Comparison of ASSR， ABR and 40 Hz AERP Response Thresholds at Different Frequencies and Their Forensic Applications

doi:10.12116/j.issn.1004-5619.2020.200913

Abstract

Abstract: Objective

To explore the relationship between the frequency characteristics and response threshold of auditory steady-state response （ASSR）, auditory brainstem response （ABR） and 40 Hz auditory event related potential （40 Hz AERP）, and their application values in forensic medicine.

Methods

Thirty volunteers with normal hearing （60 ears） were selected to perform pure tone audiometry （PTA） threshold and ASSR, ABR and 40 Hz AERP response threshold tests in the standard sound insulation shielding room, and the results were statistically analyzed by SPSS 22.0 software.

Results

At 0.5 kHz and 1.0 kHz frequencies, the correlation between 40 Hz AERP response threshold and PTA threshold was good, which was better than that of ASSR and ABR response threshold. At 2.0 kHz and 4.0 kHz frequencies, the correlation between ASSR and ABR response thresholds and PTA threshold was good, which was better than that of 40 Hz AERP response threshold.

Conclusion

To evaluate the hearing at 0.5 kHz and 1.0 kHz frequencies, it is recommended to use 40 Hz AERP and ASSR to comprehensively assess the PTA threshold of the subjects. To evaluate the hearing at 2.0 kHz and 4.0 kHz frequencies, ABR and ASSR are recommended to assess the PTA threshold of subjects comprehensively. The combination of ASSR, ABR and 40 Hz AERP can improve the accuracy of hearing function evaluation.

Key words: forensic medicine, pure tone audiometry （PTA）, threshold, auditory steady-state response（ASSR）, auditory brainstem response （ABR）, 40 Hz auditory event related potential （40 Hz AERP）

CLC Number:

DF795.1

Xin-yuan ZHANG, Fang-liang LUO, Long-long CHENG, Yan-he XIONG, Ji-hui LIU. Comparison of ASSR， ABR and 40 Hz AERP Response Thresholds at Different Frequencies and Their Forensic Applications[J]. Journal of Forensic Medicine, 2021, 37(6): 813-816.

Figures/Tables 4

References 12

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检测方法	频率
检测方法	0.5 kHz	1.0 kHz	2.0 kHz	4.0 kHz
PTA	3.52±3.67	2.95±3.46	1.93±4.47	-1.93±5.63
ASSR	27.50±7.51	28.41±6.45	29.32±7.28	25.68±7.89
40 Hz AERP	28.41±6.45	28.86±6.18	37.50±5.76	34.32±6.61

检测方法	频率
检测方法	0.5 kHz	1.0 kHz	2.0 kHz	4.0 kHz
PTA	3.52±3.67	2.95±3.46	1.93±4.47	-1.93±5.63
ASSR	27.50±7.51	28.41±6.45	29.32±7.28	25.68±7.89
40 Hz AERP	28.41±6.45	28.86±6.18	37.50±5.76	34.32±6.61

检测方法	频率
检测方法	0.5 kHz	1.0 kHz	2.0 kHz	4.0 kHz
ABR	0.066	0.102	0.330^1）	0.597^1）
ASSR	0.308^1）	0.322^1）	0.427^1）	0.551^1）
40 Hz AERP	0.434^1）	0.501^1）	0.306^1）	0.192

检测方法	频率
检测方法	0.5 kHz	1.0 kHz	2.0 kHz	4.0 kHz
ABR	0.066	0.102	0.330^1）	0.597^1）
ASSR	0.308^1）	0.322^1）	0.427^1）	0.551^1）
40 Hz AERP	0.434^1）	0.501^1）	0.306^1）	0.192

差值	频率
差值	0.5 kHz	1.0 kHz	2.0 kHz	4.0 kHz
ABR反应阈值与PTA阈值	3.52±6.43	4.09±6.22	1.59±4.55	5.45±5.79
ASSR反应阈值与PTA阈值	23.98±6.87	25.45±6.08	27.39±6.69	27.61±6.78
40 Hz AERP反应阈值与PTA阈值	24.89±5.65	25.91±5.20	35.57±5.83	36.25±7.63