Andrew Dimitrijevic

Human auditory steady-state responses

Steady-state evoked potentials can be recorded from the human scalp in response to auditory stimuli presented at rates between 1 and 200 Hz or by periodic modulations of the amplitude and/or frequency of a continuous tone. Responses can be objectively detected using frequency-based analyses. In waking subjects, the responses are particularly prominent at rates near 40 Hz. Responses evoked by more rapidly presented stimuli are less affected by changes in arousal and can be evoked by multiple simultaneous stimuli without significant loss of amplitude. Response amplitude increases as the depth of modulation or the intensity increases. The phase delay of the response increases as the intensity or the carrier frequency decreases. Auditory steady-state responses are generated throughout the auditory nervous system, with cortical regions contributing more than brainstem generators to responses at lower modulation frequencies. These responses are useful for objectively evaluating auditory thresholds, assessing suprathreshold hearing, and monitoring the state of arousal during anesthesia. Los potenciales evocados de estado estable pueden registrarse del cráneo humano en respuesta a estímulos auditivos presentados a tasas de 1 y 200 Hz o por modulaciones periódicas de la amplitud y/o de la frecuencia de un tono continue Las respuestas pueden ser detectadas objetivamente por medio de un análisis frecuencial En sujetos en estado de alerta las respuestas son particularmente prominentes con tasas de estimulación cercanas a 40 Hz. Las respuestas evocadas por estímulos presentados a tasa más rápida resultan menos afectadas por cambios del estado de conciencia y pueden ser evocados por estímulos múltiples simultáneos sin una pérdida significativa de la amplitud. La amplitud de la respuesta aumenta conforme la profundidad de la modulación o de la intensidad aumenta. El retraso de fase de la respuesta aumenta conforme la intensidad de la frecuencia portadora aumenta. Las respuestas auditivas de estado estable se generan a todo lo largo del sistema nervioso auditivo; las regiones corticales contribuyen más que los generadores del tallo cerebral en las respuestas de frecuencias más bajas. Estas respuestas son útiles para evaluar objetivamente los umbrales de audición y permiten también evaluar la audición supraliminar y monitorizar el estado de conciencia durante la anestesia.

Multiple Auditory Steady-State Responses to AM and FM Stimuli

Multiple auditory steady-state responses were recorded using tonal stimuli that were amplitude-modulated (AM), frequency-modulated (FM) or modulated simultaneously in both amplitude and frequency (mixed modulation or MM). When MM stimuli combined 100% AM and 25% FM (12.5% above and below the carrier frequency) and the maximum frequency occurred simultaneously with maximum amplitude, the MM response was one third larger than the simple AM response. This enhancement occurred at intensities between 50 and 30 dB SPL and at carrier frequencies between 500 and 4000 Hz. The AM and FM components of a MM stimulus generate independent responses that add together to give the MM response. Since AM responses generally occur with a slightly later phase delay than FM responses, the largest MM response is recorded when the maximum frequency of the MM stimulus occurs just after the maximum amplitude.

Weighted averaging of steady-state responses.

OBJECTIVE To compare weighted averaging and artifact-rejection to normal averaging in the detection of steady-state responses. METHODS Multiple steady-state responses were evoked by auditory stimuli modulated at rates between 78 and 95 Hz. The responses were evaluated after recording periods of 3, 6 and 10 min, using 5 averaging protocols: (1) normal averaging; (2) sample-weighted averaging; (3) noise-weighted averaging; (4) amplitude-based artifact-rejection; and (5) percentage-based artifact rejection. The responses were analyzed in the frequency domain and the signal-to-noise ratio was estimated by comparing the signals at the modulation-frequencies to the noise at adjacent frequencies. RESULTS Weighted averaging gave the best signal-to-noise ratios. Artifact-rejection was better than normal averaging but not as good as weighted averaging. Responses that were not significant with normal averaging became significant with weighted averaging much more frequently than vice versa. False alarm rates did not significantly differ among the protocols. The advantage of weighted averaging was especially evident when stimuli were presented at lower intensities or when smaller amounts (e.g. only 3 or 6 min) of data were evaluated. Weighted averaging was most effective when the background noise levels were variable. Weighted averaging underestimated the amplitude of the responses by about 2%. CONCLUSION Weighted averaging should be used instead of normal averaging for detecting steady-state responses.

Auditory steady-state responses to exponential modulation envelopes.

Objective This study examined the steady-state responses evoked by tones modulated with exponential envelopes. The hypothesis was that stimuli with envelopes containing more rapid changes would evoke larger responses. Design Multiple auditory steady-state responses were recorded simultaneously to eight tonal stimuli, four in each ear. The carrier frequencies of the stimuli ranged from 500 to 6000 Hz and the modulation rates were between 75 and 95 Hz. The modulation envelopes were based on functions using sinN where N was 1, 2, 3, or 4. Setting N to 1 produced the traditional sinusoidal modulation. Results Exponential envelopes with N greater than 1 produced larger steady-state responses than a sinusoidal envelope. For amplitude-modulation (AM), exponential envelopes increased response amplitudes by 21% at 55 dB pSPL, and by 29% at 35 dB pSPL. The increases were smaller for carrier frequencies of 1500 to 2000 Hz than for lower and higher carrier frequencies. Latencies calculated from phase data increased significantly with increasing N. This was likely caused by the point of maximal envelope-slope shifting later in time as N increased. For frequency modulation (FM), the steady-state responses did not significantly change with changes in the power of the exponential envelopes. Conclusions When tones are amplitude-modulated with exponential envelopes based on sinN, the amplitude and latency of the steady-state response increased significantly with increasing N. Using exponential envelopes with N greater than 1 should considerably shorten the time needed for responses to become significant when using steady-state responses in objective audiometry.

The use of phase in the detection of auditory steady-state responses

OBJECTIVE To investigate how phase measurements might facilitate the detection of auditory steady-state responses. METHODS Multiple steady-state responses were evoked by auditory stimuli modulated at rates between 78 and 95 Hz and with intensities between 50 and 0 dB SPL. The responses were evaluated in 20 subjects after 1, 2, 4, and 6 min. The responses were analyzed in the frequency domain using 4 different detection protocols: (1) phase-coherence, (2) phase-weighted coherence, (3) F test for hidden periodicity, and (4) phase-weighted t test. The phase-weighted measurements were either based on the mean phase of a group of normal subjects or derived for each subject from the phase of the response at higher intensities. RESULTS Detection protocols based on both phase and amplitude (F test and phase-weighted t test) were more effective than those based on phase alone (phase coherence and phase-weighted coherence) although the difference was small. Protocols using phase-weighting were more effective than those without phase-weighting. The lowest thresholds for the steady-state responses were obtained using the phase-weighted t test. CONCLUSION Threshold detection can be improved by weighting the detection protocols toward an expected phase, provided that the expected phase can be reliably predicted.

Multiple auditory steady-state responses

Steady-state responses are evoked potentials that maintain a stable frequency content over time. In the frequency domain, responses to rapidly presented stimuli show a spectrum with peaks at the rate of stimulation and its harmonics. Auditory steady-state responses can be reliably evoked by tones that have been amplitude-modulated at rates between 75 and 110 Hz. These responses show great promise for objective audiometry, because they can be readily recorded in infants and are unaffected by sleep. Responses to multiple tones presented simultaneously can be independently assessed if each tone is modulated at a different modulation frequency. This ability makes it possible to estimate thresholds at several audiometric frequencies in both ears at the same time. Because amplitude-modulated tones are not significantly distorted by free-field speakers or microphones, they can also be used to evaluate the performance of hearing aids. Responses to amplitude and frequency modulation may also become helpful in assessing suprathreshold auditory processes, such as those necessary for speech perception.

Human auditory steady-state responses to tones independently modulated in both frequency and amplitude.

Objective Independent amplitude and frequency modulation (IAFM) of a carrier tone uses two different modulating frequencies, one for amplitude modulation (AM) and one for frequency modulation (FM). This study measured the human steady-state responses to multiple IAFM tones. The first question was whether the IAFM responses could be recorded without attenuation of the AM and FM components. The second question was whether IAFM stimuli would provide a more effective demonstration of responses at intensities near threshold than the responses to AM tones. The third question was whether the responses to multiple IAFM stimuli would relate to the discrimination of words at different intensities. Design Multiple AM, FM, or IAFM stimuli were presented simultaneously. Responses were recorded between the vertex and the neck and analysed in the frequency domain. The first experiment compared IAFM responses with AM and FM responses. The second experiment compared IAFM responses with AM responses between intensities 20 to 50 dB SPL. The third experiment related the IAFM responses to the discrimination of monosyllabic words at intensities between 20 and 70 dB SPL. Results Steady-state responses to the individual component of the IAFM stimuli were clearly recognizable although attenuated a little (14%) from the responses to AM or FM alone. Using IAFM stimuli was not different than simply using AM stimuli when trying to recognize responses at low intensities. The number of responses detected during multiple IAFM stimulation and the amplitudes of these responses correlated significantly with word discrimination. Conclusions IAFM of a carrier using two different modulating frequencies (one for AM and one for FM) elicits separate AM and FM responses that are relatively independent of each other. These separate responses can be used to detect whether a particular carrier has been processed in the cochlea, but they are not as effective as measuring responses to carriers that have been modulated in both amplitude and frequency at the same modulation frequency (mixed modulation). The detectability of eight different responses (four AM and four FM) to an IAFM stimuli relates well to the ability of subjects to discriminate words. IAFM stimuli therefore show promise as an objective test for assessing suprathreshold hearing.

Auditory steady-state responses and word recognition scores in normal-hearing and hearing-impaired adults.

Objective The number of steady-state responses evoked by the independent amplitude and frequency modulation (IAFM) of tones has been related to the ability to discriminate speech sounds as measured by word recognition scores (WRS). In the present study IAFM stimulus parameters were adjusted to resemble the acoustic properties of everyday speech to see how well responses to these speech-modeled stimuli were related to WRS. Design We separately measured WRS and IAFM responses at a stimulus intensity of 70 dB SPL in three groups of subjects: young normal-hearing, elderly normal-hearing, and elderly hearing-impaired. We used two series of IAFM stimuli, one with modulation frequencies near 40 Hz and the other with modulation frequencies near 80 Hz. The IAFM stimuli, consisting of four carrier frequencies each independently modulated in frequency and amplitude, could evoke up to eight separate responses in one ear. We recorded IAFM responses and WRS measurements in quiet and in the presence of speech-masking noise at 67 dB SPL or 70 dB SPL. We then evaluated the hearing-impaired subjects with and without their hearing aids to see whether an improvement in WRS would be reflected in an increased number of responses to the IAFM stimulus. Results The correlations between WRS and the number of IAFM responses recognized as significantly different from the background were between 0.70 and 0.81 for the 40 Hz stimuli, between 0.73 and 0.82 for the 80 Hz stimuli, and between 0.76 and 0.85 for the combined assessment of 40 and 80 Hz responses. Response amplitudes at 80 Hz were smaller in the hearing-impaired than in the normal-hearing subjects. Response amplitudes for the 40 Hz stimuli varied with the state of arousal and this effect made it impossible to compare amplitudes across the different groups. Hearing aids increased both the WRS and the number of significant IAFM responses at 40 Hz and 80 Hz. Masking decreased the WRS and the number of significant responses. Conclusions IAFM responses are significantly correlated with WRS and may provide an objective tool for examining the brain’s ability to process the auditory information needed to perceive speech.

Frequency Changes in a Continuous Tone: Auditory Cortical Potentials

OBJECTIVE We examined auditory cortical potentials in normal hearing subjects to spectral changes in continuous low and high frequency pure tones. METHODS Cortical potentials were recorded to increments of frequency from continuous 250 or 4000Hz tones. The magnitude of change was random and varied from 0% to 50% above the base frequency. RESULTS Potentials consisted of N100, P200 and a slow negative wave (SN). N100 amplitude, latency and dipole magnitude with frequency increments were significantly greater for low compared to high frequencies. Dipole amplitudes were greater in the right than left hemisphere for both base frequencies. The SN amplitude to frequency changes between 4% and 50% was not significantly related to the magnitude of spectral change. CONCLUSIONS Modulation of N100 amplitude and latency elicited by spectral change is more pronounced with low compared to high frequencies. SIGNIFICANCE These data provide electrophysiological evidence that central processing of spectral changes in the cortex differs for low and high frequencies. Some of these differences may be related to both temporal- and spectral-based coding at the auditory periphery. Central representation of frequency change may be related to the different temporal windows of integration across frequencies.

N100 cortical potentials accompanying disrupted auditory nerve activity in auditory neuropathy (AN): Effects of signal intensity and continuous noise

OBJECTIVE Auditory temporal processes in quiet are impaired in auditory neuropathy (AN) similar to normal hearing subjects tested in noise. N100 latencies were measured from AN subjects at several tone intensities in quiet and noise for comparison with a group of normal hearing individuals. METHODS Subjects were tested with brief 100 ms tones (1.0 kHz, 100-40 dB SPL) in quiet and in continuous noise (90 dB SPL). N100 latency and amplitude were analyzed as a function of signal intensity and audibility. RESULTS N100 latency in AN in quiet was delayed and amplitude was reduced compared to the normal group; the extent of latency delay was related to psychoacoustic measures of gap detection threshold and speech recognition scores, but not to audibility. Noise in normal hearing subjects was accompanied by N100 latency delays and amplitude reductions paralleling those found in AN tested in quiet. Additional N100 latency delays and amplitude reductions occurred in AN with noise. CONCLUSIONS N100 latency to tones and performance on auditory temporal tasks were related in AN subjects. Noise masking in normal hearing subjects affected N100 latency to resemble AN in quiet. SIGNIFICANCE N100 latency to tones may serve as an objective measure of the efficiency of auditory temporal processes.