Influence of response-time limits on automated hearing threshold determination

OBJECTIVE

In automated hearing threshold determination procedures, prespecified response- time limits can be applied to evaluate whether a stimulus was truly heard by checking whether the test subject reacts to the onset and the offset of the stimuli within given time intervals. The influence of different response-time limits on the threshold of normal-hearing test subjects was investigated.

DESIGN

Two-stage hearing threshold level measurements applying the ISO 8253-1 (2010) bracketing procedure were performed. Pre-tests at 125 Hz and 1000 Hz were carried out with maximum accepted response times of 600 ms, 1000 ms, and 1200 ms. Subsequently, thresholds were measured at the seven octaves between 125 Hz and 8000 Hz with maximum accepted response times of 600 ms and 1000 ms.

STUDY SAMPLE

15 test subjects in pre-tests, 25 test subjects in the main study.

RESULTS

Threshold levels determined with a maximum accepted response time of 1000 ms are 2.6 dB lower than those obtained with a maximum accepted response time of 600 ms (95% CI -1.6 dB to 6.9 dB). The threshold shift was similar at all frequencies.

CONCLUSIONS

Based on this study, response-time limits after both stimulus onset and offset of at least 1000 ms are recommended.

Air-conducted ultrasound below the hearing threshold elicits functional changes in the cognitive control network

Air-conducted ultrasound (> 17.8 kHz; US) is produced by an increasing number of technical devices in our daily environment. While several studies indicate that exposure to US in public spaces can lead to subjective symptoms such as 'annoyance' or 'difficulties in concentration', the effects of US on brain activity are poorly understood. In the present study, individual hearing thresholds (HT) for sounds in the US frequency spectrum were assessed in 21 normal-hearing participants. The effects of US were then investigated by means of functional magnetic resonance imaging (fMRI). 15 of these participants underwent three resting-state acquisitions, two with a 21.5 kHz tone presented monaurally at 5 dB above (ATC) and 10 dB below (BTC) the HT and one without auditory stimulation (NTC), as well as three runs of an n-back working memory task involving similar stimulus conditions (n-ATC, n-BTC, n-NTC). Comparing data gathered during n-NTC vs. fixation, we found that task performance was associated with the recruitment of regions within the cognitive control network, including prefrontal and parietal areas as well as the cerebellum. Direct contrasts of the two stimulus conditions (n-ATC & n-BTC) vs. n-NTC showed no significant differences in brain activity, irrespective of whether a whole-brain or a region of interest approach with primary auditory cortex as the seed was used. Likewise, no differences were found when the resting-state runs were compared. However, contrast analysis (n-BTC vs. n-ATC) revealed a strong activation in bilateral inferior frontal gyrus (IFG, triangular part) only when US was presented below the HT (p < 0.001, cluster > 30). In addition, IFG activation was also associated with faster reaction times during n-BTC (p = 0.033) as well as with verbal reports obtained after resting-state, i.e., the more unpleasant sound was perceived during BTC vs. ATC, the higher activation in bilateral IFG was and vice versa (p = 0.003). While this study provides no evidence for activation of primary auditory cortex in response to audible US (even though participants heard the sounds), it indicates that US can lead to changes in the cognitive control network and affect cognitive performance only when presented below the HT. Activation of bilateral IFG could reflect an increase in cognitive demand when focusing on task performance in the presence of slightly unpleasant and/or distracting US that may not be fully controllable by attentional mechanisms.

Dependence of binaural gain for infrasound on interaural phase difference

Increasing complaints about infrasound have generated interest in understanding its perception, including binaural effects. This study investigated the level difference between monaural and binaural presentation required for detection and equal loudness (binaural gain) for pure tones with frequencies of 8, 32, and 400 Hz and an 8 Hz sinusoidally amplitude-modulated tone with diotic 400 Hz carrier. Monaural stimuli were compared to binaural stimuli with interaural phase differences (IPDs) of 0°, 90°, and 180° in two experiments: absolute threshold measurements and loudness matching at 40 phons. The latter was repeated with transposed tones (400 Hz carrier multiplied by a half-wave-rectified 8 Hz sinusoid). When expressed as differences in sound pressure level, similar binaural gain was found across all stimulus types under the diotic condition. Confirming previous studies, the gain was larger at supra-threshold levels (40 phons) than at threshold. However, when the loudness-matching results were expressed as binaural gain with respect to the loudness level, they became 17.5, 11.2, and 5.8 phons for the 8, 32, and 400 Hz stimuli, respectively. Results for the 8 Hz pure tone and the transposed stimulus were IPD dependent.

Free-field correction values for RadioEar DD65v2 circumaural audiometric headphones

OBJECTIVE

Free-field correction values were measured for RadioEar DD65v2 audiometric headphones.

DESIGN

Free-field correction values, that is, the difference G_F-G_C between the free-field sensitivity level G_F and the ear simulator sensitivity level G_C, were determined by loudness level comparisons between the headphone and a plane progressive wave in a free sound field.

STUDY SAMPLE

The study was based on 17 otologically normal test subjects.

RESULTS

Frequency-dependent free-field correction values are provided. The free-field correction of the speech level was determined to be 3.2 dB.

CONCLUSIONS

Free-field correction values were determined for RadioEar DD65v2 audiometric headphones with an expanded measurement uncertainty.

Equivalent threshold sound pressure levels (ETSPLs) for RadioEar DD65v2 circumaural audiometric headphones

Objective: Equivalent threshold sound pressure levels (ETSPLs) were determined for RadioEar DD65v2 audiometric headphones.Design: The pure-tone hearing threshold levels were measured for 11 audiometric frequencies between 0.125 and 8 kHz, according to the conditions specified in ISO 389-9. ETSPLs are provided for an ear simulator according to IEC 60318-1, complemented by a comprehensive uncertainty budget.Study sample: The study was based on 25 otologically normal test subjects.Results: ETSPL values are provided with expanded measurement uncertainty. The data are compared for left/right ears as well as male/female test subjects.Conclusions: The results of both studies may be used to update ISO 389-8, the RETSPL standard for circumaural audiometric headphones.

Equivalent hearing threshold levels for the RadioEar IP30 insert earphone and short-term stimuli: comparison of peak-equivalent and RMS-based measures

Objective: To determine equivalent threshold sound pressure levels (ETSPL) for the RadioEar IP30 insert earphone for standardised short-term stimuli: IEC 60645-3 reference clicks and tonebursts in the frequency range from 250 Hz to 6 kHz, using the standardised peak-equivalent ETSPL procedure (peETSPL) and a new proposal based on the unweighted equivalent continuous sound pressure level L_Zeq. of the periodically repeated short-term stimuli (L_ZeqETSPL).Design: Determination of peETSPL and L_ZeqETSPL hearing threshold levels with otologically normal test subjects under the conditions given in ISO 389-9 using the standardised occluded-ear simulator according to IEC 60318-4.Study sample: The study was based on tests with 25 subjects.Results: The peETSPLs for the RadioEar IP30 insert earphone were compared with the respective reference threshold levels of the insert earphone ER-3A as standardised in the ISO 389 standards series. The L_ZeqETSPL approach was tested by estimating the L_ZeqETSPLs from the peRETSPLs and comparing the estimate with the direct results.Conclusions: Equivalent hearing threshold levels for standardised short-term stimuli for the RadioEar IP30 insert earphone were determined according to ISO 389-9 and given as both peETPSL and L_ZeqETSPL. The RMS-based L_ZeqETSPL approach turned out to be well applicable for the RadioEar IP30 insert earphone.

AN ALGORITHM TO DETERMINE THE NANODOSIMETRIC IMPACT OF GOLD NANOPARTICLES ON CELL MODELS

High-Z nanomaterials, e.g. gold nanoparticles (GNPs), are being investigated worldwide for potential application in radiation imaging and therapy. Photon irradiation of cells containing GNP was shown to produce enhanced DNA damage which is believed to be related to the increased secondary electron (SE) yield and ionization density. In this work, an algorithm was developed for simulating the physical radiation damage inside the nucleus of a spherical cell model for the case of uniformly distributed GNPs within the cytoplasm. Previously calculated energy spectra of SE emerging from a single NP irradiated with different photon sources are used as input to obtain the SE energy spectrum at the surface of the cell nucleus. In a second step, the SE transport inside the cell nucleus is simulated with a track structure Monte Carlo code to obtain the spatial distribution of ionizations. The preliminary results presented here show that the developed algorithm allows for a fast calculation of the SE spectra at the cell nucleus surface, thus enabling a more realistic assessment of the ionization density inside the cell nucleus than that obtained by the simulation of a single GNP. Furthermore, the algorithm can be easily adapted to investigate both the effect of GNP clustering and the impact of GNP-GNP interactions on SE spectra.

Double differential cross sections for proton induced electron emission from molecular analogues of DNA constituents for energies in the Bragg peak region

For track structure simulations in the Bragg peak region, measured electron emission cross sections of DNA constituents are required as input for developing parameterized model functions representing the scattering probabilities. In the present work, double differential cross sections were measured for the electron emission from vapor-phase pyrimidine, tetrahydrofuran, and trimethyl phosphate that are structural analogues to the base, the sugar, and the phosphate residue of the DNA, respectively. The range of proton energies was from 75 keV to 135 keV, the angles ranged from 15° to 135°, and the electron energies were measured from 10 eV to 200 eV. Single differential and total electron emission cross sections are derived by integration over angle and electron energy and compared to the semi-empirical Hansen-Kocbach-Stolterfoht (HKS) model and a quantum mechanical calculation employing the first Born approximation with corrected boundary conditions (CB1). The CB1 provides the best prediction of double and single differential cross section, while total cross sections can be fitted with semi-empirical models. The cross sections of the three samples are proportional to their total number of valence electrons.

Comparison of measured and Monte Carlo simulated track structure parameters in nanometric volumes

The track structure of ionising particles in biological matter can only be assessed by simulations, since neither the type of interaction and its products nor the interaction positions in biological matter can be detected with nanometer resolution. Hence, there is a need to benchmark the deployed computer codes using suitable experimental data. For this purpose, the frequency distributions of ionisation clusters produced in the sensitive volume of the PTB ion counting nanodosemeter by monoenergetic protons and alpha particles (with energies between 0.1 and 20 MeV) were measured. C3H8 and N2 were alternately used as the working gas. The measured data were compared with the results of simulations obtained with the PTB Monte Carlo code PTra. Measured and simulated characteristics of the particle track structure are in good agreement for protons over the entire energy range investigated. For alpha particles with energies above the Bragg peak a good agreement can also be seen, whereas for energies below the Bragg peak differences of as much as 25 % occur.

Proton-impact ionisation cross sections for nanodosimetric track structure simulations

Monte Carlo simulations of the particle track structure require accurate ion- and electron-impact cross-section data of the medium. These data are scarce and often inconsistent when measured by different groups. In this work, literature data on ionisation cross sections (CSs) of nitrogen and propane for protons with energies 0.1-10 MeV are reviewed and implemented in the code PTra. Methane data were used to obtain proton-impact CSs of propane due to their absence in the literature. PTra is benchmarked by comparing simulated particle-track parameters to experimental results, measured with an ion-counting nanodosemeter.

Future development of biologically relevant dosimetry

Proton and ion beams are radiotherapy modalities of increasing importance and interest. Because of the different biological dose response of these radiations as compared with high-energy photon beams, the current approach of treatment prescription is based on the product of the absorbed dose to water and a biological weighting factor, but this is found to be insufficient for providing a generic method to quantify the biological outcome of radiation. It is therefore suggested to define new dosimetric quantities that allow a transparent separation of the physical processes from the biological ones. Given the complexity of the initiation and occurrence of biological processes on various time and length scales, and given that neither microdosimetry nor nanodosimetry on their own can fully describe the biological effects as a function of the distribution of energy deposition or ionization, a multiscale approach is needed to lay the foundation for the aforementioned new physical quantities relating track structure to relative biological effectiveness in proton and ion beam therapy. This article reviews the state-of-the-art microdosimetry, nanodosimetry, track structure simulations, quantification of reactive species, reference radiobiological data, cross-section data and multiscale models of biological response in the context of realizing the new quantities. It also introduces the European metrology project, Biologically Weighted Quantities in Radiotherapy, which aims to investigate the feasibility of establishing a multiscale model as the basis of the new quantities. A tentative generic expression of how the weighting of physical quantities at different length scales could be carried out is presented.

Ionization cross section data of nitrogen, methane, and propane for light ions and electrons and their suitability for use in track structure simulations

Track structure Monte Carlo simulations are frequently applied in micro- and nanodosimetry to calculate the radiation transport in detail. The use of a well-validated set of cross section data in such simulation codes ensures accurate calculations of transport parameters, such as ionization yields. These cross section data are, however, scarce and often discrepant when measured by different groups. This work surveys literature data on ionization and charge-transfer cross sections of nitrogen, methane, and propane for electrons, protons, and helium particles, focusing on the energy range between 100 keV and 20 MeV. Based on the evaluated data, different models for the parametrization of the cross section data are implemented in the code ptra, developed for simulating proton and alpha particle transport in an ion-counting nanodosimeter. The suitability of the cross section data is investigated by comparing the calculated mean ionization cluster size and energy loss with experimental results in either nitrogen or propane. For protons, generally good agreement between measured and simulated data is found when the Rudd model is used in ptra. For alpha particles, however, a considerable influence of different parametrizations of cross sections for ionization and charge transfer is observed. The ptra code using the charge-transfer data is, nevertheless, successfully benchmarked by the experimental data for the calculation of nanodosimetric quantities, but remaining discrepancies still have to be further investigated (up to 13% lower energy loss and 19% lower mean ionization cluster size than in the experiment). A continuation of this work should investigate data for the energy loss per interaction as well as differential cross section data of nitrogen and propane. Interpolation models for ionization and charge-transfer data are proposed. The Barkas model, frequently used for a determination of the effective charge in the ionization cross section, significantly underestimates both the energy loss (by up to 19%) and the mean ionization cluster size (up to 65%) for alpha particles. It is, therefore, not recommended for particle-track simulations.

Comparison of nanodosimetric parameters of track structure calculated by the Monte Carlo codes Geant4-DNA and PTra

The concept of nanodosimetry is based on the assumption that initial damage to cells is related to the number of ionizations (the ionization cluster size) directly produced by single particles within, or in the close vicinity of, short segments of DNA. The ionization cluster-size distribution and other nanodosimetric quantities, however, are not directly measurable in biological targets and our current knowledge is mostly based on numerical simulations of particle tracks in water, calculating track structure parameters for nanometric target volumes. The assessment of nanodosimetric quantities derived from particle-track calculations using different Monte Carlo codes plays, therefore, an important role for a more accurate evaluation of the initial damage to cells and, as a consequence, of the biological effectiveness of ionizing radiation. The aim of this work is to assess the differences in the calculated nanodosimetric quantities obtained with Geant4-DNA as compared to those of the ad hoc particle-track Monte Carlo code 'PTra' developed at Physikalisch-Technische Bundesanstalt (PTB), Germany. The comparison of the two codes was made for incident electrons of energy in the range between 50 eV and 10 keV, for protons of energy between 300 keV and 10 MeV, and for alpha particles of energy between 1 and 10 MeV as these were the energy ranges available in both codes at the time this investigation was carried out. Good agreement was found for nanodosimetric characteristics of track structure calculated in the high-energy range of each particle type. For lower energies, significant differences were observed, most notably in the estimates of the biological effectiveness. The largest relative differences obtained were over 50%; however, generally the order of magnitude was between 10% and 20%.