卡尔曼加权听性脑干反应临床研究进展

Clinical research progress of Kalman weighted ABR

肖中奂;邹彬;姚红兵

1:重庆医科大学附属儿童医院耳鼻咽喉头颈外科

2:国家儿童健康与疾病临床医学研究中心

3:儿童发育疾病研究教育部重点实验室

4:儿科学重庆市重点实验室

摘要
听性脑干反应(auditory brainstem response, ABR)是目前临床常用的客观听力检测技术之一,广泛应用于早期不能配合行为测听的婴幼儿及儿童的客观听力评估和病变定位。为确保准确性,受试者通常需要接受镇静或处于睡眠状态,同时需要在隔声和电磁屏蔽室中进行。新型卡尔曼加权ABR系统(vivosonic integrity system, VIS)采用原位放大技术、卡尔曼加权平均(kalman-weighted averaging, KWA)、无线采集三种技术,能降低对受试者配合度的要求,减少等待时间,提高临床应用效率。临床可用于在磁屏蔽环境或非镇静状下评估反应阈值,适用于特殊患者的检查。本文就卡尔曼加权ABR的原理及其在听反应阈值评估、特殊患者适用性检查、降低镇静需求、以及缩短检查等待时间等方面的临床应用及未来发展等进行综述。
关键词
听性脑干反应;卡尔曼加权平均;原位放大;无线采集
基金项目(Foundation):
作者
肖中奂;邹彬;姚红兵
参考文献

[1] ZHANG H,ZHU M,JIANG Y,et al.A robust extraction approach of auditory brainstem response using adaptive Kalman filtering method[J].IEEE Transactions on Biomedical Engineering,2022,69(12):3792-3802.

[2] 张湘玲,姚心怡,刘敏,等.水合氯醛应用于儿童ABR检测的安全性和有效性研究[J].听力学及言语疾病杂志,2024,32(6):524-527.

[3] BUNDY P.An evaluation of speed and sensitivity of audiometry via the auditory steady state response and the auditory brainstem response[J].Ear Hear,2023,DOI:10.1097/AUD.0000000000000580

[4] 王素菊,商莹莹.《受试者测试状态对卡尔曼加权平均ABR反应阈值的影响》摘译[J].听力学及言语疾病杂志,2023,31 (6):572-573.

[5] 张志媛,王素菊,杨佳燕,等.受试者测试状态对卡尔曼加权平均ABR测试残余噪声的影响[J].听力学及言语疾病杂志,2024,32(4):313-317.

[6] NORRIX L W,JULIE T,DAVID V.The effect of Kalman-weighted averaging and artifact rejection on residual noise during auditory brainstem response testing[J].American Journal of Audiology,2019,28(1):114-124.

[7] WANG S,YANG J,ZHANG Z,et al.Effect of subject state on auditory brainstem response threshold using Kalman-weighted averaging[J].International Journal of Pediatric Otorhinolaryngology,2022,155:111085.

[8] NECULA V,STAMATE M C,BLEBEA C,et al.Safety and effectiveness of chloral hydrate in outpatient paediatric sedation for objective hearing tests[J].International Journal of Pediatric Otorhinolaryngology,2019,126:109605.

[9] FONG C Y,LIM W K,LI L,et al.Chloral hydrate as a sedating agent for neurodiagnostic procedures inchildren[J].Cochrane Database of Systematic Reviews,2021.DOI:10.1002/14651858.cd011786.pub2

[10] ELSAYED A M,HUNTER L L,KEEFE D H,et al.Air and bone conduction click and tone-burst auditory brainstem thresholds using Kalman adaptive processing in nonsedated normal-hearing infants[J].Ear and Hearing,2015,36(4):471-481.

[11] CONG B,NORRIX L W.Measuring the advantage of Kalman-weighted averaging for auditory brainstem response hearing evaluation in infants[J].American Journal of Audiology,2015,24(2):153-168.

[12] WANG D,TAN J,JIANG Y,et al.Using Kalman filter to process auditory brainstem responses in subjects with normal hearing[C].2019 IEEE International Conference on Real-time Computing and Robotics (RCAR):IEEE,2019:656-660.

[13] ER H,BASARANLAR G,OZEN S,et al.The effects of acute and chronic exposure to 900 MHz radiofrequency radiation on auditory brainstem response in adult rats[J].Electromagnetic Biology and Medicine,2020,39(4):374-386.

[14] 陈鱼,王巍,陈晨,等.非镇静听性脑干反应检测的有效性研究[J].听力学及言语疾病杂志,2020,28(1):81-83.

[15] PORTER H L,DUBAS C,VICENTE M,et al.Predicting behavioral threshold at 6 and 8 kHz for children and adults based on the auditory brainstem response[J].American Journal of Audiology,2023,32(2):391-402.

[16] TRUDEAU S,ANNE S,OTTESON T,et al.Diagnosis and patterns of hearing loss in children with severe developmental delay[J].American Journal of Otolaryngology,2021,42(3):102923.

[17] WIEGERS J S,BIELEFELD E C,WHITELAW GMJIJO A.Utility of the Vivosonic IntegrityTM auditory brainstem response system as a hearing screening device for difficult-to test children[J].International Journal of Audiology,2015,54(4):282-288.

[18] 曲春燕,宋戎,阮自琦,等.口服水合氯醛在2~10月婴儿听力诊断中的镇静效果和不良反应[J].中国听力语言康复科学杂志,2023,21(3):249-251,256.

[19] 李达,宋惠芸,朱琳,等.不同镇静方式对正常婴幼儿听性脑干反应的影响[J].中华耳科学杂志,2022,20(6):879-883.

[20] 韩玉,唐晓敏.合理睡眠剥夺联合水合氯醛镇静在复杂先天性心脏病患儿CT增强扫描中的应用效果观察[J].浙江医学,2021,43(20):2241-2243.

[21] 程馨,杨驹,吴楷文,等.水合氯醛对豚鼠听性脑干反应的影响[J].听力学及言语疾病杂志,2017,25(2):171-175.

[22] 邓哲,许莹.右美托咪定滴鼻镇静在听觉脑干诱发电位检测中的应用研究[J].临床医药实践,2019,28(1):3-5.

[23] 汪玮,陈向平,马孝宝,等.骨导短声ABR在低龄分泌性中耳炎儿童合并感音神经性听力损失诊断中的应用[J].中国听力语言康复科学杂志,2021,19(5):336-339,347.

[24] FRANK J,BALJI■ I,HOTH S,et al.The accuracy of objective threshold determination at low frequencies:comparison of different auditory brainstem response (ABR) and auditory steady state response (ASSR) methods[J].International Journal of Audiology,2017,56(5):337-345.

[25] 鲁阳,易兰林,胡园佳,等.非镇静听觉诱发电位与纯音听阈相关性研究[J].中国医药科学,2023,13(18):173-176.

[26] FENG B,FU M,MA H,et al.Kalman filter with recursive covariance estimation—sequentially estimating process noise covariance[J].IEEE Transactions on Industrial Electronics,2014,61(11):6253-6263.