Investigating the optimal stimulus to evoke the binaural interaction component of the auditory brainstem response

Objective assessment of spatial and binaural hearing deficits remains a major clinical challenge. The binaural interaction component (BIC) of the auditory brainstem response (ABR) holds promise as a non-invasive biomarker for diagnosing such deficits. However, while comparative studies have reported robust BIC in ani-mal models, BIC in humans can sometimes be unreliably evoked even in subjects with normal hearing. Here we explore the hypothesis that the standard methodology for collecting monaural ABRs may not be ideal for elec-trophysiological assessment of binaural hearing. This study aims to improve ABR BIC measurements by deter-mining more optimal stimuli to evoke it. Building on previous methodology demonstrated to enhance peak amplitude of monaural ABRs, we constructed a series of level-dependent chirp stimuli based on empirically derived latencies of monaural-evoked ABR waves I, IV and the binaural-evoked BIC DN1, the most prominent BIC peak, in a cohort of ten chinchillas. We hypothesized that chirps designed based on BIC DN1 latency would specifically enhance across-frequency temporal synchrony in the afferent inputs leading to the binaural circuits that produce the BIC and would thus produce a larger DN1 than either traditional clicks or chirps designed to optimize monaural ABRs. Compared to clicks, we found that level-specific chirp stimuli evoked significantly greater BIC DN1 amplitudes, and that this effect persisted across all stimulation levels tested. However, we found no significant differences between BICs resulting from chirps created using binaural-evoked BIC DN1 latencies and those using monaural-evoked ABR waves I or IV. These data indicate that existing level-specific, monaural -based chirp stimuli may improve BIC detectability and reduce variability in human BIC measurements.

Automated summary

Objective assessment of spatial and binaural hearing deficits remains challenging in clinical practice. This study proposes a new method to improve the measurement of the binaural interaction component (BIC) in auditory brainstem response (ABR) by using more optimal stimuli. The findings suggest that level-specific chirp stimuli can enhance BIC detectability and reduce variability in human BIC measurements.