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1.
Behav Res Methods ; 51(3): 1271-1285, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-29949072

RESUMO

Behavioral testing in perceptual or cognitive domains requires querying a subject multiple times in order to quantify his or her ability in the corresponding domain. These queries must be conducted sequentially, and any additional testing domains are also typically tested sequentially, such as with distinct tests comprising a test battery. As a result, existing behavioral tests are often lengthy and do not offer comprehensive evaluation. The use of active machine-learning kernel methods for behavioral assessment provides extremely flexible yet efficient estimation tools to more thoroughly investigate perceptual or cognitive processes without incurring the penalty of excessive testing time. Audiometry represents perhaps the simplest test case to demonstrate the utility of these techniques. In pure-tone audiometry, hearing is assessed in the two-dimensional input space of frequency and intensity, and the test is repeated for both ears. Although an individual's ears are not linked physiologically, they share many features in common that lead to correlations suitable for exploitation in testing. The bilateral audiogram estimates hearing thresholds in both ears simultaneously by conjoining their separate input domains into a single search space, which can be evaluated efficiently with modern machine-learning methods. The result is the introduction of the first conjoint psychometric function estimation procedure, which consistently delivers accurate results in significantly less time than sequential disjoint estimators.


Assuntos
Psicometria , Audiometria de Tons Puros , Limiar Auditivo , Humanos , Aprendizado de Máquina
2.
Ear Hear ; 40(4): 918-926, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30358656

RESUMO

OBJECTIVES: A confluence of recent developments in cloud computing, real-time web audio and machine learning psychometric function estimation has made wide dissemination of sophisticated turn-key audiometric assessments possible. The authors have combined these capabilities into an online (i.e., web-based) pure-tone audiogram estimator intended to empower researchers and clinicians with advanced hearing tests without the need for custom programming or special hardware. The objective of this study was to assess the accuracy and reliability of this new online machine learning audiogram method relative to a commonly used hearing threshold estimation technique also implemented online for the first time in the same platform. DESIGN: The authors performed air conduction pure-tone audiometry on 21 participants between the ages of 19 and 79 years (mean 41, SD 21) exhibiting a wide range of hearing abilities. For each ear, two repetitions of online machine learning audiogram estimation and two repetitions of online modified Hughson-Westlake ascending-descending audiogram estimation were acquired by an audiologist using the online software tools. The estimated hearing thresholds of these two techniques were compared at standard audiogram frequencies (i.e., 0.25, 0.5, 1, 2, 4, 8 kHz). RESULTS: The two threshold estimation methods delivered very similar threshold estimates at standard audiogram frequencies. Specifically, the mean absolute difference between threshold estimates was 3.24 ± 5.15 dB. The mean absolute differences between repeated measurements of the online machine learning procedure and between repeated measurements of the Hughson-Westlake procedure were 2.85 ± 6.57 dB and 1.88 ± 3.56 dB, respectively. The machine learning method generated estimates of both threshold and spread (i.e., the inverse of psychometric slope) continuously across the entire frequency range tested from fewer samples on average than the modified Hughson-Westlake procedure required to estimate six discrete thresholds. CONCLUSIONS: Online machine learning audiogram estimation in its current form provides all the information of conventional threshold audiometry with similar accuracy and reliability in less time. More importantly, however, this method provides additional audiogram details not provided by other methods. This standardized platform can be readily extended to bone conduction, masking, spectrotemporal modulation, speech perception, etc., unifying audiometric testing into a single comprehensive procedure efficient enough to become part of the standard audiologic workup.


Assuntos
Audiometria de Tons Puros/métodos , Perda Auditiva/diagnóstico , Internet , Aprendizado de Máquina , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Adulto Jovem
3.
Atten Percept Psychophys ; 80(6): 1646, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29951897

RESUMO

The original version of this article neglected to mention a conflict of interest. DLB has a patent pending on technology described in this manuscript.

4.
Atten Percept Psychophys ; 80(3): 798-812, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29256098

RESUMO

Psychometric functions are typically estimated by fitting a parametric model to categorical subject responses. Procedures to estimate unidimensional psychometric functions (i.e., psychometric curves) have been subjected to the most research, with modern adaptive methods capable of quickly obtaining accurate estimates. These capabilities have been extended to some multidimensional psychometric functions (i.e., psychometric fields) that are easily parameterizable, but flexible procedures for general psychometric field estimation are lacking. This study introduces a nonparametric Bayesian psychometric field estimator operating on subject queries sequentially selected to improve the estimate in some targeted way. This estimator implements probabilistic classification using Gaussian processes trained by active learning. The accuracy and efficiency of two different actively sampled estimators were compared to two non-actively sampled estimators for simulations of one of the simplest psychometric fields in common use: the pure-tone audiogram. The actively sampled methods achieved estimate accuracy equivalent to the non-actively sampled methods with fewer observations. This trend held for a variety of audiogram phenotypes representative of the range of human auditory perception. Gaussian process classification is a general estimation procedure capable of extending to multiple input variables and response classes. Its success with a two-dimensional psychometric field informed by binary subject responses holds great promise for extension to complex perceptual models currently inaccessible to practical estimation.


Assuntos
Percepção Auditiva , Modelos Estatísticos , Psicometria/métodos , Teorema de Bayes , Testes Auditivos , Humanos , Distribuição Normal
5.
J Acoust Soc Am ; 141(4): 2513, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28464646

RESUMO

Conventional psychometric function (PF) estimation involves fitting a parametric, unidimensional sigmoid to binary subject responses, which is not readily extendible to higher order PFs. This study presents a nonparametric, Bayesian, multidimensional PF estimator that also relies upon traditional binary subject responses. This technique is built upon probabilistic classification (PC), which attempts to ascertain the subdomains corresponding to each subject response as a function of multiple independent variables. Increased uncertainty in the location of class boundaries results in a greater spread in the PF estimate, which is similar to a parametric PF estimate with a lower slope. PC was evaluated on both one-dimensional (1D) and two-dimensional (2D) simulated auditory PFs across a variety of function shapes and sample numbers. In the 1D case, PC demonstrated equivalent performance to conventional maximum likelihood regression for the same number of simulated responses. In the 2D case, where the responses were distributed across two independent variables, PC accuracy closely matched the accuracy of 1D maximum likelihood estimation at discrete values of the second variable. The flexibility and scalability of the PC formulation make this an excellent option for estimating traditional PFs as well as more complex PFs, which have traditionally lacked rigorous estimation procedures.


Assuntos
Percepção Auditiva , Probabilidade , Psicometria , Estimulação Acústica , Teorema de Bayes , Simulação por Computador , Humanos , Tempo de Reação , Processos Estocásticos , Fatores de Tempo
6.
Ear Hear ; 36(6): e326-35, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26258575

RESUMO

OBJECTIVES: Pure-tone audiometry has been a staple of hearing assessments for decades. Many different procedures have been proposed for measuring thresholds with pure tones by systematically manipulating intensity one frequency at a time until a discrete threshold function is determined. The authors have developed a novel nonparametric approach for estimating a continuous threshold audiogram using Bayesian estimation and machine learning classification. The objective of this study was to assess the accuracy and reliability of this new method relative to a commonly used threshold measurement technique. DESIGN: The authors performed air conduction pure-tone audiometry on 21 participants between the ages of 18 and 90 years with varying degrees of hearing ability. Two repetitions of automated machine learning audiogram estimation and one repetition of conventional modified Hughson-Westlake ascending-descending audiogram estimation were acquired by an audiologist. The estimated hearing thresholds of these two techniques were compared at standard audiogram frequencies (i.e., 0.25, 0.5, 1, 2, 4, 8 kHz). RESULTS: The two threshold estimate methods delivered very similar estimates at standard audiogram frequencies. Specifically, the mean absolute difference between estimates was 4.16 ± 3.76 dB HL. The mean absolute difference between repeated measurements of the new machine learning procedure was 4.51 ± 4.45 dB HL. These values compare favorably with those of other threshold audiogram estimation procedures. Furthermore, the machine learning method generated threshold estimates from significantly fewer samples than the modified Hughson-Westlake procedure while returning a continuous threshold estimate as a function of frequency. CONCLUSIONS: The new machine learning audiogram estimation technique produces continuous threshold audiogram estimates accurately, reliably, and efficiently, making it a strong candidate for widespread application in clinical and research audiometry.


Assuntos
Audiometria de Tons Puros/métodos , Perda Auditiva/diagnóstico , Aprendizado de Máquina , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Teorema de Bayes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Adulto Jovem
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