Objective measures for detecting the auditory brainstem response: comparisons of specificity, sensitivity and detection time.

Objective measures for detecting the auditory brainstem response: comparisons of specificity, sensitivity and detection time.

Int J Audiol. 2018 Mar 14;:1-11

Authors: Chesnaye MA, Bell SL, Harte JM, Simpson DM

Abstract
OBJECTIVE: To evaluate and compare the specificity, sensitivity and detection time of various time-domain and multi-band frequency domain methods when detecting the auditory brainstem response (ABR).
DESIGN: Simulations and subject recorded data were used to assess and compare the performance of the Hotelling's T2 test (applied in either time or frequency domain), two versions of the modified q-sample uniform scores test and both the Fsp and Fmp, which were evaluated using both conventional F-distributions with assumed degrees of freedom and a bootstrap approach.
STUDY SAMPLE: Data consisted of click-evoked ABRs and recordings of EEG background activity from 12 to 17 normal hearing adults, respectively.
RESULTS: An overall advantage in sensitivity and detection time was demonstrated for the Hotelling's T2 test. The false-positive rates (FPRs) of the Fsp and Fmp were also closer to the nominal alpha-level when evaluating statistical significance using the bootstrap approach, as opposed to using conventional F-distributions. The FPRs of the remaining methods were slightly higher than expected.
CONCLUSIONS: In this work, Hotelling's T2 outperformed the alternative methods for automatically detecting ABRs. Its promise as a sensitive and efficient detection method should now be tested in a larger clinical study.

PMID: 29537327 [PubMed - as supplied by publisher]

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