Rapid cortical assessment
Background
Cortical auditory evoked potentials (CAEPs) provide an objective measure of the development of, and the effects of stimulation on, the auditory system. This approach is possible as the cortical waveform has specific properties for each stage of development, and different stimuli will evoke different kind of responses. Speech-evoked CAEPs have been used to objectively determine whether a child with severe-profound hearing loss is detecting speech sounds and processing them at the level of the auditory cortex.
A current application of this procedure can be found in the HEARLab system, developed at the National Acoustic Laboratories. The system can assess the audibility of three different speech sounds (with distinct frequency spectra) by aided infants in 20 to 60 minutes, a time span depending on the level of activity of the child. It should be clear that the shorter the required measurement time, the more convenient the setup clinically is. This is the main question the project is addressing.
Detail
It is well established that the magnitude of the cortical response decreases as the interstimulus interval decreases. We would like to examine this separately for adults vs babies, separately for sounds near threshold vs sounds well above threshold. These findings may provide insight into which parts of the cortical response are arising from neural structures that are specific to particular stimuli versus those that signify any acoustic event. They may also provide insight into which parts of the cortical response have significant magnitude during rapidly changing stimuli, as opposed to the slowly repeated identical sounds that are used in clinical tests.
An eventual practical application is to use very short interstimulus intervals and to use deconvolution techniques to remove the overlap in responses that occurs when the interstimulus interval is shorter than the duration of each response. This deconvolution is not simple linear deconvolution, because of the effect of varying interstimulus intervals on the following response, hence the need to first understand this interaction better. While the project has been described in terms of cortical responses, the issue about whether the neural structures that cause the observed response are frequency-specific also apply to auditory brainstem response (ABR) measurements.
The objectives of the project are:
- knowledge about the relationship of cortical responses to the stimuli that produce them, and
- information that will guide the development of faster clinical tests for the assessment of audibility of speech sounds in aided infants.
Project leadership
Project Team
Organisations involved
Publications from this Project
No publications available for this project at this time.




![Bram Van Dun [title]](http://www.hearingcrc.org/sites/default/files/imagecache/profile_260/content/people/van dun_0.jpg)