Development of a Portable Automatic Auditory Response Tester for Hearing Loss Screening

난청감별을 위한 휴대용 자동 청성반응 검사기의 개발

  • Kim, Soo-Chan (Graduate school of Bio & Information Technology, Institute for Information Technology Convergence Hankyung National University)
  • 김수찬 (한경대학교 바이오.정보기술대학원, IT 융합연구소)
  • Received : 2012.01.17
  • Accepted : 2012.03.01
  • Published : 2012.03.25

Abstract

If an infant with congenital hearing loss is diagnosed in good time and get proper treatment as soon as possible, treatment effect could be maximized and the social costs could be considerably reduced. For these reasons, the medical equipment to screen hearing impairment objectively is needed. The ABR(auditory brainstem response) is typical diagnostic tools for this purpose but there are drawbacks in sense that it does not have frequency specificity and shows hearing information of usually high frequency band. The ASSR(auditory steady-state response) is excellent in frequency specificity, but the rate of wrong diagnosis is slightly high. In this study, we proposed the system which can measure both the ABR and the ASSR, and can show the objective and quantitative indices(Fsp and F-test). It was designed to allow various tests without hardware modification by minimizing hardware components and by increasing software roles. The objective assessment of the developed system was evaluated by experiments with 10 normal persons.

선천성 난청으로 태어난 아이를 조기에 진단하여 가능한 빨리 적절한 치료를 해줌으로써 치료 효과를 극대화하고, 이후에 발생되는 사회적 비용을 최소화할 수 있기 때문에 신생아로부터 난청 이상 유무를 객관적으로 판별하는 검사 장비가 필요하다. 대표적인 것으로 청성뇌간반응(auditory brainstem response, ABR) 검사가 있으나 클릭음(click sound)에 대한 반응으로 주파수 특이성이 없고 고주파수 대역에 대한 청력을 주로 반영하는 단점이 있다. 청성지속반응(auditory steady-state response, ASSR) 검사는 주파수 특이도는 좋으나 오진의 가능성이 조금 높다. 이러한 단점을 보완하여 청성뇌간반응 검사와 청성지속반응 검사를 하나의 시스템에서 측정하고, Fsp와 F-test 분석을 통하여 객관적 지표를 보여주는 시스템을 제안하였다. 하드웨어 구성요소를 최소화하고 소프트웨어 역할을 강화하여 추후 하드웨어 수정 없이 소프트웨어의 수정만으로 다양한 검사가 가능하도록 설계하였다. 제안한 시스템의 객관적 평가 기능은 정상인 10명을 대상으로 한 실험을 통하여 검증하였다.

Keywords

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