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Oeur A, Torp WH, Arbogast KB, Master CL, Margulies SS. Altered Auditory and Visual Evoked Potentials following Single and Repeated Low-Velocity Head Rotations in 4-Week-Old Swine. Biomedicines 2023; 11:1816. [PMID: 37509456 PMCID: PMC10376588 DOI: 10.3390/biomedicines11071816] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 06/22/2023] [Accepted: 06/22/2023] [Indexed: 07/30/2023] Open
Abstract
Auditory and visually evoked potentials (EP) have the ability to monitor cognitive changes after concussion. In the literature, decreases in EP are commonly reported; however, a subset of studies shows increased cortical activity after injury. We studied auditory and visual EP in 4-week-old female Yorkshire piglets (N = 35) divided into anesthetized sham, and animals subject to single (sRNR) and repeated (rRNR) rapid non-impact head rotations (RNR) in the sagittal direction. Two-tone auditory oddball tasks and a simple white-light visual stimulus were evaluated in piglets pre-injury, and at days 1, 4- and 7 post injury using a 32-electrode net. Traditional EP indices (N1, P2 amplitudes and latencies) were extracted, and a piglet model was used to source-localize the data to estimate brain regions related to auditory and visual processing. In comparison to each group's pre-injury baselines, auditory Eps and brain activity (but not visual activity) were decreased in sham. In contrast, sRNR had increases in N1 and P2 amplitudes from both stimuli. The rRNR group had decreased visual N1 amplitudes but faster visual P2 latencies. Auditory and visual EPs have different change trajectories after sRNR and rRNR, suggesting that injury biomechanics are an important factor to delineate neurofunctional deficits after concussion.
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Affiliation(s)
- Anna Oeur
- Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA; (A.O.); (W.H.T.)
| | - William H. Torp
- Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA; (A.O.); (W.H.T.)
| | - Kristy B. Arbogast
- Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, Philadelphia, PA 19146, USA; (K.B.A.); (C.L.M.)
- Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Christina L. Master
- Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, Philadelphia, PA 19146, USA; (K.B.A.); (C.L.M.)
- Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA 19104, USA
- Sports Medicine and Performance Center, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
| | - Susan S. Margulies
- Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA; (A.O.); (W.H.T.)
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Haumann NT, Petersen B, Vuust P, Brattico E. Age differences in central auditory system responses to naturalistic music. Biol Psychol 2023; 179:108566. [PMID: 37086903 DOI: 10.1016/j.biopsycho.2023.108566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 04/11/2023] [Accepted: 04/14/2023] [Indexed: 04/24/2023]
Abstract
Aging influences the central auditory system leading to difficulties in the decoding and understanding of overlapping sound signals, such as speech in noise or polyphonic music. Studies on central auditory system evoked responses (ERs) have found in older compared to young listeners increased amplitudes (less inhibition) of the P1 and N1 and decreased amplitudes of the P2, mismatch negativity (MMN), and P3a responses. While preceding research has focused on simplified auditory stimuli, we here tested whether the previously observed age-related differences could be replicated with sounds embedded in medium and highly naturalistic musical contexts. Older (age 55-77 years) and younger adults (age 21-31 years) listened to medium naturalistic (synthesized melody) and highly naturalistic (studio recording of a music piece) stimuli. For the medium naturalistic music, the age group differences on the P1, N1, P2, MMN, and P3a amplitudes were all replicated. The age group differences, however, appeared reduced with the highly compared to the medium naturalistic music. The finding of lower P2 amplitude in older than young was replicated for slow event rates (0.3-2.9Hz) in the highly naturalistic music. Moreover, the ER latencies suggested a gradual slowing of the auditory processing time course for highly compared to medium naturalistic stimuli irrespective of age. These results support that age-related differences on ERs can partly be observed with naturalistic stimuli. This opens new avenues for including naturalistic stimuli in the investigation of age-related central auditory system disorders.
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Affiliation(s)
- Niels Trusbak Haumann
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark.
| | - Bjørn Petersen
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
| | - Peter Vuust
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
| | - Elvira Brattico
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
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Cortical Auditory Evoked Potentials in Children with Prenatal Exposure to Zika Virus. Viruses 2022; 14:v14091923. [PMID: 36146729 PMCID: PMC9502411 DOI: 10.3390/v14091923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/25/2022] [Accepted: 08/29/2022] [Indexed: 11/17/2022] Open
Abstract
Prenatal exposure to ZIKV can cause neurologic and auditory damage. The electrophysiological responses obtained by Cortical Auditory Evoked Potentials (CAEP) may provide an objective method to investigate the function of cortical auditory pathways in children exposed to ZIKV. This case series analyzed the findings of CAEP in prenatal-period ZIKV-exposed children with and without microcephaly. The CAEP was performed in a total of 24 children. Five magnetic resonance imaging (MRI) images of the inner ear and brain of microcephalic children were analyzed and compared with CAEP measurements. Ventriculomegaly (80%), cortical/subcortical calcification (80%), and brain reduction (60%) were the most common alterations in the MRI. The P1-N1-P2 complex of the CAEP was observed in all children evaluated. The peak N2 was absent in two children. In the comparison of the CAEP measurements between the groups, children with microcephaly presented a higher amplitude of P2 (p = 0.017), which may reflect immaturity of the auditory pathways. Microcephalic and normocephalic children with prenatal exposure to ZIKV presented with the mandatory components of the CAEPs, regardless of changes in the CNS, suggesting that this population has, to some extent, the cortical ability to process sound stimuli preserved.
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Coughler C, Quinn de Launay KL, Purcell DW, Oram Cardy J, Beal DS. Pediatric Responses to Fundamental and Formant Frequency Altered Auditory Feedback: A Scoping Review. Front Hum Neurosci 2022; 16:858863. [PMID: 35664350 PMCID: PMC9157279 DOI: 10.3389/fnhum.2022.858863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 04/12/2022] [Indexed: 11/13/2022] Open
Abstract
Purpose The ability to hear ourselves speak has been shown to play an important role in the development and maintenance of fluent and coherent speech. Despite this, little is known about the developing speech motor control system throughout childhood, in particular if and how vocal and articulatory control may differ throughout development. A scoping review was undertaken to identify and describe the full range of studies investigating responses to frequency altered auditory feedback in pediatric populations and their contributions to our understanding of the development of auditory feedback control and sensorimotor learning in childhood and adolescence. Method Relevant studies were identified through a comprehensive search strategy of six academic databases for studies that included (a) real-time perturbation of frequency in auditory input, (b) an analysis of immediate effects on speech, and (c) participants aged 18 years or younger. Results Twenty-three articles met inclusion criteria. Across studies, there was a wide variety of designs, outcomes and measures used. Manipulations included fundamental frequency (9 studies), formant frequency (12), frequency centroid of fricatives (1), and both fundamental and formant frequencies (1). Study designs included contrasts across childhood, between children and adults, and between typical, pediatric clinical and adult populations. Measures primarily explored acoustic properties of speech responses (latency, magnitude, and variability). Some studies additionally examined the association of these acoustic responses with clinical measures (e.g., stuttering severity and reading ability), and neural measures using electrophysiology and magnetic resonance imaging. Conclusion Findings indicated that children above 4 years generally compensated in the opposite direction of the manipulation, however, in several cases not as effectively as adults. Overall, results varied greatly due to the broad range of manipulations and designs used, making generalization challenging. Differences found between age groups in the features of the compensatory vocal responses, latency of responses, vocal variability and perceptual abilities, suggest that maturational changes may be occurring in the speech motor control system, affecting the extent to which auditory feedback is used to modify internal sensorimotor representations. Varied findings suggest vocal control develops prior to articulatory control. Future studies with multiple outcome measures, manipulations, and more expansive age ranges are needed to elucidate findings.
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Affiliation(s)
- Caitlin Coughler
- Graduate Program in Health and Rehabilitation Sciences, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada
- *Correspondence: Caitlin Coughler,
| | - Keelia L. Quinn de Launay
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - David W. Purcell
- School of Communication Sciences and Disorders, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada
- National Centre for Audiology, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada
| | - Janis Oram Cardy
- School of Communication Sciences and Disorders, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada
- National Centre for Audiology, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada
| | - Deryk S. Beal
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Department of Speech-Language Pathology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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Development of central auditory processes in Polish children and adolescents at the age from 7 to 16 years. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01540-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
AbstractThere are discrepancies in the literature regarding the course of central auditory processes (CAP) maturation in typically developing children and adolescents. The purpose of the study was to provide an overview of age – related improvement in CAP in Polish primary and secondary school students aged 7–16 years. 180 children/adolescents, subdivided into 9 age categories, and 20 adults (aged 18–24 years) performed the Dichotic Digit Test (DDT), Duration Pattern Test (DPT), Frequency Pattern Test (FPT), Gap Detection Test (GDT) and adaptive Speech-in-Noise (aSpN). The 12-year-olds was retested after w week. We found the age effects only for the DDT, DPT and FPT. In the right ear DDT the 7-year-olds performed more poorly than all groups ≥12. In the left ear DDT both 7- and 8-year-olds achieved less correct responses compared with the 13-, 14-, 15-year-olds and with the adults. The right ear advantage was greater in the 7-year-olds than in the 15-year-olds and adult group. At the age of 7 there was lower DPT and FPT scores than in all participants ≥13 whereas the 8-year-olds obtained less correct responses in the FPT than all age categories ≥12. Almost all groups (except for the 7-year-olds) performed better in the DPT than FPT. The test-retest reliability for all tests was satisfactory. The study demonstrated that different CAP have their own patterns of improvement with age and some of them are specific for the Polish population. The psychoacoustic battery may be useful in screening for CAP disorders in Poland.
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Wagner S, Rinneberg-Schmidt L, Fuchs M, Meuret S. [Central auditory processing in adolescents with communication impairments]. Laryngorhinootologie 2020; 99:795-802. [PMID: 32559812 PMCID: PMC7591369 DOI: 10.1055/a-1177-1240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Hintergrund
Berufsbildungswerke (BBW) sind Einrichtungen der beruflichen Rehabilitation und Bildung, vergleichbar mit Förderschulen im schulischen Bereich. Das BBW Leipzig registriert seit einigen Jahren eine zunehmende Anzahl von Jugendlichen mit der Diagnose auditive Verarbeitungs- und Wahrnehmungsstörung (AVWS). Für diese Zielgruppe gibt es derzeit nur wenige Testverfahren mit Referenz- oder Normwerten. Ziel war die Untersuchung der auditiven Verarbeitung und Wahrnehmung von peripher hörgesunden Jugendlichen mit vorhandenem Testmaterial.
Material und Methoden
35 normalhörende Jugendliche (26 männlich, 9 weiblich, im Mittel 18,1 Jahre) aus dem BBW Leipzig wurden mit folgenden Tests untersucht: dichotisches Hören, Sprachverstehen im Störgeräusch, Verstehen zeitkomprimierter Sprache, Phonem-Differenzierung und -Analyse. Zusätzlich wurden sprachfreie Intelligenz, Konzentration, figurale Merkfähigkeit und die sprachlichen Leistungen getestet.
Ergebnisse
25 Jugendliche zeigten zentral-auditive Auffälligkeiten; 5 von ihnen hatten keine AVWS-Diagnose aus der Kindheit. Bei 9 der 25 Jugendlichen konnten die Auffälligkeiten nicht auf übergeordnete Störungen zurückgeführt werden. Diese Jugendlichen waren vor allem in der Wahrnehmung gesprochener Sprache sowie im Halten und Manipulieren sprachlicher Reize im Arbeitsgedächtnis eingeschränkt, obwohl die sprachlichen Fähigkeiten unauffällig waren und die Intelligenz normal bis überdurchschnittlich war.
Diskussion
Die Ergebnisse zeigen, dass Jugendliche auffällig im Sinne der AVWS-Kriterien der DGPP sein können und dass nicht zwingend schon eine AVWS-Diagnose aus der Kindheit vorliegen muss. Außerdem wurde deutlich, dass die multiprofessionelle Diagnostik wichtig bleibt. Standardisierte Testverfahren mit entsprechenden Altersnormen werden benötigt.
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Affiliation(s)
- Susanne Wagner
- Forschung und Entwicklung, Berufsbildungswerk Leipzig für Hör- und Sprachgeschädigte gGmbH, Leipzig, Germany
| | - Lissy Rinneberg-Schmidt
- Forschung und Entwicklung, Berufsbildungswerk Leipzig für Hör- und Sprachgeschädigte gGmbH, Leipzig, Germany
| | - Michael Fuchs
- Sektion Phoniatrie und Audiologie, Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Leipzig AöR, Germany
| | - Sylvia Meuret
- Sektion Phoniatrie und Audiologie, Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Leipzig AöR, Germany
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Abstract
It is clear that environmental influences impact the structure and function of the human brain, and thus, thoughts, actions, and behaviors. These in turn influence whether an individual engages in high-risk (drugs, alcohol, violence) or health-promoting (exercise, meditation, music) activities. The developmental mismatch between cortical and subcortical maturation of the transitional age brain places college students at risk for negative outcomes. This article argues that the prescription of incentive-based behavioral change and brain-building activities simply make good scientific, programmatic, and financial sense for colleges and universities. The authors present University of Vermont Wellness Environment as an example.
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Tierney A, White-Schwoch T, MacLean J, Kraus N. Individual Differences in Rhythm Skills: Links with Neural Consistency and Linguistic Ability. J Cogn Neurosci 2017; 29:855-868. [PMID: 28129066 DOI: 10.1162/jocn_a_01092] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Durational patterns provide cues to linguistic structure, thus so variations in rhythm skills may have consequences for language development. Understanding individual differences in rhythm skills, therefore, could help explain variability in language abilities across the population. We investigated the neural foundations of rhythmic proficiency and its relation to language skills in young adults. We hypothesized that rhythmic abilities can be characterized by at least two constructs, which are tied to independent language abilities and neural profiles. Specifically, we hypothesized that rhythm skills that require integration of information across time rely upon the consistency of slow, low-frequency auditory processing, which we measured using the evoked cortical response. On the other hand, we hypothesized that rhythm skills that require fine temporal precision rely upon the consistency of fast, higher-frequency auditory processing, which we measured using the frequency-following response. Performance on rhythm tests aligned with two constructs: rhythm sequencing and synchronization. Rhythm sequencing and synchronization were linked to the consistency of slow cortical and fast frequency-following responses, respectively. Furthermore, whereas rhythm sequencing ability was linked to verbal memory and reading, synchronization ability was linked only to nonverbal auditory temporal processing. Thus, rhythm perception at different time scales reflects distinct abilities, which rely on distinct auditory neural resources. In young adults, slow rhythmic processing makes the more extensive contribution to language skills.
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Xie Z, Reetzke R, Chandrasekaran B. Stability and plasticity in neural encoding of linguistically relevant pitch patterns. J Neurophysiol 2017; 117:1407-1422. [PMID: 28077662 DOI: 10.1152/jn.00445.2016] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 01/09/2017] [Accepted: 01/09/2017] [Indexed: 12/15/2022] Open
Abstract
While lifelong language experience modulates subcortical encoding of pitch patterns, there is emerging evidence that short-term training introduced in adulthood also shapes subcortical pitch encoding. Here we use a cross-language design to examine the stability of language experience-dependent subcortical plasticity over multiple days. We then examine the extent to which behavioral relevance induced by sound-to-category training leads to plastic changes in subcortical pitch encoding in adulthood relative to adolescence, a period of ongoing maturation of subcortical and cortical auditory processing. Frequency-following responses (FFRs), which reflect phase-locked activity from subcortical neural ensembles, were elicited while participants passively listened to pitch patterns reflective of Mandarin tones. In experiment 1, FFRs were recorded across three consecutive days from native Chinese-speaking (n = 10) and English-speaking (n = 10) adults. In experiment 2, FFRs were recorded from native English-speaking adolescents (n = 20) and adults (n = 15) before, during, and immediately after a session of sound-to-category training, as well as a day after training ceased. Experiment 1 demonstrated the stability of language experience-dependent subcortical plasticity in pitch encoding across multiple days of passive exposure to linguistic pitch patterns. In contrast, experiment 2 revealed an enhancement in subcortical pitch encoding that emerged a day after the sound-to-category training, with some developmental differences observed. Taken together, these findings suggest that behavioral relevance is a critical component for the observation of plasticity in the subcortical encoding of pitch.NEW & NOTEWORTHY We examine the timescale of experience-dependent auditory plasticity to linguistically relevant pitch patterns. We find extreme stability in lifelong experience-dependent plasticity. We further demonstrate that subcortical function in adolescents and adults is modulated by a single session of sound-to-category training. Our results suggest that behavioral relevance is a necessary ingredient for neural changes in pitch encoding to be observed throughout human development. These findings contribute to the neurophysiological understanding of long- and short-term experience-dependent modulation of pitch.
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Affiliation(s)
- Zilong Xie
- Department of Communication Sciences and Disorders, The University of Texas at Austin, Austin, Texas
| | - Rachel Reetzke
- Department of Communication Sciences and Disorders, The University of Texas at Austin, Austin, Texas
| | - Bharath Chandrasekaran
- Department of Communication Sciences and Disorders, The University of Texas at Austin, Austin, Texas; .,Department of Psychology, The University of Texas at Austin, Austin, Texas.,Department of Linguistics, The University of Texas at Austin, Austin, Texas.,Institute for Neuroscience, The University of Texas at Austin, Austin, Texas; and.,Institute for Mental Health Research, The University of Texas at Austin, Austin, Texas
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Woodruff Carr K, Fitzroy AB, Tierney A, White-Schwoch T, Kraus N. Incorporation of feedback during beat synchronization is an index of neural maturation and reading skills. BRAIN AND LANGUAGE 2017; 164:43-52. [PMID: 27701006 DOI: 10.1016/j.bandl.2016.09.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 07/29/2016] [Accepted: 09/11/2016] [Indexed: 06/06/2023]
Abstract
Speech communication involves integration and coordination of sensory perception and motor production, requiring precise temporal coupling. Beat synchronization, the coordination of movement with a pacing sound, can be used as an index of this sensorimotor timing. We assessed adolescents' synchronization and capacity to correct asynchronies when given online visual feedback. Variability of synchronization while receiving feedback predicted phonological memory and reading sub-skills, as well as maturation of cortical auditory processing; less variable synchronization during the presence of feedback tracked with maturation of cortical processing of sound onsets and resting gamma activity. We suggest the ability to incorporate feedback during synchronization is an index of intentional, multimodal timing-based integration in the maturing adolescent brain. Precision of temporal coding across modalities is important for speech processing and literacy skills that rely on dynamic interactions with sound. Synchronization employing feedback may prove useful as a remedial strategy for individuals who struggle with timing-based language learning impairments.
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Affiliation(s)
- Kali Woodruff Carr
- Auditory Neuroscience Laboratory, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA; Department of Communication Sciences, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA
| | - Ahren B Fitzroy
- Auditory Neuroscience Laboratory, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA; Department of Communication Sciences, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA
| | - Adam Tierney
- Auditory Neuroscience Laboratory, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA; Department of Communication Sciences, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA
| | - Travis White-Schwoch
- Auditory Neuroscience Laboratory, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA; Department of Communication Sciences, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA
| | - Nina Kraus
- Auditory Neuroscience Laboratory, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA; Department of Communication Sciences, Northwestern University, 2240 Campus Drive, Evanston, IL 60208, USA; Department of Neurobiology & Physiology, Northwestern University, 2205 Tech Drive, Evanston, IL 60208, USA; Department of Otolaryngology, Northwestern University, 675 North St Clair, Chicago, IL, USA.
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Chinnadurai V, Sreedhar CM, Khushu S. Assessment of cochlear nerve deficiency and its effect on normal maturation of auditory tract by diffusion kurtosis imaging and diffusion tensor imaging: A correlational approach. Magn Reson Imaging 2016; 34:1305-1313. [PMID: 27476097 DOI: 10.1016/j.mri.2016.07.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Revised: 06/27/2016] [Accepted: 07/18/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The use of diffusion kurtosis imaging (DKI) and diffusion tensor imaging (DTI) was evaluated in assessing cochlear nerve deficiency (CND) and its effect on normal maturation of auditory tract. METHODS 25 CND patients and 25 controls (age matched: 2months to 17years, gender matched) were evaluated by mean kurtosis (MK), axial kurtosis, and radial kurtosis and compared against fractional anisotropy (FA), axial and radial diffusivities in internal auditory canal (IAC), lateral lemniscus (LL) and inferior colliculus (IC). The age related changes of auditory tract were studied through Pearson correlation between estimated indices and age of both CND and control populations. RESULTS Significant loss of MK (IAC: 10.71%, IC: 10.87%, LL: 15.63%) was observed in CND cases as against moderate reduction in FA (IAC: 8.57%, IC: 10%, LL: 7.69%) in all three anatomical locations. Similarly, substantial decline is observed in radial kurtosis (IAC: 27.03%, IC: 33.33%, LL: 31.43%) in comparison to moderate increase in radial diffusivity (IAC: 13.46%, IC: 24.39%, LL: 24%) in CND cases. No statistically significant change was seen in both axial kurtosis and diffusivities. In control populations, MK (r=0.473, p=0.011) and radial kurtosis (r=0.418, p=0.016) correlate positively with age and had no correlation in case of CND cases. FA (r=0.356, p=0.019) minimally correlated with age in control population but showed no statistically significant correlation in CND cases (r=0.198, p=0.036). CONCLUSION DKI metrics performed better than DTI in assessing microstructural changes of CND. In particular, MK and radial kurtosis are found to be more sensitive enough to differentiate the normal maturation of cochlear nerve from CND cases.
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Affiliation(s)
| | - C M Sreedhar
- Department of Radiology, Army Hospital (Research & Referral), New Delhi, India
| | - Subash Khushu
- NMR Lab, Institute of Nuclear Medicine and Allied Sciences, New Delhi, India
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