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PubMed1995

Sudden hearing loss in acoustic neuroma patients.

Patients with acoustic neuroma may have sudden sensorineural hearing loss. Most patients with sudden hearing loss seek medical attention promptly, but the diagnosis of an acoustic neuroma may be delayed for months or years because sudden hearing loss is an unusual initial symptom of an acoustic neuroma. In a retrospective review of 836 cases of sudden hearing loss, we found 13 patients with acoustic neuromas. The prevalence of acoustic neuromas for those screened with auditory brain stem response or magnetic resonance imaging was 2.5%. In addition to these 13 patients, 79 acoustic neuroma patients treated in our clinic had well-documented sudden hearing loss as the initial symptom. Hearing loss in these 92 patients ranged from mild to profound. Associated symptoms of pain, facial paresthesia, or unilateral tinnitus preceding the sudden hearing loss were suggestive of an acoustic neuroma, as was a midfrequency (U-shaped) hearing loss. A history of other diseases or events that might explain the sudden hearing loss, a normal electronystagmogram, or recovery of hearing does not eliminate the possibility of a tumor. Because there are no clinical findings that clearly distinguish those patients with acoustic neuromas from other patients with sudden hearing loss, we recommend either an evaluation with auditory brain stem response or gadolinium-enhanced magnetic resonance imaging for any patient with sudden hearing loss.

Adult↗
PubMed1993

Vocal tract acoustics.

This paper considers the topic of vocal tract acoustics from the three perspectives: (a) the acoustic theory of speech production; (b) contemporary laboratory methods for acoustic analysis, and (c) measurement of the acoustic signal of speech. Linear source-filter theory is the standard acoustic theory of speech production and is the foundation for remarkable advances in the analysis and synthesis of speech. Digital signal processing, the dominant laboratory method for speech analysis, enables the acquisition and recording of the acoustic speech signal but also implements quantitative algorithms largely based on linear source-filter theory. Measurements of the acoustic signal reflect the acoustic theory of speech production, laboratory methods for signal analysis, and principles of experimental phonetics. Basic issues in the three domains of theory, laboratory methods, and measurement are summarized as they pertain to the interests of the voice scientist, voice clinician, and voice teacher.

Female↗
PubMed1998

Variations in adductor spasmodic dysphonia: acoustic evidence.

Acoustic analysis was used to gain information about the normal, as well as the abnormal acoustic events associated with adductor spasmodic dysphonia (ADSD). This analysis was completed to determine whether specific acoustic events could be used to differentiate the voice of individuals with ADSD from those with normal voice. A group comparison between 14 women diagnosed with ADSD and 14 women (age-matched) with no evidence of vocal pathology or vocal dysfunction was completed. Phonatory breaks, aperiodicity, and frequency shifts, acoustic parameters previously identified in ADSD, were found throughout sustained vowel productions. The duration of the phonatory breaks and aperiodic segments was calculated and the amount of frequency shift was determined. The location of each acoustic event was marked relative to the onset of the vowel production. The subjects with ADSD presented with normal phonation and various amounts of each of the three acoustic parameters. Aperiodic segments primarily characterized the phonation of ADSD, followed by frequency shifts and phonatory breaks. The location of each of these acoustic events was within the midportion of the vowel production. The advantages of segmenting the acoustic waveform into these measures and separating the spasmodic events from normal phonation when examining laryngeal motor control of spasmodic dysphonics is discussed.

Adult↗
PubMed1999

Emotion in speech: the acoustic attributes of fear, anger, sadness, and joy.

Decoders can detect emotion in voice with much greater accuracy than can be achieved by objective acoustic analysis. Studies that have established this advantage, however, used methods that may have favored decoders and disadvantaged acoustic analysis. In this study, we applied several methodologic modifications for the analysis of the acoustic differentiation of fear, anger, sadness, and joy. Thirty-one female subjects between the ages of 18 and 35 (encoders) were audio-recorded during an emotion-induction procedure and produced a total of 620 emotion-laden sentences. Twelve female judges (decoders), three for each of the four emotions, were assigned to rate the intensity of one emotion each. Their combined ratings were used to select 38 prototype samples per emotion. Past acoustic findings were replicated, and increased acoustic differentiation among the emotions was achieved. Multiple regression analysis suggested that some, although not all, of the acoustic variables were associated with decoders' ratings. Signal detection analysis gave some insight into this disparity. However, the analysis of the classic constellation of acoustic variables may not completely capture the acoustic features that influence decoders' ratings. Future analyses would likely benefit from the parallel assessment of respiration, phonation, and articulation.

Adolescent↗
PubMed1992

Acoustic-phonetic contrasts and intelligibility in the dysarthria associated with mixed cerebral palsy.

This study evaluated the relationship between specific acoustic features of speech and perceptual judgments of word intelligibility of adults with cerebral palsy-dysarthria. Use of a contrasting word task allowed for intelligibility analysis and correlated acoustic analysis according to specified spectral and temporal features. Selected phonemic contrasts included syllable-initial voicing; syllable-final voicing; stop-nasal; fricative-affricate; front-back, high-low, and tense-lax vowels. Speech materials included a set of CVC stimulus words. Acoustic data are reported on vowel duration, formant frequency locations, voice onset times, amplitude rise times, and frication durations. Listeners' perceptual assessment of intelligibility of the 16 dysarthric adults by transcription and rating tasks is also presented. All but one acoustic contrast was successfully made as evidenced by measured acoustic differences between contrast pairs. However, the generally successful acoustic contrasts stood in marked contrast to the poorly rated intelligibility scores and high error percentages that were ascribed to the opposite pair members. A second analysis examined the contribution of these acoustic features towards estimates and prediction of intelligibility deficits in speakers with dysarthria. The scaled intelligibility was predicted by multiple regression analysis with 62.6% accuracy by acoustic measures related to one consonant contrast (fricative-affricate) and three vowel contrasts (front-back, high-low, and tense-lax). Other measured contrasts, such as those related to contrast voicing effects and stop-nasal distinctions, did not seem to contribute in a significant way to variability in the intelligibility estimates. These findings are discussed in relation to specific areas of production deficiency that are consistent across different types of dysarthria with cerebral palsy as the etiology.

Adult↗
PubMed1997

Comparative assessment of electroglottographic and acoustic measures of jitter in pathological voices.

Jitter, or the amount of cycle-to-cycle variation in the fundamental frequency, is a characteristic of the vocal folds' vibration that may affect electroglottographic (EGG) and acoustic signals in similar ways, because the translaryngeal conductance and the oral pressure are modulated by the same physiological mechanism. Despite the apparent simplicity in jitter computation and the relative facility in recording and analyzing EGG signals, only a few studies comparing EGG and acoustic jitter have been reported. This can be attributed to the remarkable sensitivity of measures of acoustic jitter to such features as the type of sound being analyzed, the equipment used for data acquisition, or the algorithms used to identify glottal cycle boundaries. To assess the agreement achievable by measures from these signals in pathological voices, acoustic and EGG waveforms of sustained vowels (/i/, /a/, /u/) produced by 15 dysphonic patients were analyzed by jitter extraction methods on the basis of peaks, zero crossings, and a waveform matching technique. The agreement, expressed as normalized absolute differences between acoustic- and EGG-derived jitter, was poorer for /i/ and /u/ than for /a/ vowels. For /a/ vowels, a method of acoustic jitter estimation is also proposed that combines peaks and zero crossings and resulted in increased consistency with the zero crossing-based EGG measures (mean normalized absolute difference: 10.95%, SD: 6.44%; range: 23.81%). The proposed method, which has a built-in-test intended to reject unreliable estimates, may provide more confidence in acoustic measures in dysphonic speakers and lead to a better understanding of the relationships between acoustic and EGG signals.

Adult↗
PubMed2000

Acoustic and airflow spectral analysis of voice tremor.

Acoustic spectral analysis has been used to describe voice tremor with some success, but no feature distinguishing pathological from normal tremor has been clearly identified. To assist in monitoring voice tremor associated with neurological diseases, objective and quantifiable measures that can distinguish between normal and pathological tremor are desired. This study explored the plausibility of using airflow and acoustic signals to quantify the frequency and amplitude of voice tremor and potentially to distinguish pathological from normal tremor. Subjects were 10 individuals with pathological tremor, most of them individuals with Parkinson's disease, and 10 gender and age-matched individuals with no voice disorder. Simultaneous acoustic and airflow signals were recorded during sustained vowel phonation. The acoustic intensity contours and the airflow signals were submitted to spectral analysis. A peak prominence ratio, defined as the ratio of the spectral peak energy to the overall signal energy, was calculated for each spectral peak below 30 Hz. For each subject, the 6 spectral peaks with the highest peak prominence ratios were selected. Frequency values of the 6 selected acoustic or airflow spectral peaks failed to distinguish tremor group from control group. Peak prominence ratios of the 6 selected acoustic spectral peaks were significantly higher for tremor group than for control group. Although spectral analysis of airflow signals was not useful in differentiating tremor group from control group, acoustic intensity contours and airflow time waveforms were highly and positively correlated in more tremor subjects (90%) than control subjects (40%). This finding suggests that the relationship between acoustic intensity contours and airflow time waveforms may reflect the presence and the source of voice tremor.

Adult↗
PubMed1979

Acoustic microscopy: resolution of subcellular detail.

Recent advances now permit the use of scanning acoustic microscopy for the analysis of subcellular components. By sequential viewing of identified fixed cells with acoustic, light, and electron microscopy, we have established that the acoustic microscope can readily detect such features as nuclei and nucleoli, mitochondria, and actin cables. Under optimal conditions, images can even be obtained of filopodia, slender projections of the cell surface that are approximately 0.1-0.2 micron in diameter. Small objects separated by as little as 0.5-0.7 micron can successfully be resolved. Three aspects of the acoustic micrographs prepared in this preliminary survey seem especially prominent. These are, first, the extraordinary level of acoustic contrast that can differentiate the various cytoplasmic organelles, even in regions of very thin cytoplasm; second, the reversals in acoustic contrast that occur when altering the plane of focus; and third, the sensitivity of the acoustic response to overall cytoplasmic thickness. The acoustic microscope uses a novel source of contrast that is based on local mechanical properties. In addition, it can provide a degree of resolution that is comparable to that of the light microscope.

Acoustics↗
PubMed2005

Contribution of self-motion perception to acoustic target localization.

CONCLUSION: The findings of this study suggest that acoustic spatial perception during head movement is achieved by the vestibular system, which is responsible for the correct dynamic of acoustic target pursuit. OBJECTIVE: The ability to localize sounds in space during whole-body rotation relies on the auditory localization system, which recognizes the position of sound in a head-related frame, and on the sensory systems, namely the vestibular system, which perceive head and body movement. The aim of this study was to analyse the contribution of head motion cues to the spatial representation of acoustic targets in humans. MATERIAL AND METHODS: Healthy subjects standing on a rotating platform in the dark were asked to pursue with a laser pointer an acoustic target which was horizontally rotated while the body was kept stationary or maintained stationary while the whole body was rotated. The contribution of head motion to the spatial acoustic representation could be inferred by comparing the gains and phases of the pursuit in the two experimental conditions when the frequency was varied. RESULTS: During acoustic target rotation there was a reduction in the gain and an increase in the phase lag, while during whole-body rotations the gain tended to increase and the phase remained constant. The different contributions of the vestibular and acoustic systems were confirmed by analysing the acoustic pursuit during asymmetric body rotation. In this particular condition, in which self-motion perception gradually diminished, an increasing delay in target pursuit was observed.

Acoustics↗
PubMed2002

Bio-acoustic thermal lensing and nonlinear propagation in focused ultrasound surgery using large focal spots: a parametric study.

It is well known that the acoustic properties of soft tissue have a dependence on tissue temperature. This is of particular interest in focused ultrasound surgery since the mechanism of action of focused ultrasound surgery is to kill targeted tissue by inducing localized heating by ultrasound absorption, and hence cautery of that tissue. However, the act of localized heating induces a change in the acoustic properties of the targeted tissue and tissue surrounding it. This phenomenon distorts the incoming acoustic wavefront, and has been termed the thermal lens effect for this reason. Furthermore, nonlinear effects in acoustic propagation become non-negligible at the ultrasound intensities required for therapeutic action. This paper examines the importance of the thermal lens effect and nonlinear tissue properties by simulating a variety of clinically applicable phased array transducer configurations that have not yet been appropriately analysed using a full three-dimensional nonlinear treatment of acoustic propagation. The significance of the thermal lens effect is characterized by comparing the simulation of coupled acoustic and thermal propagation with an uncoupled treatment; neglecting thermal lensing typically produces a movement of 1 to 2 mm in the predicted position of the focus towards the transducer. The results also show that the classical methods of acoustic propagation can produce grossly erroneous results under certain clinically relevant transducer configurations and that an acoustic field scan with a hydrophone may not accurately predict therapeutic effect.

Acoustics↗
PubMedDate not supplied

MR evaluation of acoustic schwannoma with fractional contrast doses.

OBJECTIVE: To investigate the utility of lower contrast medium doses for the detection and conspicuity of acoustic schwannomas. MATERIALS AND METHODS: The L/B (L, lesion; B, background) ratios or lesion contrast of 17 pathologically proven acoustic schwannomas studied with a standard dose (0.1 mmol/kg) of gadopentetate dimeglumine was measured. In addition, 22 patients with acoustic schwannomas were studied prospectively with fractional doses using the incremental dose technique. Each patient received an initial bolus injection of one-eight the standard dose (0.0125 mmol/kg) followed by an injection of one-eighth, one-fourth, and one-half the standard dose at 5 min intervals to achieve a cumulative dose of one-fourth, one-half and full dose, respectively. Imaging was performed immediately after each injection. RESULTS: Standard dose--The L/B ratios of pathologically proven acoustic schwannomas to mastoid air cells ranged from 14.8 to 41.2 (mean +/- SEM, 28.0 +/- 1.95), which were approximately 17 times more than those of intraparenchymal lesions. Fractional cumulative dose--Qualitative visual analysis demonstrated that all acoustic schwannomas showed apparent enhancement at one-fourth dose. Intense enhancement was noted at one-half and full dose. Quantitative analysis demonstrated the mean L/B ratios between the acoustic schwannomas and mastoid air cells of the precontrast and one-eighth, one-fourth, one-half, and full dose studies were 8.33 +/- 0.52, 11.21 +/- 0.75, 13.02 +/- 0.83, 15.38 +/- 0.98, and 18.03 +/- 1.36, respectively. CONCLUSION: The L/B ratios or lesion contrast of acoustic schwannomas at various fractional contrast medium doses was significantly higher compared with that of intraparenchymal lesions. Thus, the standard contrast medium dose may not be necessary for detection of acoustic schwannomas, and a fractional dose may be sufficient. Although the optimal fractional dose remains to be determined, one-half of the standard dose (0.05 mmol/kg) appears to be sufficient because of intense enhancement at this dose.

Contrast Media↗
PubMed2002

Distance from acoustic neuroma to fundus and a postoperative facial palsy.

OBJECTIVE/HYPOTHESIS: Generally, patients with small acoustic neuroma have less facial palsy after its removal. The middle cranial fossa approach is mainly applied to the small acoustic neuroma and tumor size does not influence the prognosis of facial palsy. The internal auditory canal cannot be fully opened in the middle cranial fossa approach, and the facial nerve is tightly attached in the fundus. According to these anatomical factors, we hypothesized that acoustic neuromas located away from the fundus might be removed with less facial nerve damage. We investigated the distance between the acoustic neuroma and fundus and its clinical relationship. STUDY DESIGN: Retrospective study of 45 patients with acoustic neuroma who underwent a middle cranial fossa approach. METHODS: The distance between the acoustic neuroma and fundus and the tumor diameter were measured on T2-weighted and contrast-enhanced magnetic resonance images, respectively. These data were compared with the postoperative facial nerve function. RESULTS: The mean distance was 3.0 +/- 1.8 mm (range, 0-10 mm), and the mean diameter was 11.3 +/- 3.7 mm (means +/- standard deviation; range, 4-20 mm). Neither the distance nor the diameter had any correlation to the degrees of postoperative facial palsy either immediately or at 3 months after surgery. CONCLUSIONS: As far as the nerve was anatomically preserved, postoperative facial nerve function seemed to be influenced by factors other than surgical manipulation among small acoustic neuromas. Although the tumor fills in the fundus, it may not influence postoperative facial nerve function and also may not interfere with indication of the middle cranial fossa approach for removal of the acoustic neuroma.

Adult↗
PubMed2005

Acoustic coupling in capacitive microfabricated ultrasonic transducers: modeling and experiments.

In the design of low-frequency transducer arrays for active sonar systems, the acoustic interactions that occur between the transducer elements have received much attention. Because of these interactions, the acoustic loading on each transducer depends on its position in the array, and the radiated acoustic power may vary considerably from one element to another. Capacitive microfabricated ultrasonic transducers (CMUT) are made of a two-dimensional array of metallized micromembranes, all electrically connected in parallel, and driven into flexural motion by the electrostatic force produced by an applied voltage. The mechanical impedance of these membranes is typically much lower than the acoustic impedance of water. In our investigations of acoustic coupling in CMUTs, interaction effects between the membranes in immersion were observed, similar to those reported in sonar arrays. Because CMUTs have many promising applications in the field of medical ultrasound imaging, understanding of cross-coupling mechanisms and acoustic interaction effects is especially important for reducing cross-talk between array elements, which can produce artifacts and degrade image quality. In this paper, we report a finite-element study of acoustic interactions in CMUTs and experimental results obtained by laser interferometry measurements. The good agreement found between finite element modeling (FEM) results and optical displacement measurements demonstrates that acoustic interactions through the liquid represent a major source of cross coupling in CMUTs.

Acoustics↗
PubMed1995

Physiological identification of the auditory nerve during surgery for acoustic neuroma.

We report the design and clinical use of an electrode which can locate the acoustic nerve fibres in the normal eighth nerve and also in eighth nerves deformed by acoustic neuromas. The improvement in facial nerve preservation during acoustic neuroma surgery is partly due to the use of a facial nerve stimulator to anatomically locate the fibres. Our new acoustic nerve detector has the capability of anatomical location of cochlear fibres which may help to improve hearing preservation in selected cases of acoustic neuroma. The device functions by detecting the compound action potential evoked by no frequency auditory simulation at 500 Hz. The 500 Hz compound action potential is detected with a bipolar probe and then amplified and filtered. This results in a 500 Hz tone when the probe contacts the auditory nerve. Detection is virtually instantaneous. The acoustic nerve detector (AND) is demonstrated in a normal eighth nerve complex and its use is then described in the total removal of an acoustic neuroma with a 1 cm extracanalicular extension in which useful hearing was saved post-operatively. The present prototype may not be sensitive enough to detect the very low signals that may result when cochlear fibres are widely distorted around a large tumour or in cases where slight contusion of the nerve occurs during dissection. In all other cases the real time anatomical information is extremely helpful in guiding acoustic nerve dissection and also in monitoring the effects of petrous bone drilling.

Amplifiers, Electronic↗
PubMed1996

Is intrapartum vibratory acoustic stimulation a valid alternative to fetal scalp pH determination?

OBJECTIVES: To determine the association between fetal heart rate accelerations, whether spontaneous or induced by vibratory acoustic stimulation, and subsequent scalp pH values in presence of a suspicious intrapartum fetal heart rate tracing, and thereby assess the ability of accelerations to predict a concurrent normal fetal scalp blood pH. DESIGN: Prospective observational study of 253 labours involving 421 pH samples. SETTING: Tertiary care university hospital of Genoeva. INTERVENTION: Vibratory acoustic stimulation through the maternal abdominal wall for five seconds prior to fetal blood sampling. MAIN OUTCOME MEASURES: Spontaneous fetal heart rate reactivity (accelerations) in the 10 min preceding vibratory acoustic stimulation, vibratory acoustic-induced reactivity prior to fetal blood sampling, and scalp pH value. RESULTS: The positive predictive value of a reactive fetal heart rate response after vibratory acoustic stimulation was 78% (95% CI 73-84%) and 97% (95% CI 94-99%) for scalp pH values of > 7.25 and > or = 7.20, respectively. Similar observations occurred with spontaneous reactivity. Of concern, 7 out of 31 (23%) occasions where the scalp blood pH was less than 7.20 appeared to be associated with a normal fetal heart rate response to vibratory acoustic stimulation. CONCLUSION: Fetal heart rate acceleration induced by vibratory acoustic stimulation was significantly associated with a normal scalp blood pH higher than 7.25. However, vibratory acoustic stimulation offers no advantage over observation of spontaneous fetal heart rate tracings and cannot safely replace fetal blood sampling during labour.

Acoustic Stimulation↗
PubMed1984

Tracheal stenosis measured by the acoustic reflection technique.

We examined the usefulness of the acoustic reflection technique for measurement of airway area in 6 patients with tracheal stenosis. In each patient, we obtained airway area by acoustic reflections in the upright position, maximal expiratory and inspiratory flow-volume curve, and radiographs of the trachea. We identified acoustic and radiographic stenotic segments and compared their length, their distances from the glottis, and their cross-sectional areas. We found that (1) in all subjects except one, flow-volume curves did not suggest upper airway obstruction, (2) tracheal stenosis was confirmed by acoustic and radiographic measurements in all subjects, and (3) area of the stenotic segment showed less variation with lung volume than that of the nonstenotic segment. Length of the stenotic segment (mean +/- SE) was found to be 4.9 +/- 0.2 cm (acoustic versus 4.8 +/- 0.3 cm (radiographic); distance between the midglottis and maximal stenosis was 5.7 +/- 0.4 cm (acoustic) and 5.6 +/- 0.6 cm (radiographic); minimal acoustic cross-sectional area was 1.7 +/- 0.1 cm2 versus a radiographic circular cross-sectional area of 1.2 +/- 0.1 cm2. During slow expiration from total lung capacity to residual volume, average cross-sectional area of the stenotic segment decreased by 19.5 +/- 3.0% (mean +/- SE), whereas that of the distal nonstenotic segment decreased by 48.5 +/- 2.2% and that of the proximal nonstenotic segment by 43.6 +/- 5%. We conclude that the acoustic technique, which is rapid and noninvasive, is useful in confirming tracheal stenosis in patients with normal flow-volume curves, and in assessing elastic properties of the trachea.

Acoustics↗
PubMed2004

Acoustic neuroma ingrowth in the cochlear nerve: does it influence the clinical presentation?

We examined the clinical presentation in patients with a histologically proven ingrowth of the cochlear nerve by acoustic neuroma to see whether this differs from what is known from large acoustic neuroma series. In total, 85 acoustic neuromas had an en bloc dissection to study histologically the relation between the cochlear nerve and the acoustic neuroma. In 21 of these 85 specimens, there was histologic proof of invasion of the cochlear nerve by the tumor. For 13 of these 21 tumors, sufficient clinical data could be retrieved to describe the clinical presentation in these patients. We collected clinical data such as age, sex, presenting symptoms, duration of symptoms, tone audiograms, tumor size measurements and volumetric calculations, and latency interval data I-V of brain stem evoked response audiometry and calculated whether there was any correlation among those data. We also compared these clinical data with the data from some large acoustic neuroma series. No clear difference could be shown between the clinical presentation of acoustic neuroma patients with cochlear nerve ingrowth and the clinical presentations in large acoustic neuroma series. This outcome favors the theory that the hearing impairment in acoustic neuroma patients is mainly the result of compression on the vessels of the cochlea and/or on the cochlear nerve.

Adolescent↗
PubMed2003

Acoustic analyses support subjective judgments of vocal emotion.

Subjective human judgments of emotion in speech have been considered to be less reliable than acoustic analyses in scientific studies, but acoustic analyses have had limited ability to detect subtle vocal nuances that give useful social information about human intent and meaning to discourse partners. Two post hoc analyses were undertaken to determine if results from acoustic analyses of vocalizations were related to subjective judgments of vocal affect (affective prosody). Acoustic analyses of fundamental frequency (F(o)) and subjective judgments of emotional content of vocal productions from two studies underwent statistical analyses: Study 1-vocal repetition of sentences using 6 basic emotions in 24 detoxified alcoholics and 15 controls; study 2-quality/quantity of "motherese" speech directed to 52 infants in Cambridge, England. Ratings of emotion indicators for both studies were done by female researchers of different ages and cultural/language backgrounds. In both studies, acoustic analyses of F(o) elements in utterances accounted for approximately 50% of the effect when modeling subjective emotion accuracy and emotion intensity ratings, using linear regression analyses. Acoustic analyses of F(o) are positively associated with subjective judgments of emotion indicators, and speakers who cannot vary F(o) are unable to convey emotion accurately to communication partners. Yet acoustic analyses are limited in comparison to the exquisite complexity of the human auditory and cognitive systems. Subjective judgments of emotional meaning in speech can be a reliable variable in scientific inquiry and can be used for more complex, subtle studies of speech communication and intentionality than acoustic analyses.

Affect↗