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Updated: Aug 6, 2026

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A Method for Tracking the Time Evolution of Steady-State Evoked Potentials
Published on: May 25, 2019
[The artifacts and test-retest reliability of multiple auditory steady-state response]
Xiangli Zeng1, Aixia Wu, Shufang Wang
1Department of Otorhinolaryngology, the Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou,510630, China. zengxl_2002@yahoo.com.cn
Summary
Multiple Auditory Steady-State Response (MASSR) shows high variability and artifacts, especially at low frequencies. This objective auditory evaluation method is less reliable than Auditory Brainstem Response (ABR) and 40 Hz Auditory Evoked Potential (40 Hz AEP).
Area of Science:
- Auditory Neuroscience
- Neurophysiology
- Audiology
Context:
- Objective auditory evaluation methods are crucial for diagnosing hearing loss.
- Multiple Auditory Steady-State Response (MASSR) is an objective technique used in audiology.
- Understanding MASSR's reliability and artifact characteristics is essential for clinical application.
Purpose:
- To investigate the characteristics and clinical application of artifacts in MASSR.
- To determine the test-retest reliability of MASSR.
- To compare MASSR with Auditory Brainstem Response (ABR) and 40 Hz Auditory Evoked Potential (40 Hz AEP).
Summary:
- False negative artifacts (FNA) in MASSR primarily occur at low frequencies and near threshold, disappearing during sleep.
- MASSR exhibits significant test-retest variability at 0.5 kHz, while showing reliability at higher frequencies (1.0-4.0 kHz).
- Artificial responses and large variabilities are observed in patients with profound hearing loss, and MASSR is often less efficient than ABR and 40 Hz AEP.
Impact:
- MASSR demonstrates limitations in test-retest reliability and artifact management compared to established auditory evoked potentials.
- The findings suggest that MASSR may not offer superior advantages over ABR and 40 Hz AEP for objective auditory evaluation.
- Further research may be needed to optimize MASSR protocols or identify specific clinical niches where its application is beneficial.
