The results are broadly in agreement with the predictions from the model, though there appears to be some tendency for the model to slightly overestimate the degree of rate-suppression for a given degree of I/O nonlinearity. It is also suggested that the model may break down more significantly in the presence of spontaneous OAEs.

Volterra Slice otoacoustic emissions recorded using maximum length sequences from patients with sensorineural hearing loss

When normally hearing ears are stimulated with maximum length sequences (MLS) of clicks, a family of non-linear temporal interaction components of otoacoustic emissions (OAEs) can be derived, which have been named Volterra Slice OAEs (VS OAEs). This study investigates the sensitivity of VS OAEs to sensorineural hearing impairment in adults, compared to that of the widely used derived non-linear click evoked OAE (DNL CEOAE). VS OAEs and DNL CEOAEs were obtained from 24 normally hearing and 24 hearing impaired ears using a custom-built MLS system and a Otodynamics 'ILO88' OAE Analyzer, respectively. The results show that, based on waveform reproducibility, VS OAEs are as successful as DNL CEOAEs at separating normal from impaired ears at the audiometric frequencies of 1 and 2 kHz, where a strong correlation is found between the amplitudes of the two OAE types. At 4 kHz however, VS OAEs are a significantly better indicator of hearing loss than DNL CEOAEs. This difference at 4 kHz appears to be due to the lack of stimulus artefact contamination of VS OAEs in the early, high frequency portion of the response. The findings suggest that VS OAEs may provide a better diagnostic and monitoring tool for hearing loss at high frequencies than the conventional DNL CEOAE.

Signal to noise ratio analysis of maximum length sequence deconvolution of overlapping evoked potentials

In this study a general formula for the signal to noise ratio (SNR) of the maximum length sequence (MLS) deconvolution averaging is developed using the frequency domain framework of the generalized continuous loop averaging deconvolution procedure [Ozdamar and Bohórquez, J. Acoust. Soc. Am. 119, 429-438 (2006)]. This formulation takes advantage of the well known equivalency of energies in the time and frequency domains (Parseval's theorem) to show that in MLS deconvolution, SNR increases with the square root of half of the number of stimuli in the sweep. This increase is less than that of conventional averaging which is the square root of the number of sweeps averaged. Unlike arbitrary stimulus sequences that can attenuate or amplify phase unlocked noise depending on the frequency characteristics, the MLS deconvolution attenuates noise in all frequencies consistently. Furthermore, MLS and its zero-padded variations present optimal attenuation of noise at all frequencies yet they present a highly jittered stimulus sequence. In real recordings of evoked potentials, the time advantage gained by noise attenuation could be lost by the signal amplitude attenuation due to neural adaptation at high stimulus rates.

Transient evoked otoacoustic emissions recorded using maximum length sequences from patients with sensorineural hearing loss

Much research has shown that transient evoked otoacoustic emissions (TEOAEs) can successfully separate normally hearing and hearing impaired populations. However, this finding comes from TEOAEs recorded using conventional averaging at low stimulation rates. Presenting clicks according to maximum length sequences (MLSs) enables TEOAEs to be recorded at very high stimulation rates. This study compares conventional and MLS TEOAEs in normally hearing and hearing impaired adults. Stimulus presentation rates of 40 clicks/s (conventional) and 5000 clicks/s (MLS) were used. The 'linear' TEOAEs (i.e., the directly recorded waveforms), the 'level nonlinear' (LNL) TEOAEs (i.e., those derived from two linear waveforms separated by a known difference in stimulus level) and the 'rate nonlinear' (RNL) TEOAEs (i.e., obtained by subtracting the emission recorded at 5000 clicks/s from that at 40 clicks/s at a fixed stimulus level) were examined to compare how they separated the normally hearing and hearing impaired subjects. When compared to the results for both conventional and MLS linear or LNL TEOAEs, the present study found that the RNL results best reflected the patients' hearing loss, although the conventional linear and LNL responses performed nearly as well. Only two impaired ears (2%), both with a best threshold of 30 dB HL at 1000 Hz, produced RNL responses with amplitude within the range produced by 95% of the normal group.