The sound-field auditory steady-state response (ASSR) is a promising measure for the objective validation of hearing-aid fitting in patients who are unable to respond to behavioral testing reliably. To record the sound-field ASSR, the stimulus is reproduced through a loudspeaker placed in front of the patient. However, the reverberation and background noise of the measurement room could reduce the stimulus modulation used for eliciting the ASSR. As the ASSR level is heavily dependent on the stimulus modulation, any reduction due to room acoustics could affect the clinical viability of sound-field ASSR testing. This study investigated the effect of room acoustics on the level and detection rate of sound-field ASSR. The study also analyzed whether early decay time and an auditory-inspired relative modulation power model could be used to predict the changes in the recorded ASSR in rooms. A monaural auralization approach was used to measure sound-field ASSR via insert earphones. ASSR was measured for 15 normal-hearing adult subjects using narrow-band CE-Chirps® centered at the octave bands of 500, 1000, 2000, and 4000 Hz. These stimuli were convolved with simulated impulse responses of three rooms inspired by audiological testing rooms. The results showed a significant reduction of the ASSR level for the room conditions compared with the reference anechoic condition. Despite this reduction, the detection rates for the first harmonics of the ASSR were unaffected when sufficiently long recordings (up to 6 min) were made. Furthermore, the early decay time and relative modulation power appear to be useful predictors of the ASSR level in the measurement rooms.
Measuring sound-field auditory steady-state responses (ASSR) is a promising new objective clinical procedure for hearing aid fitting validation, particularly for infants who cannot respond to behavioral tests. In practice, room acoustics of non-anechoic test rooms can heavily influence the auditory stimulus used for eliciting the ASSR. To systematically investigate the effect of the room acoustics conditions on sound-field ASSR, a loudspeaker-based auralization system was implemented using a mixed order Ambisonics approach. The present study investigates the performance of the auralization system in terms of objective room acoustic measurements and sound-field ASSR measurements, both in the actual room and in the simulated and auralized room. The evaluation is conducted for a small room with well-defined acoustic properties. The room is carefully modeled using the novel room acoustic simulation tool PARISM (Phased Acoustical Radiosity and Image Source Method) and validated through measurements. This study discusses the limitations of the system and the potential improvements needed for a more realistic sound-field ASSR simulation.
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