Automatic Recognition of Auditory Brainstem Evoked Response Tracings
Vito Di Gesu', PhD, Professor of Mathematics
Giorgio Grisanti,MD,Professor of Audiology
Salvatore Crino', M.D., PhD student
Antonino D'Amico, Electronic Engineer
Emanuele Manco, Undergraduate collaborator
A system for the analysis and automatic recognition of Auditory Brainstem evoked Response (ABR) tracings is presented. The method of analysis is based on the grammatical approach, that is, the ABR tracings are represented with words defined on a alphabet in which the letters represent vector segments of the tracing (increasing segment, decreasing segment, horizontal segment) and therefore, identify the most significant parts of the tracing.
Before the recognition phase, a preprocessessing phase divides the tracing into segments and the points of peak, valley and shoulder are identified.
The results of the analysis consist in a linguistic description of the tracing; for example:
V wave: present
latency 5.6 msec
reliability: good
Fuzzy indicators provide the degree of reliability (the value varies within the interval 0-1).
This technique was realized using a PC/AT in Window 3.1 environment. The analysis procedures were implemented in Borland Pascal language. The environment utilized has permitted the realization of a man/machine interface of the iconic and graphic type.
The results obtained, compared to those of a human expert, demostrate the validity of the method used.
Arpini A, Fagnani E, Lenzi P. Audiometria a risposte elettriche.
In: Manuale di Audiologia; terza edizione. Masson Ed. Milano 1995; 189-246.
Cornacchia L. ABR. Procedure desame per la registrazione. In:
Potenziali Evocati Uditivi. Piccin Ed. Padova 1995; 126-35. Jewett DL, Williston JS. Auditory evoked far fields averaged from the scalp of humans. Brain 1971: 94; 681-96.
Grandori F, Felisati G, Borloni R. Un nuovo metodo di filtraggio digitale per lanalisi dei potenziali evocati uditivi del tronco encefalico. Acta Otorhinolaryngologica Italica 1987: 7; 3-12.
Elberling C. Auditory Electroohysiology. Scandinavian Audiology 1979: 8; 187-90.
Weber BA, Fletcher GL. A Computerized Scoring Procedure for Auditory Brainstem Response Audiometry. Ear and Hearing 1980: 1; 233-6.
John R, Baird H, Fridman J, Bergelson M. Normative values for brain stem auditory evoked potentials obtained by digital filtering and automatic peak detection. Electroencephalography and clinical Neurophysiology 1982: 54; 153-60.
Arnold SA. Objective versus Visual Detection of the Auditory Brain Stem Response. Ear and Hearing 1985: 6; 144-50.
Domico WD, Kavanagh KT. Analog and Zero Phase-Shift Digital Filtering of the Auditory Brain Stem Response Waveform. Ear and Hearing 1986: 7; 377-82.
MØller AR. Use of zero-phase digital filters to enhance brain-stem auditory evoked potential (BAEPs). Electroencephalography and clinical Neurophysiology 1988: 71; 226-32.
Marsh RR: Digital Filtering of Auditory Evoked Potentials. Ear and Hearing 1988: 9; 101-7.
Grandori F, Bonfioli F, Peretti G, Antonelli AR. A method of digital filtering to enhance the peaks of evoked potentials: application to auditory brainstem responses. British Journal of Audiologi 1988: 22; 171-8.
Gabriel S, Durrant JD, Dickter AE, Kephart JE. Computer identification of waves in the Auditory Brain Stem Evoked Potentials. Electroencephalography and clinical Neurophysiology 1980: 49; 421-3.
Madhavan GP, De Bruin H, Upton ARM, Jernigan ME. Classification of Brain-Stem Auditory Evoked Potentials by Syntactic Methods. Electroencephalography and clinical Neurophysiology 1986: 65; 289-96.
Boston JR. Automated Interpretation of Brainstem Auditory Evoked Potentials: a prototype system. IEEE Transactions on Biomedical Engineering 1989: 36; 528-32.
Pool KD, Finitzo T. Evaluation of a computer-automated program for clinical assessment of the Auditory Brain Stem Response. Ear and Hearing 1989: 10; 304-10.
Pratt H, Urbach D, Bleich N. Auditory Brainstem Evoked Potentials peak identification by Finite Impulse Response digital filters. Audiology 1989: 28; 272-83.
Glover JR, Periklis Jr, Ktonas Y, Jansen BH. Knowledge-Based interpretation of bioelectrical signals. IEEE Engineering in medicine and biology magazine 1990: march; 51-4.
Grisanti G, Cusimano F, DAmico A. Intelligenza Artificiale e potenziali evocati uditivi. In: Potenziali Evocati Uditivi. Piccin Ed. Padova 1995; 605-19.
DAmico A., Crinò S., Di Gesù V., Grisanti G.: Recognition of auditory brainstem evoked response tracing applying picture grammars. 3rd European Conference on Engineering and Medicine: 01/D. Florence 30 April 3 May, 1995.
Crinò S., DAmico A., Di Gesù V., Grisanti G., Manco E.: An integrated supporting system for the analysis of auditory brainstem evoked response tracings. XXIII International Congress of Audiology: 102. Bari 16-20 June 1996.
Bunke H. String Grammars for
Syntactic Pattern Recognition.
In: Syntactic and Structural Pattern Recognition Theory and Application. World Scientific
Publishing Ed. Singapore 1990; 30-53.
Griffiths SK., Chambers RD., Bilger RC.: Statistical dependence among the wave latencies of the auditory brain stem response. Ear and Hearing 1989: 10; 299-303.
Stoka M. Calcolo della probabilità e statistica matematica. Torino. Levrotto & Bella 1991.
Last updated: August 1999 by Dr. S.Cusimano