Evidence map›Paper›PMID 34387582›Full record

ArticleEar and hearing

Preserving Wideband Tympanometry Information With Artifact Mitigation.

Kristine Elisabeth Eberhard, Michael E Ravicz, Gabrielle R Merchant, Salwa F Masud, Stéphane F Maison, Stephen T Neely, Hideko Heidi Nakajima

Abstract read
In one paragraph

Article in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kristine Elisabeth EberhardDepartment of Otolaryngology-Head & Neck Surgery, Harvard Medical School and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Michael E RaviczDepartment of Otolaryngology-Head & Neck Surgery, Harvard Medical School and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Gabrielle R MerchantBoys Town National Research Hospital, Omaha, Nebraska, USA.
Salwa F MasudDepartment of Otolaryngology-Head & Neck Surgery, Harvard Medical School and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Stéphane F MaisonDepartment of Otolaryngology-Head & Neck Surgery, Harvard Medical School and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Stephen T NeelyBoys Town National Research Hospital, Omaha, Nebraska, USA.
Hideko Heidi NakajimaDepartment of Otolaryngology-Head & Neck Surgery, Harvard Medical School and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, Massachusetts, USA.

Funding

Synaptopathy, Neural Pathophysiology and Suprathreshold Processing in Gerbils with Normal or Elevated ThresholdsP50DC015857 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Sharon G Kujawa · 2017 to 2026
$28.1M
The Impact of Mild Hearing Loss on Auditory Perception in Complex EnvironmentsP20GM109023 · NIGMS · FATHER FLANAGAN'S BOYS' HOME · PI LEIBOLD, LORI J. · 2014 to 2023
$23.4M
NIDCD NIH HHS L30 DC017300NIDCD NIH HHS P50 DC015857NIGMS NIH HHS P20 GM109023
6 · The paper itself

Abstract

objectiveAbsorbance measured using wideband tympanometry (WBT) has been shown to be sensitive to changes in middle and inner ear mechanics, with potential to diagnose various mechanical ear pathologies. However, artifacts in absorbance due to measurement noise can obscure information related to pathologies and increase intermeasurement variability. Published reports frequently present absorbance that has undergone smoothing to minimize artifact; however, smoothing changes the true absorbance and can destroy important narrow-band characteristics such as peaks and notches at different frequencies. Because these characteristics can be unique to specific pathologies, preserving them is important for diagnostic purposes. Here, we identify the cause of artifacts in absorbance and develop a technique to mitigate artifacts while preserving the underlying WBT information.

designA newly developed Research Platform for the Interacoustics Titan device allowed us to study raw microphone recordings and corresponding absorbances obtained by WBT measurements. We investigated WBT measurements from normal hearing ears and ears with middle and inner ear pathologies for the presence of artifact and noise. Furthermore, it was used to develop an artifact mitigation procedure and to evaluate its effectiveness in mitigating artifacts without distorting the true WBT information.

resultsWe observed various types of noise that can plague WBT measurements and that contribute to artifacts in computed absorbances, particularly intermittent low-frequency noise. We developed an artifact mitigation procedure that incorporates a high-pass filter and a Tukey window. This artifact mitigation resolved the artifacts from low-frequency noise while preserving characteristics in absorbance in both normal hearing ears and ears with pathology. Furthermore, the artifact mitigation reduced intermeasurement variability.

conclusionsUnlike smoothing algorithms used in the past, our artifact mitigation specifically removes artifacts caused by noise. It does not change frequency response characteristics, such as narrow-band peaks and notches in absorbance at different frequencies that can be important for diagnosis. Also, by reducing intermeasurement variability, the artifact mitigation can improve the test-retest reliability of these measurements.

Indexed as

Acoustic Impedance TestsEar, InnerArtifactsHearingHumansReproducibility of Results

Identifiers

PMID34387582
PMCPMC8855961

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.