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[Acoustic and roentgenologic classification of gallstones and effectiveness of lithotripsy].

The influence of chemical and physical properties of gallstones on the effectiveness of extracorporeal lithotripsy (ECLT) was studied to work out the selection criteria for this procedure. 1020 patients with calculous cholecystitis have been examined. The acoustic and roentgenologic classification of gallstones was worked out on the basis of acoustic properties and X-ray transparency of gallstones. 5 types of acoustic and roentgenologic types of gallstones were distinguished. The effectiveness of ECLT in different types of gallstones was evaluated. Acoustic and roentgenologic properties of a gallstone appeared to be very important factor of the effectiveness of ECLT. In 1st type of gallstone the effectiveness of ECLT was 97%, in 2d type--89%, in 3d type--35%, in 4th type--42% and in 5th type--0%. The selection criteria for ECLT were formulated on the basis of a gallstone type, functional status of the gallbladder, the number and size of the concrements. The use of the mentioned above criteria made it possible to increase effectiveness of ECLT for more than 20%.

Cholelithiasis↗

Historic perspective of the acoustic otoscope.

The acoustic otoscope, originally called the acoustic reflectometer, was developed and produced by John and David Teele in the early 1980s. Since initial production, two different instrument versions have been developed by two separate companies. During the period of time in which the acoustic otoscope has been in production, there have been numerous studies reported with the two instrument versions. We provide a historic summary of the acoustic otoscope, summarize the pertinent studies, and address the contrasting results found in the literature.

History, 20th Century↗

Quantitative assessment of auditory cortex responses induced by imager acoustic noise.

A clustered volume acquisition functional MRI pulse sequence was modified to assess the response to the acoustic noise of echo-planar imaging in the auditory cortex and to determine whether it is possible to obtain data which is relatively free of acoustic contamination. The spatial location and strength (percent signal change) of cortical responses to the imager noise were examined by introducing extra gradient readouts, without slice excitation, to provide acoustic stimulation immediately prior to acquisition of a cerebral volume. The duration of acoustic stimulation was controlled by varying the number of extra gradient readouts. Slice acquisitions were clustered at the end of the repetition time (TR) period to prevent a response from being induced by the volume acquisition itself ("Intra-Acquisition Response"). The cerebral volumes were acquired using a long TR in order to limit the integration of the cortical response across volume acquisitions ("Inter-Acquisition Response"). Cortical responses were observed to be largest and most significant on the medial two-thirds of Heschl's gyrus, the location of primary auditory cortex. Mean signal changes induced by the imager noise were observed to be as high as 0.95%. A 2 sec delay prior to onset of the BOLD response was empirically determined. These results demonstrate that clustered volume acquisitions may be utilized for up to 2 sec of volume acquisition without inducing an appreciable Intra-Acquisition Response and can be used, with a sufficiently long TR, to provide data which are similarly free of any Inter-Acquisition Response.

Adult↗

Normal brain-stem auditory evoked potentials with abnormal latency-intensity studies in patients with acoustic neuromas.

Brain-stem auditory evoked potentials (BAEPs) are highly sensitive for detecting acoustic neuromas but false-negative results occur. We studied BAEPs preoperatively in 39 cases of acoustic neuroma. Absolute and interpeak latencies ipsilateral to the tumor, and interaural latency differences, were normal in four patients with small tumors. In three of these, however, results of latency-intensity studies were abnormal. In one patient, the latency-intensity result became normal postoperatively. If acoustic neuroma is suspected, and BAEPs are normal by usual criteria, latency-intensity functions should be examined to maximize chances of detecting a small tumor.

Acoustic Stimulation↗

Latency of the acoustic reflex in eighth-nerve tumor.

We evaluated acoustic reflex morphologic features in four subjects with confirmed, unilateral acoustic neuroma. All four subjects showed marked reduction in absolute reflex amplitude and alteration in the reflex amplitude-intensity function in the ear with the eighth-nerve disorder. The early, fast-rising component of the normal reflex was also typically absent in the ears with tumor. Interaural latency comparisons were made in three ways. At equal reflex sensation levels and equal reflex sound pressure levels, latency ws substantially delayed in the ear with the eighth-nerve disorder. At equivalent reflex amplitudes, however, latency was equivalent in normal ears and ears with eighth-nerve disorder. Results suggest that delayed onset of the acoustic reflex in subjects with eighth-nerve disorder may reflect amplitude and wave-form morphologic effects rather than a latency prolongation per se.

Adult↗

The effect of temporal stimulus characteristics in maintenance of the acoustic reflex.

In normal listeners, acoustic reflex decay (ARD) typically occurs for high- but not for low-frequency tones. In patients with acoustic neuromas, decay can be obtained at all frequencies, presumably due to poor neural synchrony. These observations have led us to hypothesize that resistance to decay is due to robust encoding of temporal fine structure of the eliciting stimulus. For a 4-kHz stimulus, ARD is reduced by sinusoidal amplitude modulation (SAM), a result attributed to the low-frequency pattern of SAM providing the temporal characteristics necessary to maintain the reflex. If this interpretation is correct, then further reductions in ARD should be seen for stimuli having temporal characteristics that even more closely resemble the neural response to low-frequency stimulus fine structure. On the other hand, if other perceptual qualities of a SAM tone are responsible for the effect (e.g., rate pitch), then manipulations of perceived sound quality, rather than temporal characteristics per se, should produce similar effects. The experiment reported here included a reference condition, (1) 5-kHz pure tone, and three "temporal" manipulations, composed of a 5-kHz tone multiplied by (2) a raised 100-Hz sinusoid, (3) a noise sample, lowpass filtered at 100 Hz, and (4) a half-wave rectified 100-Hz sinusoid. Additional conditions manipulated perceived pitch. These stimuli spanned 4.5-8 kHz, including a reference condition, (5) Gaussian noise, and a stimulus associated with a 100-Hz pitch, (6) iterated rippled noise. Results show the greatest reductions in ARD with the half-wave rectified stimulus, thought to most closely mimic the temporal characteristics of a low-frequency tone. Little or no reduction in ARD was associated with the iterated rippled noise, suggesting that perceived pitch does not play an important role in maintaining the acoustic reflex.

Acoustic Stimulation↗

Stimulated acoustic emissions in the ear canal of the gerbil.

Ear-canal sound pressure and cochlear potentials were monitored inthe anesthetized gerbil to study the origins of acoustic emissions produced by transient and continuous stimuli. No evidence was found of any delayed emissions (echoes) originating within the cochlea in the acoustic or cochlear microphonic (CM) waveforms. However, strong acoustic and CM distortion products occurred when two primary tones of moderate levels were presented to the ear; the site of origin of these products was traced to the cochlea. Further, the levels of distortion followed a complex time course after anoxia, often becoming stronger after animal death for up to one hour, then decaying to the noise floor of the system. The disappearance of the distortion products was coincident with elimination of both the negative endocochlear potential and the CM response to a fundamental tone.

Acoustic Stimulation↗

Suppressibility of the 2f1-f2 stimulated acoustic emissions in gerbil and man.

The suppression tuning properties of the oto-acoustic distortion product emission, 2f1-f2 have been measured in the ear canal of gerbil and man. The results show the acoustic response to be suppressible in a similar, frequency-dependent manner in both species. Frequencies near to those of the stimulating tones are most effective in suppressing the response. Derived iso-suppression tuning curves have Q10dB values of between 1 and 6. Suppressor tones having frequencies near to f2 (the higher frequency stimulus) make a contribution to the tuning curve which is largely independent of the stimulus intensity and the frequency ratio between the two primary tones. Suppressors having f1-associated frequencies produce a variable amount of suppression depending on the stimulus parameters chosen. No specific suppression feature could be associated with suppressors near to 2f1-f2. The frequency selectivity of the acoustic DP generation mechanism shown by this study indicates a close association with the transduction mechanism. The demonstration of comparable signals in gerbil and man facilitates the direct transfer of laboratory results to the study of human ears.

Acoustic Stimulation↗

Alterations in diurnal cortisol rhythm and acoustic startle response in nonhuman primates with adverse rearing.

BACKGROUND: Early adverse experiences represent risk factors for the development of anxiety and mood disorders. Studies in nonhuman primates have largely focused on the impact of protracted maternal and social deprivation, but such intense manipulations also result in severe social and emotional deficits very difficult to remediate. This study attempts to model more subtle developmental perturbations that may increase the vulnerability for anxiety/mood disorders but lack the severe deficits associated with motherless rearing. METHODS: We investigated the consequences of repeated maternal separations between 3 to 6 months of age on rhesus monkeys' hypothalamic-pituitary-adrenal (HPA) axis function and acoustic startle reactivity. RESULTS: Repetitive maternal separation led to increased cortisol reactivity to the separation protocol in female infants and alterations in mother-infant interaction. It also resulted in a flattened diurnal rhythm of cortisol secretion and increased acoustic startle reactivity at later ages. CONCLUSIONS: Macaques with adverse rearing exhibited short-term and long-term alterations in HPA axis function and increased acoustic startle response comparable with changes associated with mood/anxiety disorders. The magnitude of HPA axis reactivity to the separations and the alterations in mother-infant relationship detected during the separation protocol predicted some of the alterations in HPA axis and emotionality exhibited later in life.

Acoustic Stimulation↗

Acoustic measurement: a tutorial for molecular biologists.

Although skilled in in vitro techniques, the molecular biologist may not understand the finer points of acoustical measurement. Measurement is necessary whenever the auditory system function is being measured using the auditory brainstem response (ABR) or distortion product otoacoustic emissions (DPOAE) or is being challenged by a noise exposure. While the theory of measuring an acoustic signal with a calibrated measuring microphone is simple, in practice, it can become complex. The present article presents guidelines for measuring acoustic stimuli which is within the abilities of a well equipped laboratory. It also presents a set of links for further information and some sources for procurement of equipment.

Acoustic Stimulation↗

Calibration of acoustic transients.

This article reviews the appropriate stimulus parameters (click duration, toneburst envelope) that should be used when eliciting auditory brainstem responses from mice. Equipment specifications required to calibrate these acoustic transients are discussed. Several methods of calibrating the level of acoustic transients are presented, including the measurement of peak equivalent sound pressure level (peSPL) and peak sound pressure level (pSPL). It is hoped that those who collect auditory brainstem response thresholds in mice will begin to use standardized methods of acoustic calibration, so that hearing thresholds across mouse strains obtained in different laboratories can more readily be compared.

Acoustic Stimulation↗

Acoustic reflexes to Schroeder-phase harmonic complexes in normal-hearing and hearing-impaired individuals.

Harmonic complexes generated with positive or negative Schroeder-phases may result in differences in cochlear excitation, even though their long-term spectra and amplitudes are equal. As a measure of possible differences in cochlear excitation resulting from these harmonic complexes, thresholds and growth of the acoustic reflex were assessed in normal-hearing and hearing-impaired subjects. Harmonic complexes with fundamental frequencies of 50, 100, and 200 Hz were constructed with positive and negative-Schroeder phases. In normal-hearing subjects, acoustic reflex thresholds for the 50- and 100-Hz fundamental waveforms were typically lower for negative Schroeder-phase complexes than for positive Schroeder phase stimuli. At the highest fundamental frequency of 200 Hz, there were no significant threshold differences due to phase. Hearing-impaired subjects showed a similar pattern for thresholds between the two phase selections, but with smaller differences than those observed in normal-hearing subjects. At levels above reflex threshold, the magnitude of the acoustic reflex was greater for the negative-phase than the positive-phase stimuli for the lowest fundamental frequency, but no significant differences were observed at fundamental frequencies of 100 and 200 Hz. These results are consistent with generally greater cochlear excitation in response to negative than to positive Schroeder-phase stimuli when the fundamental frequency is sufficiently low. Increased excitation may reflect a synchronization of response across a wide band of frequencies in the cochlea when the rate of frequency sweep within periods of these harmonic complexes is appropriately matched to timing characteristics of the traveling wave.

Acoustic Stimulation↗

Acoustic analysis of the interaction of choral arrangements, musical selection, and microphone location.

Acoustic differences were evaluated among three choral arrangements and two choral textures recorded at three microphone locations. A choir was recorded when singing two musical selections of different choral texture, one homophonic and one polyphonic. Both musical selections were sung in three choral arrangements: block sectional, sectional-in-columns, and mixed. Microphones were placed at the level of the choristers, the conductor, and the audience. The recordings at each location were analyzed using long-term average spectrum (LTAS). The LTAS from the mixed arrangement exhibited more signal amplitude than the other arrangements in the range of 1000-3500Hz. When considering the musical selections, the chorus produced more signal amplitude in the region of 1800-2200Hz for the homophonic selection. In addition, the LTAS produced by the choir for the homophonic selection varied across the microphone locations. As for the microphone location, the LTAS of the signal detected directly in front of the chorus had a greater slope than the other two locations. Thus, the acoustic signal near the choristers differed from the signals near the conductor and in the audience. Conductors may be using acoustic information from the region of the second and third formants when they decide how to arrange a choir for a particular musical selection.

Acoustic Stimulation↗

Possible temperature effects computed for acoustic microscopy used for living cells.

Imaging of living cells or tissues at a microscopic resolution, where GHz frequencies are used, provides a foundation for many new biological applications. The possible temperature increase causing a destructive influence on the living cells should be then avoided. However, there is no information on possible local temperature increases at these very high frequencies where, due to strongly focused ultrasonic beams, nonlinear propagation effects occur. Acoustic parameters of living cells were assumed to be close to those of water; therefore, the power density of heat sources in a water medium was determined as a basic quantity. Hence, the numerical solution of temperature distributions at the frequency of 1 GHz was computed for high and low powers generated by the transducer equal to 0.32 W and 0.002 W. In the first case, typical nonlinear propagation effects were demonstrated and, in the second one, propagation was almost linear. The focal temperature increase obtained in water equaled 14 degrees C for the highest possible theoretical repetition frequency of fr = 10 MHz and for the thermal insulation at the sapphire lens-water boundary. Simultaneously, the scanning velocity of the tested object was assumed to be incomparably low in respect to the acoustic beam velocity. The maximum temperature increase in water occurred exactly at this boundary, being equal there to 20 degrees C. It was shown that, first of all, the very high absorption of water was significant for the temperature distribution in the investigated region, suppressing the focal temperature peaks. Because the temperature increases are proportional to the repetition frequency, so for example, at its practical value of fr = 0.1 MHz, all temperature increases will be 100 times lower than listed above. For the low transducer power of 0.002 W, the corresponding temperature increases were about 140 times lower than those for the high power of 0.32 W. The presented solutions are devoted mainly to the reflection pulse mode; however, they can be also applied for the transmitting (continuous-wave) mode, as shown in an example. Pressure distributions were computed for the acoustic field of the microscope for the first and higher harmonics. Hence, at the frequency of 1 GHz, the effective focal radius in water measured as the -6-dB amplitude pressure drop was found to be 1,1 microm, and 0.7 microm for the second harmonic, independently of the assumed transducer power. So the width of the beam, scanning the living cells in the focal region, was equal to 2.2 microm at the fundamental frequency of 1 GHz.

Acoustics↗

Acoustic speed and attenuation coefficient in sheep aorta measured at 5-9 MHz.

B-mode ultrasound (US) images from blood vessels in vivo differ significantly from vascular flow phantom images. Phantoms with acoustic properties more closely matched to those of in vivo arteries may give better images. A method was developed for measuring the speed and attenuation coefficient of US over the range 5 to 9 MHz in samples of sheep aorta using a pulse-echo technique. The times-of-flight method was used with envelope functions to identify the reference points. The method was tested with samples of tissue-mimicking material of known acoustic properties. The tissue samples were stored in Krebs physiologic buffer solution and measured over a range of temperatures. At 37 degrees C, the acoustic speed and attenuation coefficient as a function of frequency in MHz were 1600 +/- 50 ms(-1) and 1.5 +/- 4f(0.94 +/- 1.3) dB cm(-1), respectively.

Acoustics↗

Prediction of biomechanical stability after callus distraction by high resolution scanning acoustic microscopy.

Accurate clinical prediction of the resistance to fracture after callus distraction requires a detailed understanding of structural and elastic properties of the newly formed bone. We investigated 26 sheep that underwent middiaphyseal callus distraction at a rate of 0.5 mm every 12 h for 30 d using a standard unilateral fixator system. The sample population included four groups undergoing different treatments to improve bone healing, including bone grafting and the local application of growth factors. All animals were sacrificed eight weeks after the end of distraction. The fracture forces of the lengthened tibia and the contralateral control tibia from each animal were evaluated by biomechanical (four-point bending) testing. The microstructure and anisotropic acoustic impedance distributions were assessed by quantitative 50-MHz scanning acoustic microscopy. The relationships between resistance to fracture, structural properties and acoustic impedance of the newly formed callus tissue and adjacent cortical tissue were investigated. A significant linear multivariate regression model was developed that predicts the fracture force with a high accuracy (RMSE = 248 N, R(2) = 0.86, p < 0.0001).

Acoustic Impedance Tests↗

Rat strain-dependent effects of repeated stress on the acoustic startle response.

Amplitude and habituation of the acoustic startle response were assessed in four recombinant inbred (RI) rat strains. One group from each strain underwent repeated restraint stress, the last session of which was 24h before startle testing while, a second group from each strain was not stressed prior to testing. Additionally, prepulse inhibition of the acoustic startle response, and anxiety behavior in the elevated plus-maze were assessed in separate, non-stressed groups of each strain. In the non-stressed condition, these RI strains differed significantly from each other on all behaviors measured. In the two RI strains that showed the greatest habituation of the startle response, repeated stress resulted in significantly lower acoustic startle amplitude than that seen in non-stressed controls of those strains. In the strains showing low levels of habituation, repeated stressed increased the level. Neither genotype-dependent levels of startle amplitude, prepulse inhibition of the startle response, nor anxiety in the plus-maze were closely related to the effect of stress on either startle amplitude or habituation. The results suggest that genotype-dependent habituation of the startle response may be important in determining whether stress will alter startle amplitude.

Acoustic Stimulation↗

Normal audiologic presentations in patients with acoustic neuroma: An evaluation using strict audiologic parameters.

Although several studies have previously reported on patients presenting with "normal" audiologic parameters in acoustic neuroma, the present study is, to our knowledge, the first to exclusively examine in detail cases involving exceptionally stringent objective audiometric features. Of 369 patients with acoustic neuroma who were operated on between April 1980 and April 1997 by our group, 10 had strictly normal hearing, defined as follows: (1) pure-tone average < 20 dB; (2) speech discrimination score > 90%; and (3) interaural differences </= 10 dB at every hertz level. A high level of audiologic functioning was found to significantly lower the sensitivity of auditory brainstem response in the detection of acoustic neuroma. Magnetic resonance imaging was the only preoperative test exhibiting 100% sensitivity in this setting. Thus, a high level of clinical suspicion appears warranted in any case involving unexplained unilateral audiovestibular symptoms-including those instances in which strictly normal hearing parameters exist and are associated with negative auditory brainstem response findings.

Adolescent↗