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Subject-independent auditory spatial attention detection based on brain topology modeling and feature distribution alignment 基于大脑拓扑建模和特征分布配准的受试者无关听觉空间注意力检测
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-14 DOI: 10.1016/j.heares.2024.109104

Auditory spatial attention detection (ASAD) seeks to determine which speaker in a surround sound field a listener is focusing on based on the one’s brain biosignals. Although existing studies have achieved ASAD from a single-trial electroencephalogram (EEG), the huge inter-subject variability makes them generally perform poorly in cross-subject scenarios. Besides, most ASAD methods do not take full advantage of topological relationships between EEG channels, which are crucial for high-quality ASAD. Recently, some advanced studies have introduced graph-based brain topology modeling into ASAD, but how to calculate edge weights in a graph to better capture actual brain connectivity is worthy of further investigation. To address these issues, we propose a new ASAD method in this paper. First, we model a multi-channel EEG segment as a graph, where differential entropy serves as the node feature, and a static adjacency matrix is generated based on inter-channel mutual information to quantify brain functional connectivity. Then, different subjects’ EEG graphs are encoded into a shared embedding space through a total variation graph neural network. Meanwhile, feature distribution alignment based on multi-kernel maximum mean discrepancy is adopted to learn subject-invariant patterns. Note that we align EEG embeddings of different subjects to reference distributions rather than align them to each other for the purpose of privacy preservation. A series of experiments on open datasets demonstrate that the proposed model outperforms state-of-the-art ASAD models in cross-subject scenarios with relatively low computational complexity, and feature distribution alignment improves the generalizability of the proposed model to a new subject.

听觉空间注意力检测(ASAD)旨在根据听者的大脑生物信号来确定其注意力集中在环绕声场中的哪个扬声器上。虽然现有研究已通过单次脑电图(EEG)实现了听觉空间注意力检测,但由于受试者之间存在巨大差异,因此这些方法在跨受试者场景中的表现普遍较差。此外,大多数 ASAD 方法都没有充分利用脑电图通道之间的拓扑关系,而拓扑关系对高质量 ASAD 至关重要。最近,一些先进的研究将基于图的大脑拓扑建模引入了 ASAD,但如何计算图中的边权重以更好地捕捉实际的大脑连接性值得进一步研究。针对这些问题,我们在本文中提出了一种新的 ASAD 方法。首先,我们将多通道脑电图片段建模为一个图,以差分熵作为节点特征,并根据通道间互信息生成静态邻接矩阵,以量化大脑功能连接性。然后,通过总变异图神经网络将不同受试者的脑电图图编码到共享的嵌入空间中。同时,采用基于多核最大均值差异的特征分布对齐来学习主体不变模式。需要注意的是,为了保护隐私,我们将不同主体的脑电图嵌入对齐到参考分布,而不是相互对齐。在开放数据集上进行的一系列实验表明,所提出的模型在跨主体场景中的表现优于最先进的 ASAD 模型,而且计算复杂度相对较低。
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引用次数: 0
Experience with the cochlear implant enhances the neural tracking of spectrotemporal patterns in the Alberti bass 植入人工耳蜗的经验增强了阿尔贝蒂低音对谱时模式的神经跟踪能力
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-14 DOI: 10.1016/j.heares.2024.109105

Cochlear implant (CI) users experience diminished music enjoyment due to the technical limitations of the CI. Nonetheless, behavioral studies have reported that rhythmic features are well-transmitted through the CI. Still, the gradual improvement of rhythm perception after the CI switch-on has not yet been determined using neurophysiological measures. To fill this gap, we here reanalyzed the electroencephalographic responses of participants from two previous mismatch negativity studies. These studies included eight recently implanted CI users measured twice, within the first six weeks after CI switch-on and approximately three months later; thirteen experienced CI users with a median experience of 7 years; and fourteen normally hearing (NH) controls. All participants listened to a repetitive four-tone pattern (known in music as Alberti bass) for 35 min. Applying frequency tagging, we aimed to estimate the neural activity synchronized to the periodicities of the Alberti bass. We hypothesized that longer experience with the CI would be reflected in stronger frequency-tagged neural responses approaching the responses of NH controls. We found an increase in the frequency-tagged amplitudes after only 3 months of CI use. This increase in neural synchronization may reflect an early adaptation to the CI stimulation. Moreover, the frequency-tagged amplitudes of experienced CI users were significantly greater than those of recently implanted CI users, but still smaller than those of NH controls. The frequency-tagged neural responses did not just reflect spectrotemporal changes in the stimuli (i.e., intensity or spectral content fluctuating over time), but also showed non-linear transformations that seemed to enhance relevant periodicities of the Alberti bass. Our findings provide neurophysiological evidence indicating a gradual adaptation to the CI, which is noticeable already after three months, resulting in close to NH brain processing of spectrotemporal features of musical rhythms after extended CI use.

由于人工耳蜗(CI)的技术限制,人工耳蜗植入者对音乐的享受会大打折扣。尽管如此,有行为学研究报告称,节奏特征可以通过 CI 很好地传递。不过,目前还没有使用神经生理学测量方法来确定 CI 启动后节奏感的逐渐改善。为了填补这一空白,我们在此重新分析了之前两项错配否定性研究中参与者的脑电图反应。这两项研究的参与者包括八名新近植入 CI 的用户,他们分别在 CI 启用后的头六周和大约三个月后接受了两次测量;十三名经验丰富的 CI 用户,他们的经验中位数为 7 年;以及十四名听力正常(NH)的对照组。所有参与者都聆听了 35 分钟的重复四音模式(音乐中称为阿尔贝蒂低音)。通过频率标记,我们旨在估算与阿尔贝蒂低音周期性同步的神经活动。我们假设,如果使用 CI 的时间更长,则频率标记神经反应会更强,接近 NH 对照组的反应。我们发现,仅在使用 CI 3 个月后,频率标记振幅就有所增加。这种神经同步的增加可能反映了对 CI 刺激的早期适应。此外,经验丰富的 CI 使用者的频率标记振幅明显大于新植入 CI 的使用者,但仍小于 NH 对照组。频率标记神经反应不仅反映了刺激的频谱时相变化(即强度或频谱内容随时间波动),而且还表现出非线性变换,似乎增强了阿尔贝蒂低音的相关周期性。我们的研究结果提供了神经生理学证据,表明在使用人工耳蜗三个月后,患者已经开始逐渐适应人工耳蜗,从而在长时间使用人工耳蜗后,大脑对音乐节奏的谱时特征进行了接近正常的处理。
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引用次数: 0
Lower frequency range of auditory input facilitates stream segregation in older adults 较低频率范围的听觉输入有利于老年人的听流分离。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-02 DOI: 10.1016/j.heares.2024.109095

The current study investigated the effect of lower frequency input on stream segregation acuity in older, normal hearing adults. Using event-related brain potentials (ERPs) and perceptual performance measures, we previously showed that stream segregation abilities were less proficient in older compared to younger adults. However, in that study we used frequency ranges greater than 1500 Hz. In the current study, we lowered the target frequency range below 1500 Hz and found similar stream segregation abilities in younger and older adults. These results indicate that the perception of complex auditory scenes is influenced by the spectral content of the auditory input and suggest that lower frequency ranges of input in older adults may facilitate listening ability in complex auditory environments. These results also have implications for the advancement of prosthetic devices.

本研究调查了低频输入对听力正常的老年成人语流分离敏锐度的影响。通过使用事件相关脑电位(ERPs)和感知性能测量方法,我们以前的研究表明,与年轻人相比,老年人的语流分离能力较弱。不过,在该研究中,我们使用的频率范围大于 1500 Hz。在本次研究中,我们将目标频率范围降低到了 1500 Hz 以下,结果发现年轻人和老年人的音流分离能力相似。这些结果表明,复杂听觉场景的感知受到听觉输入的频谱内容的影响,并表明老年人较低频率范围的输入可能有助于提高在复杂听觉环境中的听觉能力。这些结果对假肢设备的发展也有影响。
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引用次数: 0
Biomarkers of auditory cortical plasticity and development of binaural pathways in children with unilateral hearing loss using a hearing aid 使用助听器的单侧听力损失儿童听觉皮质可塑性和双耳通路发育的生物标志物。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-02 DOI: 10.1016/j.heares.2024.109096

Congenital or early-onset unilateral hearing loss (UHL) can disrupt the normal development of the auditory system. In extreme cases of UHL (i.e., single sided deafness), consistent cochlear implant use during sensitive periods resulted in cortical reorganization that partially reversed the detrimental effects of unilateral sensory deprivation. There is a gap in knowledge, however, regarding cortical plasticity i.e. the brain's capacity to adapt, reorganize, and develop binaural pathways in milder degrees of UHL rehabilitated by a hearing aid (HA). The current study was set to investigate early-stage cortical processing and electrophysiological manifestations of binaural processing by means of cortical auditory evoked potentials (CAEPs) to speech sounds, in children with moderate to severe-to-profound UHL using a HA. Fourteen children with UHL (CHwUHL), 6-14 years old consistently using a HA for 3.5 (±2.3) years participated in the study. CAEPs were elicited to the speech sounds /m/, /g/, and /t/ in three listening conditions: monaural [Normal hearing (NH), HA], and bilateral [BI (NH + HA)]. Results indicated age-appropriate CAEP morphology in the NH and BI listening conditions in all children. In the HA listening condition: (1) CAEPs showed similar morphology to that found in the NH listening condition, however, the mature morphology observed in older children in the NH listening condition was not evident; (2) P1 was elicited in all but two children with severe-to-profound hearing loss, to at least one speech stimuli, indicating effective audibility; (3) A significant mismatch in timing and synchrony between the NH and HA ear was found; (4) P1 was sensitive to the acoustic features of the eliciting stimulus and to the amplification characteristics of the HA. Finally, a cortical binaural interaction component (BIC) was derived in most children. In conclusion, the current study provides first-time evidence for cortical plasticity and partial reversal of the detrimental effects of moderate to severe-to-profound UHL rehabilitated by a HA. The derivation of a cortical biomarker of binaural processing implies that functional binaural pathways can develop when sufficient auditory input is provided to the affected ear. CAEPs may thus serve as a clinical tool for assessing, monitoring, and managing CHwUHL using a HA.

先天性或早发性单侧听力损失(UHL)会破坏听觉系统的正常发育。在极端的 UHL(即单侧耳聋)病例中,在敏感期持续使用人工耳蜗会导致大脑皮层重组,从而部分逆转单侧感官剥夺的有害影响。然而,关于大脑皮层的可塑性,即大脑对通过助听器(HA)康复的轻度 UHL 的适应、重组和双耳通路的开发能力,还存在着知识空白。本研究旨在通过皮层听觉诱发电位(CAEPs),研究使用助听器的中度至重度至永久性 UHL 儿童的早期皮层处理和双耳处理的电生理表现。14 名 6-14 岁的 UHL(CHwUHL)儿童参加了这项研究,他们持续使用 HA 3.5 (±2.3) 年。在单耳[正常听力(NH)、HA]和双耳[BI(NH + HA)]三种听力条件下,对语音/m/、/g/和/t/进行了CAEP。结果表明,在 NH 和 BI 听力条件下,所有儿童的 CAEP 形态均与年龄相符。在 HA 听力条件下(1) CAEPs 的形态与 NH 聆听条件下的 CAEPs 相似,但在 NH 聆听条件下年龄较大的儿童身上观察到的成熟形态并不明显;(2) 除两名重度至永久性听力损失的儿童外,所有儿童都能对至少一个言语刺激触发 P1,这表明听力有效;(3) 发现 NH 耳和 HA 耳之间在时间和同步性上存在明显的不匹配;(4) P1 对触发刺激的声学特征和 HA 的放大特性非常敏感。最后,大多数儿童的大脑皮层都出现了双耳相互作用成分(BIC)。总之,本研究首次证明了大脑皮层的可塑性,并部分逆转了中重度至重度 UHL 通过 HA 康复所产生的有害影响。双耳处理的皮质生物标志物的产生意味着,当向患耳提供足够的听觉输入时,功能性双耳通路就能发展起来。因此,CAEPs 可作为使用 HA 评估、监测和管理 CHwUHL 的临床工具。
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引用次数: 0
Mismatch negativity between discriminating and undiscriminating participants on the front-back sound localization 辨别型和非辨别型参与者在前后声定位上的不匹配负性
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-07-31 DOI: 10.1016/j.heares.2024.109094

Sound localization in the front-back dimension is reported to be challenging, with individual differences. We investigated whether auditory discrimination processing in the brain differs based on front-back sound localization ability. This study conducted an auditory oddball task using speakers in front of and behind the participants. We used event-related brain potentials to examine the deviance detection process between groups that could and could not discriminate front-back sound localization. The results indicated that mismatch negativity (MMN) occurred during the deviance detection process, and P2 amplitude differed between standard and deviant locations in both groups. However, the latency of MMN was shorter in the group that could discriminate front-back sounds than in the group that could not. Additionally, N1 amplitude increased for deviant locations compared to standard ones only in the discriminating group. In conclusion, the sensory memories matching process based on traces of previously presented stimuli (MMN, P2) occurred regardless of discrimination ability. However, the response to changes in the physical properties of sounds (MMN latency, N1 amplitude) differed depending on the ability to discriminate front-back sounds. Our findings suggest that the brain may have different processing strategies for the two directions even without subjective recognition of the front-back direction of incoming sounds.

据报道,前后维度的声音定位具有挑战性,而且存在个体差异。我们研究了大脑的听觉辨别处理是否因前后声音定位能力的不同而有所差异。本研究利用参与者前后的扬声器进行了听觉怪球任务。我们使用事件相关脑电位来研究能够和不能分辨前后声音定位的群体之间的偏差检测过程。结果表明,在偏差检测过程中会出现错配负性(MMN),并且在两组中标准位置和偏差位置的 P2 振幅有所不同。然而,能分辨前后声音的组的 MMN 潜伏期比不能分辨前后声音的组短。此外,只有分辨组的 N1 振幅在偏差位置比标准位置增加。总之,无论辨别能力如何,都会出现基于先前刺激痕迹的感觉记忆匹配过程(MMN、P2)。然而,对声音物理特性变化的反应(MMN潜伏期、N1振幅)则因辨别前后声音的能力而异。我们的研究结果表明,即使没有对声音前后方向的主观识别,大脑也可能对两个方向有不同的处理策略。
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引用次数: 0
A longitudinal study investigating the effects of noise exposure on behavioural, electrophysiological and self-report measures of hearing in musicians with normal audiometric thresholds 一项纵向研究,调查噪声暴露对听阈正常的音乐家的听力行为、电生理和自我报告测量的影响。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-07-30 DOI: 10.1016/j.heares.2024.109077

Musicians are at risk of hearing loss and tinnitus due to regular exposure to high levels of noise. This level of risk may have been underestimated previously since damage to the auditory system, such as cochlear synaptopathy, may not be easily detectable using standard clinical measures. Most previous research investigating hearing loss in musicians has involved cross-sectional study designs that may capture only a snapshot of hearing health in relation to noise exposure. The aim of this study was to investigate the effects of cumulative noise exposure on behavioural, electrophysiological, and self-report indices of hearing damage in early-career musicians and non-musicians with normal hearing over a 2-year period. Participants completed an annual test battery consisting of pure tone audiometry, extended high-frequency hearing thresholds, distortion product otoacoustic emissions (DPOAEs), speech perception in noise, auditory brainstem responses, and self-report measures of tinnitus, hyperacusis, and hearing in background noise. Participants also completed the Noise Exposure Structured Interview to estimate cumulative noise exposure across the study period. Linear mixed models assessed changes over time. The longitudinal analysis comprised 64 early-career musicians (female n = 34; age range at T0 = 18–26 years) and 30 non-musicians (female n = 20; age range at T0 = 18–27 years). There were few longitudinal changes as a result of musicianship. Small improvements over time in some measures may be attributable to a practice/test-retest effect. Some measures (e.g., DPOAE indices of outer hair cell function) were associated with noise exposure at each time point, but did not show a significant change over time. A small proportion of participants reported a worsening of their tinnitus symptoms, which participants attributed to noise exposure, or not using hearing protection. Future longitudinal studies should attempt to capture the effects of noise exposure over a longer period, taken at several time points, for a precise measure of how hearing changes over time. Hearing conservation programmes for “at risk” individuals should closely monitor DPOAEs to detect early signs of noise-induced hearing loss when audiometric thresholds are clinically normal.

由于经常暴露在高噪音环境中,音乐家面临听力损失和耳鸣的风险。这种风险水平以前可能被低估了,因为听觉系统的损伤(如耳蜗突触病)可能不容易用标准的临床测量方法检测出来。以往调查音乐家听力损失的研究大多采用横断面研究设计,可能只能捕捉到与噪声暴露有关的听力健康快照。本研究的目的是调查累积噪声暴露对听力正常的早期职业音乐家和非音乐家的行为、电生理和自我报告听力损伤指数的影响。参与者每年完成一次测试,包括纯音测听、扩展高频听阈、失真产物耳声发射(DPOAEs)、噪声中的言语感知、听觉脑干反应,以及耳鸣、听力过强和背景噪声中听力的自我报告测量。参与者还完成了噪声暴露结构化访谈,以估算整个研究期间的累积噪声暴露量。线性混合模型评估了随着时间推移而发生的变化。纵向分析包括 64 名早期职业音乐家(女性,n=34;T0 时的年龄范围为 18-26 岁)和 30 名非音乐家(女性,n=20;T0 时的年龄范围为 18-27 岁)。在音乐方面的纵向变化很少。某些测量指标随时间推移而出现的微小改进可能是由于练习/重测效应造成的。一些测量指标(如外毛细胞功能的 DPOAE 指数)在每个时间点都与噪声暴露有关,但随着时间的推移没有出现显著变化。一小部分参与者报告其耳鸣症状恶化,参与者将其归因于噪声暴露或未使用听力保护装置。未来的纵向研究应尝试在更长的时间内捕捉噪声暴露的影响,并在多个时间点进行测量,以精确测量听力随时间的变化情况。针对 "高危 "人群的听力保护计划应密切监测 DPOAEs,以便在听力阈值临床正常的情况下发现噪声导致听力损失的早期迹象。
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引用次数: 0
Wireless electrocochleography in awake chinchillas: A model to study crossmodal modulations at the peripheral level 清醒龙猫的无线耳电图:研究外周水平跨模态调制的模型
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-07-28 DOI: 10.1016/j.heares.2024.109093

The discovery and development of electrocochleography (ECochG) in animal models has been fundamental for its implementation in clinical audiology and neurotology. In our laboratory, the use of round-window ECochG recordings in chinchillas has allowed a better understanding of auditory efferent functioning. In previous works, we gave evidence of the corticofugal modulation of auditory-nerve and cochlear responses during visual attention and working memory. However, whether these cognitive top-down mechanisms to the most peripheral structures of the auditory pathway are also active during audiovisual crossmodal stimulation is unknown. Here, we introduce a new technique, wireless ECochG to record compound-action potentials of the auditory nerve (CAP), cochlear microphonics (CM), and round-window noise (RWN) in awake chinchillas during a paradigm of crossmodal (visual and auditory) stimulation. We compared ECochG data obtained from four awake chinchillas recorded with a wireless ECochG system with wired ECochG recordings from six anesthetized animals. Although ECochG experiments with the wireless system had a lower signal-to-noise ratio than wired recordings, their quality was sufficient to compare ECochG potentials in awake crossmodal conditions. We found non-significant differences in CAP and CM amplitudes in response to audiovisual stimulation compared to auditory stimulation alone (clicks and tones). On the other hand, spontaneous auditory-nerve activity (RWN) was modulated by visual crossmodal stimulation, suggesting that visual crossmodal simulation can modulate spontaneous but not evoked auditory-nerve activity. However, given the limited sample of 10 animals (4 wireless and 6 wired), these results should be interpreted cautiously. Future experiments are required to substantiate these conclusions. In addition, we introduce the use of wireless ECochG in animal models as a useful tool for translational research.

在动物模型中发现和发展耳蜗电图(ECochG)是将其应用于临床听力学和神经听力学的基础。在我们的实验室中,使用圆窗法记录龙猫的听觉传出功能使我们对听觉传出功能有了更好的了解。在以前的研究中,我们已证明在视觉注意力和工作记忆过程中,听觉神经和耳蜗反应受皮质耳蜗调节。然而,在视听跨模态刺激过程中,这些对听觉通路最外围结构的自上而下的认知机制是否也处于活跃状态还不得而知。在这里,我们引入了一种新技术--无线 ECochG,在跨模态(视觉和听觉)刺激范例中记录清醒龙猫的听觉神经复合动作电位(CAP)、耳蜗微音(CM)和圆窗噪声(RWN)。我们将四只清醒龙猫使用无线心电系统记录的心电数据与六只麻醉动物的有线心电记录进行了比较。虽然使用无线系统进行的心电实验的信噪比低于有线记录,但其质量足以比较清醒跨模态条件下的心电势。我们发现,与单纯的听觉刺激(咔嗒声和音调)相比,视听刺激下的 CAP 和 CM 波幅差异不大。另一方面,自发听觉神经活动(RWN)受到视觉跨模态刺激的调节,这表明视觉跨模态模拟可以调节自发听觉神经活动,而不是诱发听觉神经活动。然而,由于样本有限,只有 10 只动物(4 只无线动物和 6 只有线动物),因此应谨慎解释这些结果。要证实这些结论,还需要未来的实验。此外,我们还介绍了在动物模型中使用无线心电图作为转化研究的有用工具。
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引用次数: 0
Finite-element modelling of interactions of needle with tympanic membrane and middle ear 针与鼓膜和中耳相互作用的有限元建模
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-07-26 DOI: 10.1016/j.heares.2024.109092

The tympanic membrane (TM) is one of the most common routes to access the middle ear and inner ear for the treatment of hearing and balance pathologies. Since the TM is a soft thin biological tissue with small dimensions, using needles seems to be among the most practical interventional approaches. In this study, we proposed a finite-element (FE) analysis of needle-TM interactions that combines a 3D model of the TM and other main middle-ear structures in gerbil, and a 2D model of needle insertion into the TM based on the cohesive zone method (CZM). The TM was modelled using a 1st-order Ogden hyperelastic material and its properties were obtained by fitting to the experimental force-displacement plots of large deformation in the TM under needle indentation. The cohesive parameters were also acquired by calibrating the puncture force against the experimental data of needle insertion into the TM. These FE models were then used to obtain the deformation behaviour of the TM and other middle-ear structures due to the insertion force applied at different locations on the TM. Moreover, we investigated the effect of the TM thickness, the geometry of the needle (i.e., diameter and tip angle), and needle material on the insertion of needles into the TM. We also studied the penetration success of deformable needles.

鼓膜(TM)是进入中耳和内耳治疗听力和平衡病症的最常见途径之一。由于鼓膜是一种尺寸较小的软薄生物组织,使用针头似乎是最实用的介入方法之一。在这项研究中,我们提出了针与 TM 相互作用的有限元(FE)分析方法,该方法结合了沙鼠 TM 和其他主要中耳结构的三维模型,以及基于内聚区法(CZM)的针插入 TM 的二维模型。TM 采用一阶奥格登超弹性材料建模,其特性是通过拟合针刺下 TM 大变形的力-位移实验图获得的。内聚力参数也是通过校准针插入 TM 的穿刺力实验数据获得的。然后,我们利用这些有限元模型获得了 TM 和其他中耳结构在 TM 不同位置受到插入力时的变形行为。此外,我们还研究了 TM 厚度、针的几何形状(即直径和针尖角度)以及针的材料对针插入 TM 的影响。我们还研究了可变形针的穿刺成功率。
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引用次数: 0
A new mutation of Sgms1 causes gradual hearing loss associated with a reduced endocochlear potential Sgms1 的一种新突变会导致与耳蜗内电位降低有关的渐进性听力损失
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-07-23 DOI: 10.1016/j.heares.2024.109091

Sgms1 encodes sphingomyelin synthase 1, an enzyme in the sphingosine-1-phosphate signalling pathway, and was previously reported to underlie hearing impairment in the mouse. A new mouse allele, Sgms1tm1a, unexpectedly showed normal Auditory Brainstem Response thresholds. We found that the Sgms1tm1a mutation led to incomplete knockdown of transcript to 20 % of normal values, which was enough to support normal hearing. The Sgms1tm1b allele was generated by knocking out exon 7, leading to a complete lack of detectable transcript in the inner ear. Sgms1tm1b homozygotes showed largely normal auditory brainstem response thresholds at first, followed by progressive loss of sensitivity until they showed severe impairment at 6 months old. The endocochlear potential was consistently reduced in Sgms1tm1b mutants at 3, 4 and 8 weeks old, to around 80 mV compared with around 120 mV in control littermates. The stria vascularis showed a characteristic irregularity of marginal cell surfaces and patchy loss of Kcnq1 expression at their apical membrane, and expression analysis of the lateral wall suggested that marginal cells were the most likely initial site of dysfunction in the mutants. Finally, significant association of auditory thresholds with DNA markers within and close to the human SGMS1 gene were found in the 1958 Birth Cohort, suggesting that SGMS1 variants may play a role in the range of hearing abilities in the human population.

编码鞘磷脂合成酶 1,它是鞘磷脂-1-磷酸信号通路中的一种酶。一种新的小鼠等位基因意外地显示出正常的听觉脑干反应阈值。我们发现,该突变导致转录本不完全敲除至正常值的 20%,这足以支持正常听力。等位基因是通过敲除第 7 号外显子产生的,导致内耳中完全缺乏可检测到的转录本。同卵双生子起初表现出基本正常的听觉脑干反应阈值,随后灵敏度逐渐下降,直到 6 个月大时表现出严重障碍。在 3、4 和 8 周大时,突变体的耳蜗内电位持续降低,约为 80 毫伏,而对照组同胎仔鼠的耳蜗内电位约为 120 毫伏。血管横纹显示出边缘细胞表面不规则的特征,其顶端膜的 Kcnq1 表达出现斑点状缺失,侧壁的表达分析表明,边缘细胞最有可能是突变体功能障碍的初始部位。最后,在1958年出生队列中发现,听觉阈值与人类基因内部和附近的DNA标记有明显的关联,这表明变异可能在人类听觉能力范围中发挥作用。
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引用次数: 0
The temporal mismatch across listening sides affects cortical auditory evoked responses in normal hearing listeners and cochlear implant users with contralateral acoustic hearing 听力正常的听者和具有对侧声学听力的人工耳蜗使用者的听觉皮层诱发反应会受到听侧时间错配的影响
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-07-17 DOI: 10.1016/j.heares.2024.109088

Combining a cochlear implant with contralateral acoustic hearing typically enhances speech understanding, although this improvement varies among CI users and can lead to an interference effect. This variability may be associated with the effectiveness of the integration between electric and acoustic stimulation, which might be affected by the temporal mismatch between the two listening sides. Finding methods to compensate for the temporal mismatch might contribute to the optimal adjustment of bimodal devices and to improve hearing in CI users with contralateral acoustic hearing.

The current study investigates cortical auditory evoked potentials (CAEPs) in normal hearing listeners (NH) and CI users with contralateral acoustic hearing. In NH, the amplitude of the N1 peak and the maximum phase locking value (PLV) were analyzed under monaural, binaural, and binaural temporally mismatched conditions. In CI users, CAEPs were measured when listening with CI only (CIS_only), acoustically only (AS_only) and with both sides together (CIS+AS). When listening with CIS+AS, various interaural delays were introduced between the electric and acoustic stimuli.

In NH listeners, interaural temporal mismatch resulted in decreased N1 amplitude and PLV. Moreover, PLV is suggested as a more sensitive measure to investigate the integration of information between the two listening sides.

CI users showed varied N1 latencies between the AS_only and CIS_only listening conditions, with increased N1 amplitude when the temporal mismatch was compensated. A tendency towards increased PLV was also observed, however, to a lesser extent than in NH listeners, suggesting a limited integration between electric and acoustic stimulation.

This work highlights the potential of CAEPs measurement to investigate cortical processing of the information between two listening sides in NH and bimodal CI users.

将人工耳蜗与对侧声学听力相结合通常能提高言语理解能力,但这种提高在人工耳蜗使用者之间存在差异,并可能导致干扰效应。这种差异可能与电刺激和声刺激之间的整合效果有关,而这种整合效果可能会受到两侧听力的时间不匹配影响。本研究调查了听力正常的听者(NH)和具有对侧声学听力的 CI 使用者的皮层听觉诱发电位(CAEPs)。在单耳、双耳和双耳时间不匹配条件下,分析了正常听力者的 N1 峰值振幅和最大锁相值 (PLV)。在 CI 使用者中,测量了仅使用 CI 聆听(CIS_only)、仅使用声学聆听(AS_only)和双侧一起聆听(CIS+AS)时的 CAEP。在使用 CIS+AS 聆听时,在电刺激和声刺激之间引入了不同的耳间延迟。在 NH 聆听者中,耳间时间不匹配导致 N1 振幅和 PLV 下降。此外,PLV 被认为是研究两侧听力信息整合的更灵敏的测量方法。CI 用户在仅 AS 和仅 CIS 的听力条件下表现出不同的 N1 延迟,当时间不匹配得到补偿时,N1 振幅增加。这项研究强调了 CAEPs 测量在研究 NH 和双模 CI 使用者大脑皮层处理两侧听力信息方面的潜力。
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引用次数: 0
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Hearing Research
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