Tone Pips Research Articles

The Origin Along the Cochlea of Otoacoustic Emissions Evoked by Mid-Frequency Tone Pips.

Tone-pip-evoked otoacoustic emissions (PEOAEs) are transient-evoked otoacoustic emissions (OAEs) that are hypothesized to originate from reflection of energy near the best-frequency (BF) cochlear place of the stimulus frequency. However, individual PEOAEs have energy with a wide range of delays. We sought to determine whether some PEOAE energy is consistent with having been generated far from BF. PEOAEs from 35 and 47dB SPL tone pips were obtained by removing pip-stimulus energy by subtracting the ear-canal sound pressure from scaled-down 59dB SPL tone pips (which evoke relatively small OAEs). PEOAE delays were measured at each peak in the PEOAE absolute-value waveforms. While measuring PEOAEs and auditory-nerve compound action potentials (CAPs), amplification was blocked sequentially from apex to base by cochlear salicylate perfusion. The perfusion time when a CAP was reduced identified when the perfusion reached the tone-pip BF place. The perfusion times when each PEOAE peak was reduced identified where along the cochlea it received cochlear amplification. PEOAEs and CAPs were measured simultaneously using one pip frequency in each ear (1.4 to 4kHz across 16 ears). Most PEOAE peaks received amplification primarily between the BF place and 1-2 octaves basal of the BF place. PEOAE peaks with short delays received amplification basal of BF place. PEOAE peaks with longer delays sometimes received amplification apical of BF place, consistent with previous stimulus-frequency-OAE results. PEOAEs provide information about cochlear amplification primarily within ~ 1.5 octave of the tone-pip BF place, not about regions > 3 octaves basal of BF.

Contributions of auditory processing and cognition to the development of frequency discrimination performance during adolescence

Performance on auditory perceptual tasks develops throughout adolescence, likely due to the development of auditory and cognitive regions of the brain. We investigated the contributions of auditory processing and cognition to frequency discrimination. Frequency discrimination thresholds were measured in three conditions using a series of 3AFC tasks. For two conditions, each stimulus was two 15-ms tone pips separated by 100 ms. These stimuli were used both with a 3-down, 1-up procedure (threshold = 79.4%) with the method of constant stimuli (threshold = 66.7%). The third condition used a 130-ms stimulus and a 3-down, 1-up procedure. The auditory electrophysiological acoustic change complex was measured passively using an 800-ms tone that changed from 1000 Hz to a lower frequency. Cognitive testing was also administered. Preliminary results suggest thresholds correlate between conditions and performance improves with longer stimuli. Adolescents (10-17 years) performed worse than young adults (18-23) on only the adaptive-tracking conditions. Cognition contributed more to these conditions than the condition using the method of constant stimuli, suggesting that age differences on adaptive conditions are caused by cognitive development. Adolescents had larger acoustic change complex responses to the frequency contrasts. Behavioral data did not correlate with the electrophysiological data. [Funded by NIDCD].

Neural dynamics underlying successful auditory short-term memory performance.

Listeners often operate in complex acoustic environments, consisting of many concurrent sounds. Accurately encoding and maintaining such auditory objects in short-term memory is crucial for communication and scene analysis. Yet, the neural underpinnings of successful auditory short-term memory (ASTM) performance are currently not well understood. To elucidate this issue, we presented a novel, challenging auditory delayed match-to-sample task while recording MEG. Human participants listened to 'scenes' comprising three concurrent tone pip streams. The task was to indicate, after a delay, whether a probe stream was present in the just-heard scene. We present three key findings: First, behavioural performance revealed faster responses in correct versus incorrect trials as well as in 'probe present' versus 'probe absent' trials, consistent with ASTM search. Second, successful compared with unsuccessful ASTM performance was associated with a significant enhancement of event-related fields and oscillatory activity in the theta, alpha and beta frequency ranges. This extends previous findings of an overall increase of persistent activity during short-term memory performance. Third, using distributed source modelling, we found these effects to be confined mostly to sensory areas during encoding, presumably related to ASTM contents per se. Parietal and frontal sources then became relevant during the maintenance stage, indicating that effective STM operation also relies on ongoing inhibitory processes suppressing task-irrelevant information. In summary, our results deliver a detailed account of the neural patterns that differentiate successful from unsuccessful ASTM performance in the context of a complex, multi-object auditory scene.

The Lower Limit of Pitch Perception for Pure Tones and Low-Frequency Complex Sounds

The lower limit of pitch (LLP) perception was explored for pure tones, sinusoidally amplitude-modulated (SAM) tones with a carrier frequency of 125 Hz, and trains of 125-Hz tone pips, using an adaptive procedure to estimate the lowest repetition rate for which a tonal/humming quality was heard. The LLP was similar for the three stimulus types, averaging 19 Hz. There were marked individual differences, which were correlated to some extent across stimulus types. The pure-tone stimuli contained a single resolved harmonic, whereas the SAM tones and tone-pip trains contained only unresolved components, whose frequencies did not necessarily form a harmonic series. The similarity of the LLP across stimulus types suggests that the LLP is determined by the repetition period of the sound for pure tones, and the envelope repetition period for complex stimuli. The results are consistent with the idea that the LLP is determined by a periodicity analysis in the auditory system, and that the longest time interval between waveform or envelope peaks for which this analysis can be performed is approximately 53 ms.

Infrasound tones at sensation threshold level elicit measurable Frequency-Following responses

Even barely detectable levels of infrasound are often reported to cause annoyance and complaints. We carefully measured the individual sensation threshold of a pure tone and recorded immediately after the brain's frequency-following response (FFR) at this intensity using the same stimulator. In contrast to 87-Hz tones, 8-Hz tones elicit an FFR already at sensation threshold. Control stimuli with trains of 1-kHz tone pips having the repetition rate of the infrasound tone frequency and sensation threshold intensities evoked no significant FFR. Thus, slow periodicity, causing synchronous activation of auditory nuclei, is not explaining the FFR to low-level infrasound alone.

Visuospatial attention revamps cortical processing of sound amid audiovisual uncertainty.

Selective attentional biases arising from one sensory modality manifest in others. The effects of visuospatial attention, important in visual object perception, are unclear in the auditory domain during audiovisual (AV) scene processing. We investigate temporal and spatial factors that underlie such transfer neurally. Auditory encoding of random tone pips in AV scenes was addressed via a temporal response function model (TRF) of participants' electroencephalogram (N = 30). The spatially uninformative pips were associated with spatially distributed visual contrast reversals ("flips"), through asynchronous probabilistic AV temporal onset distributions. Participants deployed visuospatial selection on these AV stimuli to perform a task. A late (~300 ms) cross-modal influence over the neural representation of pips was found in the original and a replication study (N = 21). Transfer depended on selected visual input being (i) presented during or shortly after a related sound, in relatively limited temporal distributions (<165 ms); (ii) positioned across limited (1:4) visual foreground to background ratios. Neural encoding of auditory input, as a function of visual input, was largest at visual foreground quadrant sectors and lowest at locations opposite to the target. The results indicate that ongoing neural representations of sounds incorporate visuospatial attributes for auditory stream segregation, as cross-modal transfer conveys information that specifies the identity of multisensory signals. A potential mechanism is by enhancing or recalibrating the tuning properties of the auditory populations that represent them as objects. The results account for the dynamic evolution under visual attention of multisensory integration, specifying critical latencies at which relevant cortical networks operate.

Temporal profiles of neuronal responses to repeated tone stimuli in the mouse primary auditory cortex

How the auditory system processes temporal information of sound has been investigated extensively using repeated stimuli. Recent studies on how the response of neurons in the primary auditory cortex (A1) changes with the progression of stimulus repetition, have reported response temporal profiles of two categories: “adaptation”, i.e., gradual decrease, and “facilitation”, i.e., gradual increase. To explore the existence of profiles of other categories and to examine the tone-frequency-dependence of the profile category in single neurons, here we studied the response of mouse A1 neurons to four or five tone-trains; each train comprised 10 identical tone pips, with 0.5-s inter-tone-intervals, and the four or five trains differed only in tone frequency. The response to each tone in a train was evaluated using the peak of the ON response, and how the peak response changed with the tone number in the train, i.e., the response temporal profile, was examined. We confirmed the existence of profiles of both “adaptation” and “facilitation” categories; “adaptation” could be further subcategorized into “slow adaptation” and “fast adaptation” profiles, with the latter being encountered more frequently. Moreover, two new categories of non-monotonic profiles were identified: an “adaptation with recovery” profile and a “facilitation followed by adaptation” profile. Examination of single neurons with trains of different tone frequencies revealed that some A1 neurons exhibited profiles of the same category to tone trains of different tone frequencies, whereas others exhibited profiles of different categories, depending on the tone frequency. These results demonstrate the variety in the response temporal profiles of mouse A1 neurons, which may benefit the encoding of individual tones in a train.

Long-Duration Sound-Induced Facilitation Changes Population Activity in the Inferior Colliculus.

The inferior colliculus (IC) is at the midpoint of the auditory system and integrates virtually all information ascending from the auditory brainstem, organizes it, and transmits the results to the auditory forebrain. Its abundant, excitatory local connections are crucial for this task. This study describes a long duration sound (LDS)-induced potentiation in the IC that changes both subsequent tone-evoked responses and spontaneous activity. Afterdischarges, changes of spontaneous spiking following an LDS, were seen previously in single neurons. Here, we used multi-channel probes to record activity before and after a single, tetanic sound and describe the changes in a population of IC neurons. Following a 60 s narrowband-noise stimulation, a subset of recording channels (∼16%) showed afterdischarges. A facilitated response spike rate to tone pips following an LDS was also observed in ∼16% of channels. Both channels with an afterdischarge and channels with facilitated tone responses had higher firing rates in response to LDS, and the magnitude of the afterdischarges increased with increased responses to the LDS. This is the first study examining the effect of LDS stimulation on tone-evoked responses. This observed facilitation in vivo has similarities to post-tetanic potentiation in vitro as both manner of induction (strong stimulation for several seconds) as well as time-course of the facilitation (second to minute range) are comparable. Channels with and without facilitation appear to be intermixed and distributed widely in the central nucleus of IC, and this suggests a heretofore unknown property of some IC neurons or their circuits. Consequently, this sound-evoked facilitation may enhance the sound-evoked output of these neurons, while, simultaneously, most other IC neurons have reduced or unchanged output in response to the same stimulus.

Age-related changes in neuronal receptive fields of primary auditory cortex in frequency, amplitude, and temporal domains

Aging populations often experience difficulties hearing. This phenomenon, known as age-related hearing loss, is associated with decreases in hearing sensitivity and pathophysiological changes in the central auditory system, including the primary auditory cortex (AI). To better understand changes in the central auditory system, this study is designed to compare the receptive fields of AI neurons of young and old C57 mice in frequency, amplitude, and temporal domains by using random-delivery (various interval) of multi-frequency gamma-shaped tone pips and a novel data processing approach known as the intensity-stacked spectrotemporal receptive field (iSTRF). We show that the fundamental changes in the response properties of AI neurons in old mice were in line with the literature. Compared to young mice, AI neurons in old mice tuned to lower frequency and higher amplitude of tones with broader frequency tuning, shorter dB (dynamic) range, longer response duration, as well as a higher firing rate. We further compared the entire iSTRF and core iSTRF (above 50% maximal firing rate) between young and old mice; the core iSTRF represented the AI neuronal responses to sound that fall into the central frequency and amplitude ranges from the auditory periphery. It is remarkable that the difference was significant in the entire iSTRF while little difference was observed in the core iSTRFs between young and old mice. However, the lower best frequency and higher best amplitude were obvious in both iSTRFs that were mostly determined by the deficits in the inner ears of old mice. In the frequency domain, the tuning quality factor of entire iSTRFs was significantly greater in old mice, while that of core iSTRFs was not compared to young mice. In the amplitude domain, significantly shorter dB range in old mice were observed in the entire iSTRF, but not in the core iSTRF. In the temporal domain, the response duration of old AI neurons was significantly longer in entire iSTRFs, but not in core iSTRFs, when compared to young AI neurons. Furthermore, the average firing rate of old AI neurons was significantly higher in entire iSTRF, but not in core iSTRF. It is also interesting that the ratio of the firing rate to background firing rate (signal-noise ratio) were similar between young and old AI neurons. Our data suggests that age-related hearing loss has relatively less impact on auditory information processing when sounds fall into the optimal frequency and amplitude ranges of given AI neurons.

In Vivo Basilar Membrane Time Delays in Humans.

To date, objective measurements and psychophysical experiments have been used to measure frequency dependent basilar membrane (BM) delays in humans; however, in vivo measurements have not been made. This study aimed to measure BM delays by performing intracochlear electrocochleography in cochlear implant recipients. Sixteen subjects with various degrees of hearing abilities were selected. Postoperative Computer Tomography was performed to determine electrode locations. Electrical potentials in response to acoustic tone pips at 0.25, 0.5, 1, 2, and 4 kHz and clicks were recorded with electrodes at the frequency specific region. The electrode array was inserted up to the characteristic cochlear frequency region of 250 Hz for 6 subjects. Furthermore, the array was inserted in the region of 500 Hz for 15 subjects, and 1, 2, and 4 kHz were reached in all subjects. Intracochlear electrocochleography for each frequency-specific tone pip and clicks showed detectable responses in all subjects. The latencies differed among the cochlear location and the cochlear microphonic (CM) onset latency increased with decreasing frequency and were consistent with click derived band technique. Accordingly, BM delays in humans could be derived. The BM delays increased systematically along the cochlea from basal to apical end and were in accordance with Ruggero and Temchin, 2007.

Optimizing Parameters for Using the Parallel Auditory Brainstem Response to Quickly Estimate Hearing Thresholds.

Timely assessments are critical to providing early intervention and better hearing and spoken language outcomes for children with hearing loss. To facilitate faster diagnostic hearing assessments in infants, the authors developed the parallel auditory brainstem response (pABR), which presents randomly timed trains of tone pips at five frequencies to each ear simultaneously. The pABR yields high-quality waveforms that are similar to the standard, single-frequency serial ABR but in a fraction of the recording time. While well-documented for standard ABRs, it is yet unknown how presentation rate and level interact to affect responses collected in parallel. Furthermore, the stimuli are yet to be calibrated to perceptual thresholds. Therefore, this study aimed to determine the optimal range of parameters for the pABR and to establish the normative stimulus level correction values for the ABR stimuli. Two experiments were completed, each with a group of 20 adults (18-35 years old) with normal-hearing thresholds (≤20 dB HL) from 250 to 8000 Hz. First, pABR electroencephalographic (EEG) responses were recorded for six stimulation rates and two intensities. The changes in component wave V amplitude and latency were analyzed, as well as the time required for all responses to reach a criterion signal-to-noise ratio of 0 dB. Second, behavioral thresholds were measured for pure tones and for the pABR stimuli at each rate to determine the correction factors that relate the stimulus level in dB peSPL to perceptual thresholds in dB nHL. The pABR showed some adaptation with increased stimulation rate. A wide range of rates yielded robust responses in under 15 minutes, but 40 Hz was the optimal singular presentation rate. Extending the analysis window to include later components of the response offered further time-saving advantages for the temporally broader responses to low-frequency tone pips. The perceptual thresholds to pABR stimuli changed subtly with rate, giving a relatively similar set of correction factors to convert the level of the pABR stimuli from dB peSPL to dB nHL. The optimal stimulation rate for the pABR is 40 Hz but using multiple rates may prove useful. Perceptual thresholds that subtly change across rate allow for a testing paradigm that easily transitions between rates, which may be useful for quickly estimating thresholds for different configurations of hearing loss. These optimized parameters facilitate expediency and effectiveness of the pABR to estimate hearing thresholds in a clinical setting.

Longitudinal auditory pathophysiology following mild blast-induced trauma.

Blast-induced hearing difficulties affect thousands of veterans and civilians. The long-term impact of even a mild blast exposure on the central auditory system is hypothesized to contribute to lasting behavioral complaints associated with mild blast traumatic brain injury (bTBI). Although recovery from mild blast has been studied separately over brief or long time windows, few, if any, studies have investigated recovery longitudinally over short-term and longer-term (months) time windows. Specifically, many peripheral measures of auditory function either recover or exhibit subclinical deficits, masking deficits in processing complex, real-world stimuli that may recover differently. Thus, examining the acute time course and pattern of neurophysiological impairment using appropriate stimuli is critical to better understanding and intervening in bTBI-induced auditory system impairments. Here, we compared auditory brainstem response, middle-latency auditory-evoked potentials, and envelope following responses. Stimuli were clicks, tone pips, amplitude-modulated tones in quiet and in noise, and speech-like stimuli (iterated rippled noise pitch contours) in adult male rats subjected to mild blast and sham exposure over the course of 2 mo. We found that blast animals demonstrated drastic threshold increases and auditory transmission deficits immediately after blast exposure, followed by substantial recovery during the window of 7-14 days postblast, although with some deficits remaining even after 2 mo. Challenging conditions and speech-like stimuli can better elucidate mild bTBI-induced auditory deficit during this period. Our results suggest multiphasic recovery and therefore potentially different time windows for treatment, and deficits can be best observed using a small battery of sound stimuli.NEW & NOTEWORTHY Few studies on blast-induced hearing deficits go beyond simple sounds and sparsely track postexposure. Therefore, the recovery arc for potential therapies and real-world listening is poorly understood. Evidence suggested multiple recovery phases over 2 mo postexposure. Hearing thresholds largely recovered within 14 days and partially explained recovery. However, midlatency responses, responses to amplitude modulation in noise, and speech-like pitch sweeps exhibited extended changes, implying persistent central auditory deficits and the importance of subclinical threshold shifts.

Repetition detection and rapid auditory learning for stochastic tone clouds.

Stochastic sounds are useful to probe auditory memory, as they require listeners to learn unpredictable and novel patterns under controlled experimental conditions. Previous studies using white noise or random click trains have demonstrated rapid auditory learning. Here, we explored perceptual learning with a more parametrically variable stimulus. These "tone clouds" were defined as broadband combinations of tone pips at randomized frequencies and onset times. Varying the number of tones covered a perceptual range from individually audible pips to noise-like stimuli. Results showed that listeners could detect and learn repeating patterns in tone clouds. Task difficulty varied depending on the density of tone pips, with sparse tone clouds the easiest. Rapid learning of individual tone clouds was observed for all densities, with a roughly constant benefit of learning irrespective of baseline performance. Variations in task difficulty were correlated to amplitude modulations in an auditory model. Tone clouds thus provide a tool to probe auditory learning in a variety of task-difficulty settings, which could be useful for clinical or neurophysiological studies. They also show that rapid auditory learning operates over a wide range of spectrotemporal complexity, essentially from melodies to noise.

Istradefylline Mitigates Age-Related Hearing Loss in C57BL/6J Mice.

Age-related hearing loss (ARHL) is the most common sensory disorder among older people, and yet, the treatment options are limited to medical devices such as hearing aids and cochlear implants. The high prevalence of ARHL mandates the development of treatment strategies that can prevent or rescue age-related cochlear degeneration. In this study, we investigated a novel pharmacological strategy based on inhibition of the adenosine A2A receptor (A2AR) in middle aged C57BL/6 mice prone to early onset ARHL. C57BL/6J mice were treated with weekly istradefylline (A2AR antagonist; 1 mg/kg) injections from 6 to 12 months of age. Auditory function was assessed using auditory brainstem responses (ABR) to tone pips (4–32 kHz). ABR thresholds and suprathreshold responses (wave I amplitudes and latencies) were evaluated at 6, 9, and 12 months of age. Functional outcomes were correlated with quantitative histological assessments of sensory hair cells. Cognitive function was assessed using the Morris water maze and the novel object recognition test, and the zero maze test was used to assess anxiety-like behaviour. Weekly injections of istradefylline attenuated ABR threshold shifts by approximately 20 dB at mid to high frequencies (16–32 kHz) but did not improve ABR suprathreshold responses. Istradefylline treatment improved hair cell survival in a turn-dependent manner, whilst the cognitive function was unaffected by istradefylline treatment. This study presents the first evidence for the rescue potential of istradefylline in ARHL and highlights the role of A2AR in development of age-related cochlear degeneration.

Sustained Pupil Responses Are Modulated by Predictability of Auditory Sequences.

The brain is highly sensitive to auditory regularities and exploits the predictable order of sounds in many situations, from parsing complex auditory scenes, to the acquisition of language. To understand the impact of stimulus predictability on perception, it is important to determine how the detection of predictable structure influences processing and attention. Here, we use pupillometry to gain insight into the effect of sensory regularity on arousal. Pupillometry is a commonly used measure of salience and processing effort, with more perceptually salient or perceptually demanding stimuli consistently associated with larger pupil diameters. In two experiments we tracked human listeners' pupil dynamics while they listened to sequences of 50-ms tone pips of different frequencies. The order of the tone pips was either random, contained deterministic (fully predictable) regularities (experiment 1, n = 18, 11 female) or had a probabilistic regularity structure (experiment 2, n = 20, 17 female). The sequences were rapid, preventing conscious tracking of sequence structure thus allowing us to focus on the automatic extraction of different types of regularities. We hypothesized that if regularity facilitates processing by reducing processing demands, a smaller pupil diameter would be seen in response to regular relative to random patterns. Conversely, if regularity is associated with heightened arousal and attention (i.e., engages processing resources) the opposite pattern would be expected. In both experiments we observed a smaller sustained (tonic) pupil diameter for regular compared with random sequences, consistent with the former hypothesis and confirming that predictability facilitates sequence processing.SIGNIFICANCE STATEMENT The brain is highly sensitive to auditory regularities. To appreciate the impact that the presence of predictability has on perception, we need to better understand how a predictable structure influences processing and attention. We recorded listeners' pupil responses to sequences of tones that followed either a predictable or unpredictable pattern, as the pupil can be used to implicitly tap into these different cognitive processes. We found that the pupil showed a smaller sustained diameter to predictable sequences, indicating that predictability eased processing rather than boosted attention. The findings suggest that the pupil response can be used to study the automatic extraction of regularities, and that the effects are most consistent with predictability helping the listener to efficiently process upcoming sounds.

Audiomotor Temporal Recalibration Modulates Decision Criterion of Self-Agency but Not Perceptual Sensitivity.

Exposure to delayed sensory feedback changes perceived simultaneity between action and feedback [temporal recalibration (TR)] and even modulates the sense of agency (SoA) over the feedback. To date, however, it is not clear whether the modulation of SoA by TR is caused by a change in perceptual sensitivity or decision criterion of self-agency. This experimental research aimed to tease apart these two by applying the signal detection theory (SDT) to the agency judgment over auditory feedback after voluntary action. Participants heard a short sequence of tone pips with equal inter-onset intervals, and they reproduced it by pressing a computer mouse. The delay of each tone pip after the mouse press was manipulated as 80 (baseline) or 180 ms (delayed). Subsequently, the participants reproduced it, in which the delay was fixed at 80 ms and there was a 50% chance that the computer took over the control of the tone pips from the participants. The participants’ task was to discriminate who controlled the tone pips and to judge synchrony between tone pips and mouse presses. Results showed that the modulation of the SoA by the TR is caused by a shift in the decision criterion but not in the perceptual sensitivity of agency.

Sound detection by the American lobster (Homarus americanus).

Although many crustaceans produce sounds, their hearing abilities and mechanisms are poorly understood, leaving uncertainties regarding whether or how these animals use sound for acoustic communication. Marine invertebrates lack gas-filled organs required for sound pressure detection, but some of them are known to be sensitive to particle motion. Here, we examined whether the American lobster (Homarus americanus) could detect sound and subsequently sought to discern the auditory mechanisms. Acoustic stimuli responses were measured using auditory evoked potential (AEP) methods. Neurophysiological responses were obtained from the brain using tone pips between 80 and 250 Hz, with best sensitivity at 80-120 Hz. There were no significant differences between the auditory thresholds of males and females. Repeated controls (recordings from deceased lobsters, moving electrodes away from the brain and reducing seawater temperature) indicated the evoked potentials' neuronal origin. In addition, AEP responses were similar before and after antennules (including statocysts) were ablated, demonstrating that the statocysts, a long-proposed auditory structure in crustaceans, are not the sensory organs responsible for lobster sound detection. However, AEPs could be eliminated (or highly reduced) after immobilizing hairfans, which cover much of lobster bodies. These results suggest that these external cuticular hairs are likely to be responsible for sound detection, and imply that hearing is mechanistically possible in a wider array of invertebrates than previously considered. Because the lobsters' hearing range encompasses the fundamental frequency of their buzzing sounds, it is likely that they use sound for intraspecific communication, broadening our understanding of the sensory ecology of this commercially vital species. The lobsters' low-frequency acoustic sensitivity also underscores clear concerns about the potential impacts of anthropogenic noise.

Measuring implanted patient response to tone pips

BackgroundAn electrical potential not previously reported—electrical cochlear response (ECR)—observed only in implanted patients is described. Its amplitude and growth slope are a measurement of the stimulation achieved by a tone pip on the auditory nerve. The stimulation and recording system constructed for this purpose, the features of this potential obtained in a group of 43 children, and its possible clinical use are described. The ECR is obtained by averaging the EEG epochs acquired each time the cochlear implant (CI) processes a tone pip of known frequency and intensity when the patient is sleeping and using the CI in everyday mode. The ECR is sensitive to tone pip intensity level, microphone sensitivity, sound processor gain, dynamic range of electrical current, and responsiveness to electrical current of the auditory nerve portion involved with the electrode under test. It allows individual evaluation of intracochlear electrodes by choosing, one at the time, the central frequency of the electrode as the test tone pip frequency, so the ECR measurement due to a variable intensity tone pip allows to establish the suitability of the dynamic range of the electrode current.ResultsThere is a difference in ECR measurements when patients are grouped based on their auditory behavior. The ECR slope and amplitude for the Sensitive group is 0.2 μV/dBHL and 10 μV at 50 dBHL compared with 0.04 μV/dBHL and 3 μV at 50dBHL for the Inconsistent group. The clinical cases show that adjusting the dynamic range of current based on the ECR improved the patient’s auditory behavior.ConclusionsECR can be recorded regardless of the artifact due to the electromyographic activity of the patient and the functioning of the CI. Its amplitude and growth slope versus the intensity of the stimulus differs between electrodes. The relationship between minimum ECR detection intensity level and auditory threshold suggests the possibility of estimating patient auditory thresholds this way. ECR does not depend on the subject’s age, cooperation, or health status. It can be obtained at any time after implant surgery and the test procedure is the same regardless of device manufacturer.

A psychoacoustic test for diagnosing hyperacusis based on ratings of natural sounds

Hyperacusis is defined as an increased sensitivity to sounds, i.e. sounds presented at moderate levels can produce discomfort or even pain. Existing diagnostic methods, like the Hyperacusis Questionnaire (HQ) and Loudness Discomfort Levels (LDLs), have been challenged because of their variability and lack of agreement on appropriate cut-off values. We propose a novel approach by using psychoacoustic ratings of natural sounds as an assessment tool for hyperacusis. Subjects (n = 81) were presented with natural and artificial (tone pips, noises) sounds (n = 69) in a controlled environment at four sound levels (60, 70, 80 and 90 dB SPL). The task was to rate them on a pleasant to unpleasant visual analog scale. The inherent challenge of this study was to create a new diagnostic tool when no gold standard of hyperacusis diagnosis exists. We labeled our subjects as hyperacusic (n = 26) when they were diagnosed as such by at least two of three methods (HQ, LDLs and self-report). There was a significant difference between controls (n = 23) and hyperacusics in the median global rating of pleasant sounds. Median global ratings of unpleasant sounds and artificial sounds did not differ significantly. Then we selected the subset of sounds that could best discriminate the controls from the hyperacusics, the Core Discriminant Sounds (CDS), and we used them to develop a new metric: The CDS score. A normalized global score and a score for each sound level can be computed with respect to a control population without hyperacusis. A receiver operating characteristic analysis showed that the accuracy of our method in distinguishing subjects with and without complaints of hyperacusis (86%, 95% Confidence Interval (CI): 76–93%) is comparable to that of existing methods such as the LDL (77%, CI: 67–86%) and the HQ (80%, CI: 69–88%). We believe that the CDS score is more relevant to subject's complaints than LDLs and that it could be applied in a clinical environment in a fast and effective way, while minimizing discomfort and biases.

Optimizing Auditory Brainstem Response Acquisition Using Interleaved Frequencies.

Auditory brainstem responses (ABRs) require averaging responses to hundreds or thousands of repetitions of a stimulus (e.g., tone pip) to obtain a measurable evoked response at the scalp. Fast repetition rates lead to changes in ABR amplitude and latency due to adaptation. To minimize the effect of adaptation, stimulus rates are sometimes as low as 10 to 13.3 stimuli per second, requiring long acquisition times. The trade-off between reducing acquisition time and minimizing the effect of adaptation on ABRs is an especially important consideration for studies of cochlear synaptopathy, which use the amplitude of short latency responses (wave 1) to assess auditory nerve survival. It has been proposed that adaptation during ABR acquisition can be reduced by interleaving tones at different frequencies, rather than testing each frequency serially. With careful ordering of frequencies and levels in the stimulus train, adaptation in the auditory nerve can be minimized, thereby permitting an increase in the rate at which tone bursts are presented. However, widespread adoption of this stimulus design has been hindered by lack of available software. Here, we develop and validate an interleaved stimulus design to optimize the rate of ABR measurement while minimizing adaptation. We implement this method in an open-source data acquisition software tool that permits either serial or interleaved ABR measurements. The open-source software library, psiexperiment, is compatible with widely used ABR hardware. Consistent with previous studies, careful design of an interleaved stimulus train can reduce ABR acquisition time by more than half, with minimal effect on ABR thresholds and wave 1 latency, while improving measures of wave 1 amplitude.