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Biomedical subjects

K E Hecox

Publications and source records attributed to K E Hecox.

16 recordsLinked to original sources

Auditory distortion products measured with averaged auditory evoked potentials.

The purpose of this investigation was to describe the properties of averaged auditory evoked potential distortion products (AEP-DPs) in guinea pigs. This study provided a step toward developing a clinical index of nonlinear processing of auditory signals and supplied a baseline for studies evaluating the effect of cochlear damage on AEP-DPs. The amplitude of the AEP-DPs was evaluated as a function of f2/f1 ratio (1.12-1.52) and primary frequency (500 Hz-2000 Hz). The amplitude of the AEP cubic difference tone (AEP-CDT) increased with increasing f2/f1 ratio for the 500-Hz f1 primary and remained constant for the 800-Hz and 1700-Hz f1 primaries. The AEP-CDT generated by the 1100-Hz and 1400-Hz f1 primaries was maximum for the middle f2/f1 ratios (1.22, 1.32, and 1.42). The AEP-CDT could not be distinguished from the noise floor for the 2000-Hz f1 primary. The AEP difference tone (AEP-DT) was larger and more frequently identified than the AEP-CDT. The amplitude of the AEP-DT decreased with an increase in f2/f1 ratio. The decrease was more pronounced for low-frequency f1 primaries than for high-frequency f1 primaries.

Acoustic Stimulation

External ear transfer function modeling: a beamforming approach.

In this article, a beamformer is proposed as a functional model for the spatial and temporal filtering characteristics of the external ear. The output of a beamformer is a weighted combination of the data received at an array of spatially distributed sensors. The beamformer weights and array geometry determine its spatial and temporal filtering characteristics. A procedure is described for choosing the weights to minimize the mean-squared error between the beamformer response and the measured response of the external ear. The effectiveness of the model is demonstrated by designing a beamformer of several hundred weights that duplicates and interpolates the measured external ear response of a cat over broad ranges of frequency and direction. A limited investigation of modeling performance as a function of array geometry is reported.

Animals

Nonlinear system identification by m-pulse sequences: application to brainstem auditory evoked responses.

The purpose of this paper is to introduce a method for characterizing the nonlinear behavior of the auditory system. The method uses an m-pulse sequence as the stimulus and employs a general nonlinear framework for the auditory system. Like Sutter's binary m-sequence approach, the m-pulse sequence approach is computationally efficient since calculation of the first-order input-output cross-correlation function is all that is necessary for obtaining the nonlinear characteristics of the system. The nonlinear system characteristics are reflected in pulse kernels in contrast to binary kernels associated with the binary m-sequence approach. By assuming the system under study is a third-order nonlinear system, binary and pulse kernels are shown to be related to Volterra kernels. The results suggest that the m-pulse sequence can be used to study the system nonlinear effects of varying the stimulus repetition rate more effectively than conventional methods. Preliminary physiological data obtained by applying m-pulse sequences to the brainstem auditory evoked response (BAER) clearly illustrates the feasibility of obtaining replicable evoked responses using this method.

Evoked Potentials, Auditory, Brain Stem

Electrophysiological evidence of nonlinear distortion products to two-tone stimuli.

Spectral analysis of auditory-evoked potential recordings from ten normal-hearing subjects to two-tone signals revealed energy at difference tone (DT = f2-f1) and cubic difference (CDT = 2f1-f2) frequencies that was not present in the acoustic signal. Control experiments and calibrations provided substantial evidence supportive of the biological nature of these auditory nonlinearities, suggesting that they are not the result of electromagnetic, acoustic, or analytic artifact. Amplitudes of DT- and CDT-evoked responses were evaluated for rarefaction and condensation signals with f1 = 510 and 800 Hz across frequency ratios (f2/f1) of 1.16, 1.26, 1.36, and 1.46. Additionally, time-domain summation and subtraction of separately collected evoked responses to rarefaction and condensation signals were performed to demonstrate that these electrophysiological DT and CDT responses reflect their expected quadratic and cubic nature. Suggestions for development of clinical applications of assessing auditory nonlinearities using this methodology are provided.

Acoustics

Effects of relative starting phase and frequency separation of two-tone stimuli on the brain-stem auditory-evoked response.

Brain-stem auditory-evoked responses (BAERs) were obtained in six normal-hearing adults using single-tone and two-tone stimuli arithmetically centered around 4000 Hz. Two-tone stimuli varied in frequency separation from 200 to 3200 Hz, and started in-phase (homophasic) or 180 deg out-of-phase (antiphasic) with each other. Responses to each of the single-tone components of the two-tone stimuli were elicited and then summed for comparison with responses to the two-tone stimuli. Results indicated no significant difference in wave V latency between homophasic or antiphasic two-tone conditions, and summed single-tone conditions. Under the homophasic condition, the mean latency for the widest frequency separation of the tones was significantly longer than those for narrower separations. A significant difference in wave V amplitude between two-tone phase conditions was found for frequency separations of 200, 400, and 3200 Hz only. Summed single-tone BAERs demonstrated a significantly larger wave V amplitude than responses from either two-tone phase condition at all frequency separations.

Adult

The effect of probe tube reference placement on sound pressure level variability.

This study examined the effect of external microphone reference placement on peak sound pressure level (pSPL) and measurement variability. Nine normal subjects were seated in a double-walled sound suite, 1 m and 0 degrees azimuth from a wall-mounted speaker. Digitized Gaussian noise was presented at 80 dB pSPL with a 500 msec duration and was measured through a probe tube microphone assembly. Replicated measurements were made at five locations external to the pinna. They were: anterior-superior and posterior-superior positions simulating hearing aid microphone placement (locations 1 and 2) and 2, 4, and 6 cm lateral to the lateral edge of the pinna (locations 3, 4, and 5). Means, standard deviations, and ranges were compared, and statistical analyses were performed. The highest pSPL values were recorded lateral to the pinna, and the lowest values were obtained at the simulated hearing aid positions. ANOVAs indicated a main effect for pSPL, and post hoc testing demonstrated a significant difference between the posterior-superior and 2 cm lateral to the pinna positions. Variability was largest at the posterior-superior and 6 cm positions, and lowest 2 cm from the pinna. From this study, we concluded that pSPL and variability are both important criteria for selecting an optimal reference microphone site and both can affect the accuracy of ear canal measurements. A reference site 2 cm from the pinna eliminates attenuation of the signal and is the least variable site.

Adult

Auditory nonlinearities measured with auditory-evoked potentials.

This article describes the use of auditory-evoked potentials (AEPs) as a tool to assess nonlinear processes in the auditory system. Two-tone signals were used as stimuli to obtain AEPs in both animal and human subjects. Frequency analysis of the physiologic waveforms revealed frequencies in the evoked potential that were not present in the acoustic signal. The largest distortion product in the evoked potential corresponded to the difference between the two primary frequencies (f2-f1). This distortion product was present in all subjects tested. Other distortion products at frequencies defined by n(f2-f1), where n less than 5, were also present in some individuals. These frequencies represent distortion components generated from an even-order nonlinear system. Extensive acoustic and electric calibration procedures provided substantial evidence that the distortion products recorded in the AEP were biologic in origin and not the result of acoustic or recording artifact.

Acoustic Stimulation

A comparison of maximum length and Legendre sequences for the derivation of brain-stem auditory-evoked responses at rapid rates of stimulation.

Experiments were performed in which brain-stem auditory-evoked responses (BAERs) were elicited by two types of pseudorandom pulse trains: maximum length sequences (MLS) and Legendre sequences (LGS). In experiment 1, each pulse sequence was presented at 50 dB nHL with minimum pulse intervals varying from 1 to 10 ms. Wave V latency increased and wave V amplitude decreased with decreasing minimum pulse intervals, with no significant effect of the type of sequence (MLS vs LGS), and no significant interaction between sequence and minimum pulse interval in terms of wave V amplitude or latency. In a second experiment, the minimum pulse interval was held constant at 4 ms, while MLS and LGS levels were varied from 20 to 60 dB nHL. With increasing click intensity, there is a decrease in wave V latency and an increase in wave V amplitude. There was no significant effect of type of sequence (LGS vs MLS) or interaction between type of sequence and stimulus intensity for wave V amplitude or latency. Despite the obvious violation of the assumptions (linearity and stationarity) underlying the application of maximum length sequence analysis and Legendre sequence analysis, both techniques produced reliable responses remarkably similar in morphology to evoked responses obtained by conventional averaging. The results of these experiments support the possibility that analysis methods based on pseudorandom pulse sequences may prove more efficient in data collection and provide a more thorough description of the electrophysiologic behavior of the auditory system compared to conventional averaging.

Adult

Brain-stem auditory-evoked responses elicited by maximum length sequences: effect of simultaneous masking noise.

The effects of masking noise on wave V of the brain-stem auditory-evoked response (BAER) obtained to pseudorandom pulse sequences are evaluated in two experiments. In the first experiment, the level of broadband noise was covaried with minimum pulse interval (rate) using maximum length sequence analysis (MLSA). Both increasing noise level and decreasing minimum pulse interval decrease wave V amplitude and increase wave V latency. A nonadditivity of rate and noise level was observed such that, at the shortest interpulse intervals, simultaneous background noise produced virtually no latency change and minimal amplitude change, for the noise levels tested. In a second experiment, high-pass masking was performed to assess the feasibility of derived-band techniques using maximum length sequence analysis (MLSA) and to compare the frequency regions responsible for the BAER using MLSA versus conventional averaging. Results of experiment 2 showed that reliable responses across high-pass masker cutoff frequency could be obtained in normal-hearing listeners. The frequency specificity of the MLSA-based responses was nearly identical to that obtained by conventional averaging, although both amplitude and latency of wave V were affected by the high-pass masker cutoff and minimum pulse interval values. These studies suggest that the neuronal populations and frequency regions responsible for the BAER are virtually the same for MLSA and conventional averaging.

Adult

Variability of most comfortable and uncomfortable loudness levels to speech stimuli in the hearing impaired.

Methods for determining hearing aid settings often incorporate measurements of most comfortable loudness (MCL) and uncomfortable loudness (UCL) levels. This study examined the variability of loudness measures and their correlation to threshold data, using speech stimuli presented to hearing-impaired subjects. MCLs, UCLs, speech reception, and speech detection thresholds were obtained from 50 subjects having sensorineural impairments. The stimuli were CID W-2 spondees spoken by three female clinicians. Three MCLs and UCLs were obtained within each session, using ascending runs and a closed-set response list. Fifteen subjects were retested twice over intervals ranging from a week to several months. Between-session variability for the loudness measurements was less than or equal to 10 dB across sessions and speakers for the majority of subjects, with a tendency for the MCL and UCL to increase slightly over time. Significant variability was attributed to the use of live-voice presentation by different clinicians. High positive correlation was found between threshold and loudness data for subjects with relatively flat audiometric configurations but not for subjects demonstrating sharply sloping hearing losses.

Adult

Effect of broadband noise on the human brain stem auditory evoked response.

The purpose of this paper is to describe the effect of broadband continuous noise on brain stem auditory evoked responses elicited from normal-hearing and hearing-impaired individuals. The motivation for this study derives from the increasing use of noise masking paradigms in diagnostic electrophysiology, the universal presence of background noise in everyday listening environments, and the frequent observation that background noise is more detrimental to the performance of the hearing-impaired individual than to the normal-hearing individual. Four studies were designed to evaluate: (1) the sensitivity and specificity of the latency-intensity series, (2) the sensitivity and specificity of the latency-noise series, (3) the dependence of the latency-noise series on signal-to-noise ratio near electrophysiologic threshold, and (4) the dependence of the latency-noise index on the signal level at which the test is performed. The results of the studies reported herein show that the electrophysiological response to increasing masker levels is more sensitive for identifying inner ear pathology than previously used latency-intensity series measures, without compromising specificity. It is suggested that simultaneous broadband masking should be considered as a test for localization of pathology in those subjects for whom routine behavioral measurements are not possible or when the results of such measurements are equivocal.

Adolescent

Brain stem auditory evoked potentials in jaundiced Gunn rats.

Bilirubin encephalopathy causes potentially preventable brain damage and hearing loss. The site of auditory dysfunction is controversial, despite pathologic studies showing damage to brain stem auditory nuclei in humans and experimental animals. We studied the effects of bilirubin toxicity on the auditory system of homozygous jaundiced Gunn rats by use of brain stem auditory evoked potentials. Small but statistically significant abnormalities were found for wave latencies, interwave intervals, and amplitudes.

Animals

Digital hearing aid technology: medical perspective.

This article provides a nontechnical introduction to digital hearing aids and the impact of digital signal processing on the delivery of hearing health care. Issues related to matching the patient's needs to signal processing solutions are covered, and specific recommendations with respect to criteria by which new hearing aid performance should be evaluated are discussed. The pivitol role played by medical personnel in initiating patient awareness of available options and in directing needs assessment is emphasized.

Correction of Hearing Impairment

The impact of digital technology on the selection and fitting of hearing aids.

The commercial availability of wearable digital hearing aids begins a new era in hearing aid technology. The impact of the introduction of digital technology extends from differences in hardware configuration to changes in the hearing aid fitting process to improvements in the perceptual experience enjoyed by the hearing-impaired individual. In this article, differences among analog, hybrid, and digital technology are reviewed. Performance differences among these technologies are examined in terms of flexibility, size, power consumption, programmability, and signal processing power. Emphasis is placed on the interdependence of hardware technology, signal processing algorithms, and the fitting procedure. The specific advantages of applying digital technology to fitting procedures are discussed. A number of perceptual and nonperceptual factors for the listener and the need to expand the history-taking process to identify performance-oriented patients are discussed. More rapid and reliable tests of patient preferences and speech intelligibility are needed for digital hearing aid fitting procedures.

Acoustics

Clinical applications of the auditory brain stem response.

The auditory brain stem response is a powerful new tool for the detection and quantification of hearing impairment, especially in the pediatric population. It gives exact information about the functional status of the cochlea and brain stem pathways. The technique distinguishes recruiting from nonrecruiting losses, predominantly high frequency from flat losses, and retrocochlear from peripheral disorders. The recent introduction of bone conducted stimuli should soon permit the unambiguous separation of conductive and sensorineural losses.

Adult