Brainstem evoked response audiometry is a powerful diagnostic technique in audiology, otology and neurology. ABR(Auditory Brainstem Response) machine has been very useful and popular in past two decades for detection of hearing defects and pathologies in newborns and children. In ABR, wave V is the most prominent and robust wave that has been used as indicator of hearing loss. However, a fast detection of the wave V is necessary in order to implement newborn hearing screening. Researchers have introduced different kind of signal processing technique in order to achieve this target and one of this is Fast Fourier Transform (FFT) and Wavelet Transform. In this study, the instantaneous energy of ABR signal had been introduced as a marker to identify the ABR waves. Study showed that the instantaneous energy of auditory brainstem response can be used as a marker to identify the ABR waves. This study had proposed a platform for fast hearing screening system.
KeywordsAuditory Brainstem ResponseNeonateHearing ScreeningInstantaneous Energy
Yoshinaga-Itano, C. (1999) Benefits of early intervention for children with hearing loss. Otolaryngol. Clinics of North America, 32(6), 1089-1102.
Sivalal, S. (2005) Screening for hearing loss in infants. Health Technology Assessment Report. http://www.moh. gov.my/MohPortal/DownloadServlet?id=717&type=2
Joint Committee on Infant Hearing (1982) Position statement. American Academy of Paediatrics. Pediatrics, 70, 496-497.
American Academy of Pediatric (1999) Newborn and infant hearing loss: Detection and intervention. Pe- diatrics, 103, 527-530.
Helfand, O.M., Thompson, D.C., Davis, R., McPhillips, H., Homer, C.J. and Lieu, T.L. (2001) Newborn hearing screening: Systematic evidence review. AHRQ Publication No. 02-S001, Agency for Healthcare Research and Quality, Rockville.
Delb, W., Merkel, D., Pilorget, K., Schmitt, J. and Plinkert, P.K. (2004) Effectiveness of a teoae-based screening program. Can a patient-tracking system effecttively be organized using modern information technology and central data management? European Archives of Otorhinolaryngology, 261(4), 191-196.
Hall III, J. (1992) Handbook of auditory evoked responses. Allyn and Bacon, Needham Heights.
Wicke, J.D., Goff, W.R., Wallace, J.D. and Allison, T. (1978) On-line statistical detection of average evoked potentials: Application to evoked response audiometry (ERA). Electroencephalography and Clinical Neurophysiology, 44(3), 328-343.
Woodworth, W., Reisman, S. and Fointaine, A.B. (1983) The detection of auditory evoked responses using a matched filter. IEEE Transactions on Biomedical Engineering, 30(7), 369-376.
Mason, S.M. and Adams, W. (1984) An automated microcosmputer based electric response audiometry system for machine scoring of auditory potentials. Clinical Physics and Physiological Measurement, 5(3), 219-222.
Shangkai, G. and Loew, M.H. (1986) An autoregressive model of the BAEP signal for hearing threshold testing. IEEE Transactions on Biomedical Engineering, 33(6), 560-565.
Strauss, D.J., Delb, W., Plinkert, P.K. and Schmidt, H. (2004) Fast detection of wave V in ABRs using a smart single sweep analysis system. Proceedings of the 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, IEEE Xplore Press, 1, 458-461.
Abdullah, A., Hazim, M.Y.S., Almyzan, A., Jamilah, A.G. and Roslin, S., et al. (2006) Newborn hearing screening: Experience in a Malaysian hospital. Singapore Medical Journal, 47(1), 60-64.
Clemens, C.J., Davis, S.A. and Bailey, A.R. (2000) The false-positive in universal newborn hearing screening. Pediatrics, 106(1), e7.
Wilson, W.J. and Aghdasi, F. (1999) Fast Fourier transform analysis of the auditory brainstem response: Effects of stimulus intensity and subject age, gender and test ear. AFRICON, IEEE, 1, 285-290.
American Speech-Language-Hearing Association (1987) Short latency auditory evoked potentials. ASHA Practice Policy.
Neely, S. and Liu, Z. (1998) ABRAV: Auditory brainstem response average. http://www.boystownhospital.org/Media/ Research/abravtm.pdf
Delgado, R.E. and Ozdamar, O. (1994) Automated auditory brainstem response interpretation. IEEE Engineering in Medicine and Biology Magazine, 13(2), 227- 237.
Dajani, H.R., Purcell, D., Wong, W., Kunov, H. and Picton, T.W. (2005) Recording human evoked potentials that follow the pitch contour of a natural vowel. IEEE Transactions on Biomedical Engineering, 52(9), 1614- 1618.
Boston, J.R. (1981) Spectra of auditory brainstem responses and spontaneous EEG. IEEE Transactions on Biomedical Engineering, 28(4), 334-341.
Wilson, W.J. and Aghdasi, F. (2001) The importance of pre-analysis windowing on auditory brainstem response fast Fourier transform analysis. Scandinavian Audiology, 30(1), 3-12.
Wilson, W.J. (2004) The relationship between the auditory brain-stem response and its reconstructed waveforms following discrete wavelet transformation. Clinical Neurophysiology, 115(5), 1129-1139.
Bell, S.L., Smith, D.C., Allen, R. and Lutman, M.E. (2004) Recording the middle latency response of the auditory evoked potential as a measure of depth of anaesthesia. British Journal of Anaesthesia, 92(3), 442-445.
Wilson, W.J. and Aghdasi, F. (1999) Discrete wavelet analysis of the auditory brainstem response: Effects of subject age, gender and test ear. AFRICON, IEEE, 1, 291-296.
Beltran, N. and Cornejo, J.M. (2003) Simultaneous transient evoked otoacoustic emissions and auditory brainstem response for auditory evaluation. Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Xplore Press, 4, 3222-3224;
Strauss, D.J., Delb, W. and Plinkert, P.K. (2004) Objective detection of the central auditory processing disorder: A new machine learning approach. IEEE Transactions on Biomedical Engineering, 51(7), 1147- 1155.
Malarvili, M.B., Kamarulafizam, I., Hussain, S. and Helmi, D. (2003) Heart sound segmentation algorithm based on instantaneous energy of electrocardiogram. Computers in Cardiology, 30, 327-330.
Rushaidin, M.M., Salleh, S.-H., Swee, T.T., Najeb, J.M. and Arooj, A. (2009) Wave V detection using instantaneous energy of auditory brainstem response signal. American Journal of Applied Sciences, 6(9), 1669-1674, 2009.