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Optimizing the Chinese Zodiac-in-Noise Test With Antiphasic Stimuli for Better Hearing Loss Detection

Yanqing He1, Nengheng Zheng2, Huali Zhou3,4

  • 1School of Physics and Optoelectronics, South China University of Technology, Guangzhou, China.

Ear and Hearing
|February 13, 2026
PubMed
Summary

The antiphasic Chinese zodiac-in-noise (ZIN) test significantly improves hearing loss detection sensitivity compared to the diotic ZIN test. Binaural intelligibility level difference (BILD) shows promise as a sensitive indicator for hearing impairments, especially in low frequencies.

Keywords:
AntiphasicBinaural intelligibility level differenceHearing lossHearing screeningZodiac-in-noise

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