聴力正常成人における次世代型 ASSR 検査機器の比較検討
要旨: 聴性定常反応 (auditory steady-state response: ASSR) は周波数特異性の高い他覚的聴力検査であり,現在国内において chirp 音刺激による ASSR 検査機器は2機種 (SENTIERO, PATH medical 社/Eclipse, Interacoustics 社) 市販化されている。今回我々は聴力正常成人16例を対象に両機器で ASSR を施行し, ASSR の反応閾値と PTA (pure tone audiometry: PTA) の閾値差である DS (difference score: DS) の平均値および検査時間について比較検討...
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| Published in | AUDIOLOGY JAPAN Vol. 67; no. 4; pp. 260 - 266 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本聴覚医学会
30.08.2024
日本聴覚医学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0303-8106 1883-7301 |
| DOI | 10.4295/audiology.67.260 |
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| Abstract | 要旨: 聴性定常反応 (auditory steady-state response: ASSR) は周波数特異性の高い他覚的聴力検査であり,現在国内において chirp 音刺激による ASSR 検査機器は2機種 (SENTIERO, PATH medical 社/Eclipse, Interacoustics 社) 市販化されている。今回我々は聴力正常成人16例を対象に両機器で ASSR を施行し, ASSR の反応閾値と PTA (pure tone audiometry: PTA) の閾値差である DS (difference score: DS) の平均値および検査時間について比較検討した。両機器ともすべての搬送周波数で DS の平均値が 20dB 以内であった。搬送周波数 500Hz では SENTIERO の DS の平均値が有意に小さく, 4000Hz では Eclipse の DS の平均値が有意に小さい結果であった。検査時間は SENTIERO が平均24分, Eclipse が平均21分であり Eclipse が有意に短い結果であった。以上の結果より, 両機器とも有用性の高い検査機器であると考えられた。 |
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| AbstractList | 要旨: 聴性定常反応 (auditory steady-state response: ASSR) は周波数特異性の高い他覚的聴力検査であり,現在国内において chirp 音刺激による ASSR 検査機器は2機種 (SENTIERO, PATH medical 社/Eclipse, Interacoustics 社) 市販化されている。今回我々は聴力正常成人16例を対象に両機器で ASSR を施行し, ASSR の反応閾値と PTA (pure tone audiometry: PTA) の閾値差である DS (difference score: DS) の平均値および検査時間について比較検討した。両機器ともすべての搬送周波数で DS の平均値が 20dB 以内であった。搬送周波数 500Hz では SENTIERO の DS の平均値が有意に小さく, 4000Hz では Eclipse の DS の平均値が有意に小さい結果であった。検査時間は SENTIERO が平均24分, Eclipse が平均21分であり Eclipse が有意に短い結果であった。以上の結果より, 両機器とも有用性の高い検査機器であると考えられた。 「要旨」: 聴性定常反応(auditory steady-state response : ASSR)は周波数特異性の高い他覚的聴力検査であり, 現在国内においてchirp音刺激によるASSR検査機器は2機種(SENTIERO, PATH medical社/Eclipse, Interacoustics社)市販化されている. 今回我々は聴力正常成人16例を対象に両機器でASSRを施行し, ASSRの反応閾値とPTA(pure tone audiometry : PTA)の閾値差であるDS(difference score : DS)の平均値および検査時間について比較検討した. 両機器ともすべての搬送周波数でDSの平均値が20dB以内であった. 搬送周波数500HzではSENTIEROのDSの平均値が有意に小さく, 4000HzではEclipseのDSの平均値が有意に小さい結果であった. 検査時間はSENTIEROが平均24分, Eclipseが平均21分でありEclipseが有意に短い結果であった. 以上の結果より, 両機器とも有用性の高い検査機器であると考えられた. |
| Author | 阿部, 希望 天野, 彰子 松井, 祐興 千葉, 寛之 新川, 智佳子 伊藤, 吏 欠畑, 誠治 |
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| References | 7) 木下智美, 阪本浩一, 角南貴司子: CE-chirpⓇ音を用いた40Hzおよび, 90Hzで施行した ASSR 閾値と純音聴力閾値の関連についての検討. Audiology Japan 64: 529-537, 2021 23) Luts H, Desloovere C, Kumar A, et al: Objective assessment of frequency-specific hearing thresholds in babies. Int J Pediatr Otorhinolaryngol 68: 915-926, 2004 24) Ribeiro FM, Carvallo RM, Marcoux AM: Auditory Steady-State Evoked Responses for Preterm and Term Neonates. Audiol Neurotol 15: 97-110, 2010 11) 千葉寛之: 次世代型ASSR検査機器による聴力評価の Tips & Tricks. Audiology Japan 66: 195-202, 2023 6) Mühler R, Rahne T, Mentzel K, et al: 40-Hz multiple auditory steady-state responses to narrow-band chirps in sedated and anaesthetized infants. Int J Pediatr Otorhinolaryngol 78: 762-768, 2014 1) Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Joint Committee on Infant Hearing. The Journal of Early Hearing Detection and Intervention 4: 1-44, 2019 20) Lins OG, Picton TW: Auditory steady-state responses to multiple simultaneous stimuli. Electro-encephalogr Clin Neurophysiol 96: 420-432, 1995 13) Sininger YS, Hunter LL, Hayes D, et al: Evaluation of Speed and Accuracy of Next-Generation Auditory Steady State Response and Auditory Brainstem Response Audiometry in Children With Normal Hearing and Hearing Loss. Ear Hear 39: 1207-1223, 2018 21) 伊藤, 吏, 千葉寛之, 窪田俊憲, 他: 小児例に対する Narrow-band Chirp を用いた ASSR による聴力評価の有用性. Audiology Japan 63:372, 2020 14) Aslam MA, Javed A, Moiz A: Comparison of auditory brainstem response and auditory steady state response audiometry by the hearing thresholds obtained in children with different severity of hearing loss. Pak J Med Sci 35: 320-324, 2019 25) 伊藤, 吏, 窪田俊憲, 渡辺知緒, 他: 聴性定常反応を用いた他覚的聴力検査システム MASTER の有用性について. Audiology Japan 48: 128-134, 2005 10) 伊藤, 吏: 他覚的聴覚検査の革新 chirp 音を用いたABR, ASSR. Audiology Japan 63: 163-173, 2020 19) Lins OG, Picton TW, Boucher BL, et al: Frequency-specific audiometry using steady-state responses. Ear Hear 17: 81-96, 1996 12) Venail F, Artaud JP, Blanchet C, et al: Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. Int J Audiol 54: 106-113, 2015 9) Elberling C, Don M: Auditory brainstem responses to a chirp stimulus designed from derived-band latencies in normal-hearing subjects. J Acoust Soc Am 124: 3022-3037, 2008 15) Aoyagi M, Kiren T, Kim Y, et al: Frequency specificity of amplitude-modulation-following response detected by phase spectral analysis. Hear Res 32: 293-301, 1993 2) Mühler R, Mentzel K, Verhey J: Fast Hearing-Threshold Estimation Using Multiple Auditory Steady-State Responses with Narrow-Band Chirps and Adaptive Stimulus Patterns. The Scientific World Journal, Article ID 192178, 2012 17) Nodarse, Eleina Mijares, et al: Electrophysiological characterisation of envelope-following responses. Acta Otorrinolaringologica (English Edition) 62: 425-431, 2011 3) Seidel DU, Flemming TA, Park JJ, et al: Hearing threshold estimation by auditory steady-state responses with narrow-band chirps and adaptive stimulus patterns: implementation in clinical routine. Eur Arch Otorhinolaryngol 272: 51-59, 2015 4) Lee MY, Ahn SY, Lee HJ, et al: Narrow band CE-Chirp auditory steady-state response is more reliable than the conventional ASSR in predicting the behavioral hearing threshold. Auris Nasus Larynx 43: 259-268, 2016 8) Elberling C, Don M, Cebulla M, et al: Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay. J Acoust Soc Am 122: 2772-2785, 2007 16) Bench Christensen C, Lunner T, Harte J, et al: Chirp-Evoked Auditory Steady-State Response: The Effect of Repetition Rate. IEEE Trans Biomed Eng 69: 689-699, 2022 5) Dabbous AO, Koura RA, Hamdy MM: Comparison of thresholds estimation in adults with conductive hearing loss and normal hearing adults using auditory steady state response evoked by narrow band CE-chirps. Hear Balance Commun 17: 18-26, 2019 18) 伊藤, 吏: 次世代型 ASSR の特長と有用性. Audiology Japan 66: 186-194, 2023 22) Rodrigues GR, Lewis DR: Establishing auditory steady-state response thresholds to narrow band CE-chirpsⓇ in full-term neonates. Int J Pediatr Otorhinolaryngol 78: 238-243, 2014 |
| References_xml | – reference: 11) 千葉寛之: 次世代型ASSR検査機器による聴力評価の Tips & Tricks. Audiology Japan 66: 195-202, 2023 – reference: 13) Sininger YS, Hunter LL, Hayes D, et al: Evaluation of Speed and Accuracy of Next-Generation Auditory Steady State Response and Auditory Brainstem Response Audiometry in Children With Normal Hearing and Hearing Loss. Ear Hear 39: 1207-1223, 2018 – reference: 22) Rodrigues GR, Lewis DR: Establishing auditory steady-state response thresholds to narrow band CE-chirpsⓇ in full-term neonates. Int J Pediatr Otorhinolaryngol 78: 238-243, 2014 – reference: 24) Ribeiro FM, Carvallo RM, Marcoux AM: Auditory Steady-State Evoked Responses for Preterm and Term Neonates. Audiol Neurotol 15: 97-110, 2010 – reference: 3) Seidel DU, Flemming TA, Park JJ, et al: Hearing threshold estimation by auditory steady-state responses with narrow-band chirps and adaptive stimulus patterns: implementation in clinical routine. Eur Arch Otorhinolaryngol 272: 51-59, 2015 – reference: 12) Venail F, Artaud JP, Blanchet C, et al: Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. Int J Audiol 54: 106-113, 2015 – reference: 1) Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Joint Committee on Infant Hearing. The Journal of Early Hearing Detection and Intervention 4: 1-44, 2019 – reference: 19) Lins OG, Picton TW, Boucher BL, et al: Frequency-specific audiometry using steady-state responses. Ear Hear 17: 81-96, 1996 – reference: 25) 伊藤, 吏, 窪田俊憲, 渡辺知緒, 他: 聴性定常反応を用いた他覚的聴力検査システム MASTER の有用性について. Audiology Japan 48: 128-134, 2005 – reference: 6) Mühler R, Rahne T, Mentzel K, et al: 40-Hz multiple auditory steady-state responses to narrow-band chirps in sedated and anaesthetized infants. Int J Pediatr Otorhinolaryngol 78: 762-768, 2014 – reference: 8) Elberling C, Don M, Cebulla M, et al: Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay. J Acoust Soc Am 122: 2772-2785, 2007 – reference: 9) Elberling C, Don M: Auditory brainstem responses to a chirp stimulus designed from derived-band latencies in normal-hearing subjects. J Acoust Soc Am 124: 3022-3037, 2008 – reference: 5) Dabbous AO, Koura RA, Hamdy MM: Comparison of thresholds estimation in adults with conductive hearing loss and normal hearing adults using auditory steady state response evoked by narrow band CE-chirps. Hear Balance Commun 17: 18-26, 2019 – reference: 18) 伊藤, 吏: 次世代型 ASSR の特長と有用性. Audiology Japan 66: 186-194, 2023 – reference: 23) Luts H, Desloovere C, Kumar A, et al: Objective assessment of frequency-specific hearing thresholds in babies. Int J Pediatr Otorhinolaryngol 68: 915-926, 2004 – reference: 7) 木下智美, 阪本浩一, 角南貴司子: CE-chirpⓇ音を用いた40Hzおよび, 90Hzで施行した ASSR 閾値と純音聴力閾値の関連についての検討. Audiology Japan 64: 529-537, 2021 – reference: 20) Lins OG, Picton TW: Auditory steady-state responses to multiple simultaneous stimuli. Electro-encephalogr Clin Neurophysiol 96: 420-432, 1995 – reference: 14) Aslam MA, Javed A, Moiz A: Comparison of auditory brainstem response and auditory steady state response audiometry by the hearing thresholds obtained in children with different severity of hearing loss. Pak J Med Sci 35: 320-324, 2019 – reference: 2) Mühler R, Mentzel K, Verhey J: Fast Hearing-Threshold Estimation Using Multiple Auditory Steady-State Responses with Narrow-Band Chirps and Adaptive Stimulus Patterns. The Scientific World Journal, Article ID 192178, 2012 – reference: 16) Bench Christensen C, Lunner T, Harte J, et al: Chirp-Evoked Auditory Steady-State Response: The Effect of Repetition Rate. IEEE Trans Biomed Eng 69: 689-699, 2022 – reference: 10) 伊藤, 吏: 他覚的聴覚検査の革新 chirp 音を用いたABR, ASSR. Audiology Japan 63: 163-173, 2020 – reference: 4) Lee MY, Ahn SY, Lee HJ, et al: Narrow band CE-Chirp auditory steady-state response is more reliable than the conventional ASSR in predicting the behavioral hearing threshold. Auris Nasus Larynx 43: 259-268, 2016 – reference: 15) Aoyagi M, Kiren T, Kim Y, et al: Frequency specificity of amplitude-modulation-following response detected by phase spectral analysis. Hear Res 32: 293-301, 1993 – reference: 21) 伊藤, 吏, 千葉寛之, 窪田俊憲, 他: 小児例に対する Narrow-band Chirp を用いた ASSR による聴力評価の有用性. Audiology Japan 63:372, 2020 – reference: 17) Nodarse, Eleina Mijares, et al: Electrophysiological characterisation of envelope-following responses. Acta Otorrinolaringologica (English Edition) 62: 425-431, 2011 |
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| Snippet | 要旨: 聴性定常反応 (auditory steady-state response: ASSR) は周波数特異性の高い他覚的聴力検査であり,現在国内において chirp 音刺激による ASSR 検査機器は2機種... 「要旨」: 聴性定常反応(auditory steady-state response : ASSR)は周波数特異性の高い他覚的聴力検査であり, 現在国内においてchirp音刺激によるASSR検査機器は2機... |
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| SubjectTerms | chirp Difference Score 検査時間 聴性定常反応 ASSR |
| Title | 聴力正常成人における次世代型 ASSR 検査機器の比較検討 |
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