Brain Topography, Volume 15, Number 2, Winter 2002 (© 2002) 69 Intracerebral Sources of Human Auditory Steady-State Responses Anthony T. Herdman*, Otavio Lins+, Patricia Van Roon^, David R. Stapells*, Michael Scherg~, and Terence W. Picton^ Summary: The objective of this study was to localize the intracerebral generators for auditory steady-state responses. The stimulus was a continuous 1000-Hz tone presented to the right or left ear at 70 dB SPL. The tone was sinusoidally amplitude-modulated to a depth of 100% at 12, 39, or 88 Hz. Responses recorded from 47 electrodes on the head were transformed into the frequency domain. Brain electrical source analysis treated the real and imaginary components of the response in the frequency domain as independent samples. The latency of the source activity was estimated from the phase of the source waveform. The main source model contained a midline brainstem generator with two components (one vertical and lateral) and cortical sources in the left and right supratemporal plane, each containing tangential and radial components. At 88 Hz, the largest activity occurred in the brainstem and subsequent cortical activity was minor. At 39 Hz, the initial brainstem component remained and significant activity also occurred in the cortical sources, with the tangential activity being larger than the radial. The 12-Hz responses were small, but suggested combined activation of both brainstem and cortical sources. Estimated latencies decreased for all source waveforms as modulation frequency increased and were shorter for the brainstem compared to cortical sources. These results suggest that the whole auditory nervous system is activated by modulated tones, with the cortex being more sensitive to slower modulation frequencies. Key words: Auditory evoked potentials; Intracereberal generators; Frequency-analysis; Source analysis. Introduction Steady-state responses evoked by regularly repeating auditory stimuli can be recorded from the human scalp. Determining the intracerebral sources of these responses should increase our understanding of the processes underlying normal human hearing and may help to localize the level of a hearing impairment when the responses are abnormal or absent. * School of Audiology and Speech Sciences, University of British Columbia, Vancouver, BC, Canada. + Laboratórios Integrados de Neurofisiologia e Sono, Rua Manoel de Almeida, 172 - CEP 52011-140, Graças Recife-PE, Brasil. ^ Rotman Research Institute, Baycrest Centre for Geriatric Care, University of Toronto, ON, Canada. ~ MEGIS Software GmbH, Wessobrunner Str. 10,D-82166 Gräfelfing, Munich, Germany . Accepted for publication: August 28, 2002. This research was supported by the Canadian Institutes of Health Research. The authors also thank James Knowles and the Baycrest Foundation for additional support. Some of these results were presented at the International Evoked Response Audiometry Study Group meeting in Vancouver, British Columbia, Canada, July 2001. Correspondence and reprint requests should be addressed to Anthony T. Herdman, Rotman Research Institute, Baycrest Centre for Geriatric Care, 3560 Bathurst Street, Toronto, Ontario, M6A 2E1, Canada. Fax: (416) 785-2862 E-mail: aherdman@rotman-baycrest.on.ca Copyright © 2002 Human Sciences Press, Inc. Sources for the electrically recorded auditory steady-state responses (ASSRs) have not been extensively studied. Johnson et al. (1988) performed a 21-channel mapping study and demonstrated clear polarity-inversions of the response to 40-Hz brief tones over the mid-temporal regions in some of their subjects. Mauer and Döring (1999) reported in an abstract that the both brainstem and cortical (temporal lobe) sources are active during the amplitude modulation following response (using modulation frequencies between 24 and 120 Hz). However, the size of the cortical activity decreased with increasing modulation frequency, and the brainstem was the dominant source at modulation rates of greater than 50 Hz. Several magnetoencephalographic (MEG) studies have identified generators for the ASSRs to 40-Hz stimuli within the supratemporal gyrus of the auditory cortex (Hari et al. 1989; Mäkelä and Hari 1987; Pantev et al. 1993; Pantev et al. 1996; Gutschalk et al. 1999). These sources are similarly located to those for the transient middle-latency responses (MLRs)(Pantev et al. 1993; Yvert et al. 2001). MEG studies have difficulty in recognizing sources that are tangential and sources that are deeply located in the brain. Gutschalk et al. (1999) identified two overlapping sources for the ASSRs in the supratemporal plane. The more lateral of these might have represented a source that was partially radial in its orientation. Electric recordings might help to disentangle these components. 70 Animal and human intracranial recordings have led to some controversy regarding the neural substrates of the MLRs. Several human studies have suggested that these are primarily generated within the auditory cortex (Pelizzone et al. 1987; Jacobson et al. 1990; LiégeoisChauvel et al. 1994; Hashimoto et al. 1995; Kuriki et al. 1995). Animal studies indicate that both the primary auditory cortex (Arezzo et al. 1975; Kraus et al. 1982; Knight and Brailowsky 1990) and brainstem (Fischer et al. 1995; Kraus et al. 1988; Littman et al. 1992; Smith and Kraus 1988) are involved in generating the scalp recorded responses. The 40-Hz response might, therefore, represent overlapping fields from both the cortex and the thalamus. Deep-seated sources are difficult to see with MEG but might be recognizable in electric recordings. Galambos et al. (1981) suggested that the 40-Hz response represents the superimposition of individual MLRs. Because the main waves of the MLRs have peak latencies separated by approximately 25 ms between adjacent waves of the same polarity, the overlapping of the responses will enhance the response when the stimulus rate is 40 Hz. This idea has been supported by evidence showing a close correspondence of superimposed transient MLRs and 40-Hz ASSR (Galambos et al. 1981; Hari et al. 1989; Plourde et al. 1991; Stapells et al. 1988; Gutshalk et al. 1999). Another hypothesis proposes that neural units have an intrinsic rhythm of firing that best resonates with a stimulus when it is presented at 40 Hz (Azzena et al. 1995; Basar et al. 1987; Santarelli et al. 1995). There are discrepancies between the recorded steady-state response and waveforms modelled by adding together transient responses, particularly at rates not equal to 40 Hz. It is difficult to be sure whether these effects are related to resonance effects or to refractory effects on different components of the MLRs (see discussion in Gutshalk et al. 1999). There are limited data regarding neural generators for ASSRs to amplitude modulated (AM) tones modulated at rates between 70-110 Hz. Animal recordings have shown units and fields in the brainstem that respond at these rates (Batra et al. 1989; Creutzfeldt et al. 1980; Frisina et al. 1990; Rees and Møller 1983). Kuwada et al. (2002) reviewed their own animal studies and concluded that the surface-recorded amplitude modulation following response is a composite response from multiple brain generators, with the responses to high and low frequencies reflecting strong contributions from subcortical and cortical sources, respectively. Hari et al.. (1989) reported dipole activity within the auditory cortex for MEG responses to clicks presented at 70 Hz. Using dipole source analysis, Mauer and Döring (1999) suggested that both brainstem and cortical generators are responsible for the ASSRs to stimuli modulated at low rates (20-40 Hz), whereas the brainstem is primarily responsible Herdman et al. when stimuli are modulated at higher rates (70-100 Hz). Roß et al. (2000) studied the MEG ASSRs concentrating on modulation frequencies near 40 Hz. However, they also reported a secondary response maximum at stimulus rates near 80 Hz with an apparent latency of 26 ms for these responses. The sources for these responses were found in the superior temporal plane. Schoonhoven et al. (2001) also found similar sources for both 40 Hz and 80 Hz responses. These results indicate the cortex is activated by the rapid modulations. However, because MEG does not easily pick up deep sources, these studies do not rule out concomitant activity in the brainstem. The intent of this study was to identify the neural anatomical substrates for ASSRs to tones amplitude-modulated at frequencies of 12, 39 and 88 Hz. The responses were mainly analyzed in the frequency domain. Brain electric source analysis (BESA) (Scherg 1990; Scherg and Picton 1991) was used to model the location and orientation of the neural generators of these ASSRs. Methods Subjects Ten right-handed subjects (5 females) with an average age of 30 (range 17 to 50) years participated in this study. Data were missing for some conditions for three subjects (see below). Subjects were screened for normal hearing at 1000 Hz at 20 dB HL. All subjects provided informed consent. Recordings EEG data were collected from 46 tin electrodes mounted in an electrode cap and placed on the scalp. The cap electrodes were Fp1, Fp2, AF3, AFz, AF4, F7, F3, Fz, F4, F8, FC5, FC1, FC2, FC6, T7, C3, Cz, C4, T8, CP5, CP1, CP2, CP6, P3, P7, Pz, P4, P8, PO3, PO4, Oz, O1, O2, Cb1, Cb2 and Iz. Three additional electrodes were placed on the left and right mastoids and on the back of the neck at a distance of 10% of the nasion-inion distance below the Iz electrode. Five electrodes were placed on the face to monitor eye movements. These electrodes were placed at the nasion, just inferior to the eye (IO1, IO2) and at the outer canthus of the eye (LO1, LO2). Inter-electrode impedances were maintained below 10 kOhms at 10 Hz. All electrodes were referenced to Cz electrode for the online recording. EEG potentials were collected at a sampling rate of 2000 Hz, amplified 2500 times (0.034 µV/bit resolution, 16 bit resolution), and bandpass filtered (slope 12 dB/octave) between 1 and 200 Hz. Artifacts, such as eye movements or muscle activity, with potentials greater than ±200 µV in any channel, were automatically rejected prior to averaging (between 0 and 9% of the sweeps). For Sources for Auditory Steady-State Responses each stimulus condition, average ASSRs were obtained by averaging 200 EEG epochs of 1023 ms. The average responses were then recalculated relative to an average reference and the Cz waveform added to give a 47-channel recording for source analysis. 71 to the equivalent of two cycles of the stimulus. Because this was not an integer factor of the available 2048 points, we initially spline-fit the full sweep with a set of data containing an integer number of points per two-cycle period. We also splined the 12-Hz responses to obtain a single cycle of the response. Stimuli The stimuli were produced by digitally modulating a sine wave by another sine wave to obtain a 1000-Hz waveform with 100% amplitude modulation. The digital waveform was then converted into analog form with a 12-bit resolution digital-to-analog converter running at a rate of 10 kHz. The stimulus was amplified to a calibration level then attenuated to 70 dB SPL or approximately 60 dB nHL (Herdman and Stapells 2001) and presented to the subject through Eartone 3A insert earphones. Stimulus artefacts were ruled out by control recordings with the transducers removed from the ears and the canals plugged. The stimulus was constructed and presented using a program that continuously recycled a buffer containing 10240 values. The frequency of both carrier and modulation signals were adjusted to give an integer number of cycles in the buffer. This ensured that no acoustic artifacts occurred as the buffer was recycled, and that the frequency analysis could measure responses at exactly the modulation frequency. Three frequencies of modulation were used: 11.72, 39.06 and 87.89 Hz (equivalent to 12, 39 and 90 cycles per sweep). The Fast Fourier Transform (FFT) also required that the number of points in the response waveform was a power of two and that the response was exactly triggered by the onset of the stimulus buffer. These criteria are reviewed more extensively in John and Picton (2000). We synchronized the stimulus computer and the Neuroscan amplifiers using the Neuroscan clock. The Neuroscan provide a sweep of 2048 addresses. Experimental Protocol EEG recordings were obtained in a two-hour session. During this time, subjects relaxed quietly in a comfortable chair, and maintained a wakeful state of alertness by reading novels or magazines. The presentation of the AM tones was randomized for the different modulation frequencies (12, 39, and 88 Hz) and for the two ears. For each frequency of modulation and ear of stimulation, we obtained responses from two separate recording sessions (each containing 200 epochs and lasting about four minutes). Scalp Waveforms In order to look at the actual temporal waveforms of the response, we collapsed the 1.024-second sweep down Frequency Analysis Each averaged sweep was analyzed at each of the 47 electrodes using a Fast Fourier Transform (FFT). The real and imaginary values at the frequency of stimulation were then plotted using vector diagrams (with the real values on the x-axis and the imaginary values on the y-axis) and stored for evaluation in the source analysis programs. Phase Topography The vector data from the FFT can be portrayed over the scalp using a graphical convention similar to that used in meteorology to portray the strength and direction of the wind. However, contour-mapping two-dimensional data over the scalp is not simple. One cannot just map the amplitude since this would miss the fact that some responses have inverted polarity from others (i.e., are 180° out of phase). Separate amplitude- and phase-maps are not easy to understand. The techniques described by Lehmann and Michel (1989, 1990) to project the activity onto a dominant phase axis and then map the projected activity can miss the complexity of the response which can change in topography over each cycle of the response. BESA 2000 allows one to construct a series of "phase maps" at successive phase angles θ by using spherical splines to map the values at each electrode calculated as x ef cos(θ) + y ef sin(θ) where xef and yef are the real and imaginary components at electrode e for frequency f (Scherg et al. 2002). This looks at the changing topography at different times during a cycle of the response, with the time measured in terms of degrees. A change of topography in consecutive maps indicates multiple underlying processes. If there is no shift in topography with phase, a single generator process may be assumed (although this is much more difficult to prove). Brain Electric Source Analysis (BESA) Source analysis was carried out using BESA 3.0. This analysis was carried out using a four-shell head model with relative conductivities (relative to brain) of 1.0, 3.0, 0.0125 and 1.0 for the brain, cerebrospinal fluid, skull and scalp, and radii of 71, 72, 79 and 85 mm (Berg and Scherg 72 1994). The source analysis used two points in the frequency domain (real and imaginary) per electrode to evaluate dipole sources. A brainstem source was fit using the 88-Hz grand-mean data. We were able to fit separate sources for the responses to left- and right-ear stimulation with each source being at the same level, a little to the side of stimulation and oriented to the contralateral side. However, these sources were close together and we could not use them simultaneously if the data for left and right ears were analyzed together. We therefore decided to use one midline source (1) and to allow it to fit its orientation only in the mid-sagittal plane. Once this was fit, we added a second dipole source (2) at the location of the first and oriented it laterally to the right. This would pick up the main differences between the left and right-ear responses. In order to fit the 39-Hz grand-mean data, we added two symmetrical sources (3 and 4) to the two brainstem sources (1 and 2) and fit their location and orientation using all the 39-Hz data. Additional radial dipoles (5 and 6) were added at the location of dipoles 3 and 4, because activity in the auditory cortex has radial as well as tangential components (Scherg and von Cramon 1986; Scherg et al. 1989). Then dipoles 3 and 4 were refit. This resulted in an "overall" model that was based on the grand-mean responses at both 88 and 39 Hz. This model was then used to model both the grand-mean data and each subject’s data at all three rates of stimulation Using the data obtained from individual subjects, two 3-factor repeated-measures analyses of variance (ANOVA) compared the amount of activity and the estimated latencies at each of the six sources across the three different conditions and the two ears (i.e., 6 sources × 3 modulation frequencies × 2 ears) . Three of the ten subjects had data missing for left- and right-ear stimulation of 12 Hz (subject 5 and 6) or 88 Hz (subject 4 and 5). Thus, repeated-measures ANOVAs compared results from seven subjects with complete datasets. For ease of interpreting the ANOVAs, the sources were reclassified to a vertically-oriented brainstem source (S1), laterally-oriented brainstem source (S2), tangentially-oriented ipsilateral cortical sources (S3 for left ear and S4 for right ear), tangentially-oriented contralateral cortical sources (S4 for the left ear and S3 for the right ear), radially-oriented ipsilateral cortical sources (S5 for left ear and S6 for right ear), and radially-oriented contralateral cortical sources (S6 for the left ear and S5 for the right ear). Results of the ANOVAs were considered significant if p<.01. Greenhouse-Geisser epsilon correction factors for degrees of freedom were used when appropriate. Newman-Keuls post hoc comparisons were performed only for significant main effects and interactions. Results of the post hoc tests were considered significant if p<.05. In addition to interpreting each subject’s responses according to the overall model, we also separately fit di- Herdman et al. poles to each subject’s data using a simpler model with a single midline source and two symmetric hemispheric dipoles. The brainstem dipole was fit to the 88-Hz data and the cortical dipoles then added and fit to the 39-Hz data. This allowed us to estimate the inter-subject variability in estimating the source-locations. The signal-to-noise levels of the individual subject’s data did not allow us to fit more than these three dipole sources. Latency of Source Activity Each source "waveform" consisted of two components, in the real and imaginary dimensions of the frequency domain. From these components we could derive a phase, calculated as the cosine onset phase. This value (θ) was adjusted to give a phase delay Φ using the equation 360-θ-90, with the final term compensating for the fact that the stimulus modulation used a sine rather than a cosine function. The latency of the source activity was estimated from the phase delay. Unfortunately, the phase of a steady-state response cannot be directly converted into latency because it is impossible to know how many cycles intervened between the stimulus and the recorded cycle of the response. We calculated the latency in seconds as Φ/(360f)+N/f where Φ is the phase delay in degrees, N is the number of preceding modulation cycles, and f is the modulation frequency in Hz. For the 12-Hz and 39-Hz data, we arbitrarily set N to 0 and 1 for brainstem and cortical sources, respectively. For the 88-Hz data, N was set to 1 and 2 for brainstem and cortical sources, respectively. This provided reasonable latencies that fit with the approximate travel-time delays between the cochlea and brainstem, and between the brainstem and cortex. An additional cycle was added to some of the data to make the relations between the cortical sources more consistent. Results Scalp Recorded Responses Figure 1 shows how the scalp-recorded responses were analysed using of the grand-mean response to left-ear stimulation at 39 Hz as an example. Figure 1A shows the average time-domain response to 2-cycles of stimulation. As can be seen the response inverted in polarity between the fronto-central regions of the scalp and the posterior neck. The inversion occurred over a curved line running through the mid-temporal and mid-parietal regions. Figure 1B shows the polar plots of the responses derived from the FFTs of the full 1.024 second sweep rather than the 2-cycle sweep. The phase is the cosine onset phase, measured in a counter-clockwise direction from the right-sided horizontal axis. The cosine onset phase of the response was approximately 250° at the ver- Sources for Auditory Steady-State Responses 73 Figure 1. (A) Time-domain waveforms for grand-mean auditory steady-state responses recorded in response to a 1000-Hz tone amplitude-modulated at 39 Hz and presented at 70 dB SPL to the left ear. Waveforms representing the responses to 2-cycles of the stimulus were recorded from 47 scalp electrodes. These are plotted at the equivalent electrode position when looking at the scalp from above with the nose at the top of the figure. The ellipse represents the "equator" of the head running through electrodes T7, T8 and Oz. Electrodes below the equator are plotted beyond the ellipse. (B) Scalp distribution of polar plots representing the amplitude and phase of the grand-mean auditory steady-state responses shown in (A). These frequency-based measurements were based on 1.024 seconds rather than the 2-cycle period shown in (A). The magnitude of the vector in a polar plot represents the amplitude of the response and the angle between the vector and the horizontal axis measured counter-clockwise represents the cosine onset phase. 74 tex electrode and 60° at the neck electrode. These phases can also be estimated from the time-waveforms in figure 1A. For example, at the vertex the time-waveform approximates a sine wave beginning with a phase of about -20°. This would be equivalent to a cosine wave beginning at -110° (or +250°). The phases on the polar plots also agree with the approximate inversion in polarity (a phase shift of 180°) seen between vertex and neck. Here the vectors are aligned along a similar directional axis for the vertex (center of the ellipse) and the neck (most inferior plot), but go in opposite directions along this axes (down and to the left for the vertex and up and to the right for the neck). The response recorded at the mid-temporal electrodes (on the right and left most extrema of the ellipse) showed a different phase from responses recorded at posterior neck electrodes. This is most clearly seen in the polar representation in figure 1B where the vector points up and to the left for the mid-temporal locations (larger on the right) and up and to the right for the neck. The response to the right ear stimulation was very similar to that recorded to left ear stimulation. The overall amplitudes and phases of the responses at the different electrode locations were similar for the different ears of stimulation, except that the responses over the mastoid and neck ipsilateral to stimulation were larger than over the contralateral region. The responses to the 88-Hz stimuli were smaller than those recorded at 39 Hz and more variable from subject to subject. Figure 2A shows the grand-mean temporal waveform for the 88-Hz response to left-ear stimulation. As well as being smaller than the response at 39 Hz, the responses showed a greater asymmetry in the mastoid regions, again being larger ipsilateral to stimulation. The time-domain waveforms for the 12-Hz stimuli were clearly not sinusoidal at the frequency of stimulation. A single cycle of the grand-mean response to left-ear stimulation is shown in figure 2B. The vertex response showed a prominent positive wave peaking at 21 ms after the onset of the sweep (which occurs at 0° on the sinusoidal modulation waveform - the half-amplitude point). The frequency spectrum of the response at the vertex contained as much activity at the second and third harmonics as at the modulation frequency. Interestingly, the amplitude-spectrum varied across the scalp and at the mid-temporal electrode the dominant activity was at the modulation frequency. Figure 3 compares the spectra for the responses at the three different modulation frequencies. Phase Topography The topography of the 39 Hz response changed significantly when examined at different locations during the cycle (figure 4). The topography with the largest global field power occurred at phases near 120° and 300°. Herdman et al. This topography had maxima/minima at the mid-frontal region of the scalp and the posterior neck electrodes. A strikingly different topography with maxima/minima at the lateral temporal electrodes and anterior frontal electrodes is seen at 30° and 210°. This was larger over the right hemisphere than the left. The response to right ear stimulation showed a similar pattern (with the laterally-oriented topography again larger over the right than over the left). Phase topography of the 88 Hz responses showed a consistent pattern over the cycle with maxima/minima at the mid-frontal and neck locations. Evaluation of the phase topography of the 12 Hz responses was difficult because of the low signal levels at the stimulus frequency. The results for these responses at the second harmonic of 24 Hz showed lateral patterns but these were again small and difficult to evaluate. Source Analyses Figure 5 represents the model used to analyse the scalp-recorded data in the frequency domain. For each frequency of stimulation, the analysis is shown for left-ear stimulation. The analysis for the mean data is shown by the thick line with a closed circle, and the analysis for the individual subjects by the thin lines. For the 39- and 88-Hz responses, data from the individual subjects showed similar phases to the mean responses. For the 12-Hz responses, the phases were quite variable between subjects (figure 5). Table I shows the residual variance for fitting the scalp-recorded grand-mean and individual responses using the overall model. When dipoles were fit to the individual subjects’ data, the locations were quite variable because certain subjects show unusual waveforms at some electrode locations, particularly the neck, mastoid and facial electrodes. Examining the scalp-recorded waveforms shows that this was related to increased noise or unusually large responses at specific electrodes that the analysis was attempting to fit. Nevertheless, the mean locations of the three sources used in this analysis were similar to those obtained by fitting the grand-mean data (table II). Table III presents the amplitudes and estimated latencies of the source waveform from the grand-mean data. For 12-Hz modulation, the sources showed low level activity and there was little difference in amplitudes between source waveforms. Conversely, at a modulation frequency of 39 Hz the vertically-oriented brainstem source (source 1) and the two tangential cortical sources (sources 3 and 4) were larger in amplitude than the other sources. For the 88-Hz modulation, the vertically-oriented brainstem source was larger than all other sources. Latencies increased with decreasing modulation frequency, and were shorter for the brainstem sources than for the cortical sources. Sources for Auditory Steady-State Responses 75 Figure 2. (A) Time-domain waveforms for grand-mean auditory steady-state responses in response to 2-cycles of a 1000-Hz tone amplitude-modulated at 88 Hz and presented at 70 dB SPL to the left ear. (B) Time-domain waveforms for grand-mean auditory steady-state responses to 1-cycle of a 1000-Hz tone amplitude-modulated at 12 Hz and presented at 70 dB SPL to the left ear. 76 Herdman et al. Figure 3. Amplitude spectra at electrodes Cz (vertex) and T8 (right mid-temporal) for responses to tones amplitude-modulated modulated at 12, 39, and 88 Hz. Arrows designate responses and their harmonics. Table IV compares the amplitudes for the different sources at different modulation frequencies (12, 39, and 88 Hz) and for the left- and right-ear stimulation. Post hoc tests of the main effect of sources revealed that tangentially-oriented cortical sources were significantly larger, averaged across modulation frequency and ear stimulation, than radially-oriented cortical sources (F = 19.8; df = 5, 30; p<.0001). Furthermore, post hoc tests of the interaction between sources and modulation frequency showed that tangentially-oriented cortical sources were significantly larger at 39 Hz than at 88 or 12 Hz (F = 4.98; df = 10, 60; p<.0001). This was also true for the vertically-oriented brainstem sources, which were larger for 39 Hz than the other modulation frequencies. Mean amplitudes for leftand right-ear stimulation, averaged across modulation frequency and sources, were not considerably different from one another (means = 1.69 and 1.45, respectively). There was no evidence that the contralateral cortical responses were larger than the ipsilateral. Table V presents the mean estimated latencies of the source waveforms from the individual data. As modulation frequency decreased from 88 Hz to 12 Hz, latencies became significantly prolonged (F=478.4; df=2,12; p<.0001). Latencies for the brainstem sources were statistically shorter than for the cortical sources, as revealed by post hoc tests of the main effect of sources (F=76.4, df=5,30; p<.0001). Interactions between modulation frequencies and sources, revealed no significant differences between ipsilateral and contralateral cortices, for any of the modulation frequencies. Furthermore, there were no differences between latencies for tangential and radial components. However, post hoc tests of the interaction between sources and modulation frequency revealed that tangentially-oriented cortical (ipsi and contra lateral Sources for Auditory Steady-State Responses 77 Figure 4. Phase topography of the response to left-ear stimulation with a tone modulated at 39 Hz (shown in figure 1 in the time domain and in the polar plots). Negative voltages are represented by dashed lines and positive voltages by solid lines. The topographies are plotted at different locations (every 30°) during a single cycle of the response. The topography changes with the phase showing a vertically-oriented dipolar pattern with maxima/minima in the mid-frontal and posterior neck (at 120 and 300°) and a pattern with maxima/minima in the mid-temporal regions (30 and 210°). combined) activity was significantly prolonged for 39 Hz than for 88 Hz (F=24.8; df=10,60; p<.0001). Figure 6 shows the source waveforms when the model was used to examine the 2-cycle time waveforms for 88 and 39 Hz responses. The time-domain data were the same as those shown (for the left ear) in figures 1 and 2, and the source model was the same as used for the analyses in figure 5. The source waveforms for the 88-Hz response showed the dominant activity in source 1 with source 2 showing smaller activity that inverted between the ears of stimulation. Effectively, each ear activates a response that is oriented between the ipsilateral ear and the fronto-central regions. Source 2 was designed to pick up this asymmetry, since it was not possible to model simultaneously two sources in the left and right brainstem. There was some low-level activity at sources 3 and 4 in response to the 88-Hz stimulus. This activity occurred about 120° before (or more likely 240° after) the brainstem response. The 240° after translates to the 7-8 ms differences between the brainstem vertical source and the tangential cortex sources in table III. The source waveforms for the 39 Hz responses (right side of figure 6) show dominant activity at sources 1, 3 and 4. The cosine onset phase of the waveform at source 1 is 78 Herdman et al. Figure 5. Polar plots for source activity underlying the responses to the 12-, 39-, and 88-Hz AM tones. The magnitude of a vector in a polar plot represents the amplitude of the source activity and the angle between the vector and horizontal axis when measured counter-clockwise, represents the onset phase. Mean vector results are designated by thick lines with a filled circle, while vectors for each subject are designated by thin lines. The diagram of the head at the bottom of the figure shows the location and orientation of the dipole sources. about -140° and at sources 3 and 4 is about -90°. These phases were related in a similar way to the phases of the surface-recorded responses at the vertex (-125°) and the Fz (-110°) electrodes, respectively, in figure 1. Both sources contributed to the waveforms at both electrodes, with source 1 contributing more to the vertex waveform and sources 3 and 4 contributing more to the Fz waveform. The difference in phase (310°) translates to the 22-27 ms la- tency difference between the brainstem and the tangential cortical sources in table III. Sources 5 and 6 were active but the phase of this activity varied with the ear and the source. The phase topography shown in figure 4 can be followed in terms of the source waveforms for the left ear (dashed line) in the right column of figure 6. At 30° into the response (first hash mark onthe horizontal axis for the 39 Hz response in figure 6), the activity for source 1 was close Sources for Auditory Steady-State Responses 79 Table I. Model Fitting. Residual variances (%) for source models fitting grand-mean data and mean residual variances and standard deviations for fitting source models to individual data. Numbers of subjects are given within parentheses. Ear Left Right Modulation Frequency Grand Mean From Individual Subjects 12 Hz 12.2 22.8 ± 16.4 (8) 39 Hz 3.3 12.2 ± 7.4 (10) 88 Hz 9.6 30.6 ± 14.0 (8) 12 Hz 11.3 21.0 ± 8.0 (8) 39 Hz 3.0 11.8 ± 9.2 (10) 88 Hz 6.8 32.8 ± 18.1 (8) to zero, there was some positive activity from sources 3 and 4 which would explain the frontal positivity and there was maximum negative activity from source 6 which would explain the temporal negativity. Source 6 was able to show up on the phase topography since it was active when other sources (such as source 1) were inactive. Discussion tently active at all rates of stimulation whereas the cortical sources are more active at slower rates (particularly at 39 Hz). This general idea is consistent with animal recordings showing that the cortex does not respond as well as the brainstem auditory nuclei at rapid rates (Creutzfeldt et al. 1980; Rees and Møller 1983; Fastl et al. 1986; Batra et al. 1989; Frisina et al. 1990; Kiren et al. 1994). 12 Hz Sources The model that we used to fit the scalp-recorded data contains brainstem sources and bilateral cortical sources localized near the supratemporal plane. This model suggests that both the brainstem and the auditory cortex are active during the processing of sinusoidally AM tones. For our responses, the brainstem is consis- The responses to the 12-Hz stimulus did not show much energy at the frequency of modulation. Picton et al. (1987) found that the responses at these modulation frequencies are often difficult to distinguish from the background EEG noise. The spectrum of the response showed significant activity at higher harmonics. This is the pattern that one gets from a repeating transient response. This response, recorded in the time domain (fig- Table II. Source Locations. Location-coordinates are in mm relative to the center of the sphere used to analyze sources for the overall model and sources fitted from individual subjects. The x dimension is from left (-) to right (+), the y-dimension from back (-) to front (+), and the z dimension form below (-) to above (+). The left cortical source is located symmetrically to the right (i.e. has a negative x coordinate). Source Brainstem Cortical (right) Coordinate Overall Model From Individual Subjects x 0 0 y 1 -1 ± 15 z -4 -8 ± 11 x 54 43 ± 20 y 6 -1 ± 16 z 15 3 ± 10 80 Herdman et al. Table III. Source Activity. Amplitudes (nAmp) and estimated latencies (ms; in parentheses) for source waveforms fit using the grand-mean data. Source results are compared between ear stimulation (left and right) and modulation frequency (fm: 12, 39, and 88 Hz). Ear fm Brainstem Vertical Brainstem Lateral Ipsilateral Cortex Tangential Contralateral Cortex Tangential Ipsilateral Cortex Radial Contralateral Cortex Radial 12 Hz 1.16 (21) 2.03 (58) 1.30 (154) 2.36 (166) 0.96 (165) 1.37 (168) 39 Hz 3.39 (29) 0.95 (26) 1.75 (48) 2.58 (50) 0.71 (52) 0.83 (59) 88 Hz 1.40 (18) 0.64 (17) 0.45 (26) 0.40 (26) 0.24 (27) 0.35 (35) 12 Hz 0.88 (63) 0.78 (90) 0.93 (186) 0.98 (181) 0.67 (176) 0.36 (171) Right 39 Hz 3.98 (27) 0.29 (18) 2.33 (49) 1.65 (48) 0.87 (57) 0.64 (53) 88 Hz 1.75 (18) 0.49 (24) 0.52 (26) 0.27 (25) 0.17 (33) 0.50 (25) Left ure 2), is likely triggered by the beginning of the rise in the tonal amplitude in each cycle of the modulation. Since we used a sinusoidal modulation envelope, the onset of the rise in amplitude would occur one-quarter cycle before the onset of the recording sweep. This would give the vertex positive wave a peak latency of 42 ms from the onset of the rise in amplitude (the measured peak latency of 21 ms plus one quarter of the 85.3 ms cycle duration). The wave is, therefore, likely homologous to the Pa wave of the transient response, which occurs with a peak-latency of about 30-35 ms (Picton et al. 1974). One would estimate the latency to be delayed by the longer rise time of the modulated stimulus (Brinkmann and Scherg 1979). We had expected to see radial and tangential components of the response related to the compo- nents underlying the P1, N1, and P2 waves of the transient response (Wood and Wolpaw 1982; Scherg et al. 1989). However, the responses were too small to provide reliable radial source components. 39 Hz Our scalp-recorded data for the 39-Hz response are similar to those reported by Johnson et al. (1988). On the basis of the polarity inversion over the mid-temporal regions, they suggest that the response is partially generated in the auditory cortices on the upper surface of the temporal lobe. They also suggest that thalamic activity and thalamo-cortical circuits might be involved in the response. Our analyses suggest that both the cortex and Table IV. Source Asymmetries. Mean and standard deviations for amplitudes (nAmp) of the six sources included in the ANOVA comparing across ear stimulation (left and right) and modulation frequency (fm: 12, 39, 88 Hz). Data are averaged over seven subjects. Ear Left fm Brainstem Vertical Brainstem Lateral Ipsilateral Cortex Tangential Contralateral Cortex Ipsilateral Cortex Tangential Radial Contralateral Cortex Radial 12 Hz 3.56 ± 2.38 2.03 ± 0.84 1.30 ± 0.93 2.36 ± 1.69 0.96 ± 0.83 1.37 ± 0.73 39 Hz 4.95 ± 1.71 1.27 ± 1.26 2.32 ± 1.28 3.36 ± 1.42 0.99 ± 0.54 1.40 ± 0.92 88 Hz 1.77 ± 0.62 0.82 ± 0.38 0.58 ± 0.40 0.63 ± 0.37 0.31 ± 0.22 0.42 ± 0.24 12 Hz 1.98 ± 1.66 0.95 ± 0.82 1.41 ± 0.94 1.50 ± 1.03 0.46 ± 0.22 0.89 ± 0.66 Right 39 Hz 5.22 ± 2.75 0.96 ± 0.41 3.02 ± 1.27 2.49 ± 0.90 1.21 ± 0.79 0.94 ± 0.47 88 Hz 2.14 ± 0.91 0.71 ± 0.36 0.74 ± 0.24 0.57 ± 0.26 0.38 ± 0.20 0.50 ± 0.41 Sources for Auditory Steady-State Responses 81 Table V. Latencies. Mean and standard deviations for estimated latencies (ms) for the six sources included in the ANOVA comparing across ear stimulation (left and right) and modulation frequency (fm:12, 39, 88 Hz). Latencies are averages for seven subjects. Ear Left fm Brainstem Vertical Brainstem Lateral Ipsilateral Cortex Tangential Contralateral Cortex Ipsilateral Cortex Tangential Radial Contralateral Cortex Radial 12 Hz 67 ± 28 57 ± 11 155 ± 24 146 ± 25 138 ± 30 146 ± 32 39 Hz 22 ± 10 23 ± 7 47 ± 3 49 ± 3 51 ± 3 39 ± 8 88 Hz 19 ± 2 17 ± 1 29 ± 5 31 ± 5 28 ± 4 32 ± 4 12 Hz 63 ± 26 68 ± 25 150 ± 32 160 ± 29 158 ± 27 149 ± 28 Right 39 Hz 25 ± 9 19 ± 6 47 ± 4 48 ± 3 47 ± 8 40 ± 10 88 Hz 19 ± 1 21 ± 4 31 ± 4 28 ± 4 25 ± 0 33 ± 3 brainstem are simultaneously active and that the scalp-recorded fields result from overlapping fields from multiple generators. This is similar to the interpretation of Mauer and Döring (1999). The brainstem responses at 39 Hz are activated at shorter latencies, but the latency difference between the activation at brainstem and the tangential cortical dipoles (table III - 22-27 ms) is roughly equivalent to one cycle of the stimulus and thus, the responses add together in the overlap. The laterally-oriented sources 5 and 6 are active in response to the 39 Hz response. These show up clearly in the analysis of phase topography (figure 4). When the other sources are less active during the stimulus cycle, the effects of the laterally-oriented sources becomes evident (e.g. at 30 and 120°). In the evaluation of transient MLRs, there are radial sources that are activated a few milliseconds after the tangential sources (Scherg and von Crammon 1986) differences were not apparent in our data, perhaps because of higher noise levels in the recordings. Spydell et al. (1985) reported that the auditory 40-Hz response is reduced in patients with brainstem or thalamic lesions, but not in patients with unilateral lesions of the temporal lobe. The 40-Hz response is usually absent in comatose patients and in patients with brain death, in keeping with a crucial role for the upper brainstem in generating this response (Firsching et al. 1987). The absence of effects of unilateral temporal lobe lesions may be related to the remaining temporal lobe generating a response that can be recorded from the vertex. 88 Hz Our data suggest that the 88-Hz ASSRs are mainly generated in the auditory pathways of the brainstem. There is limited data regarding generators for the 80-Hz ASSR. Inferences from intercellular recordings within the cochlear nucleus and inferior colliculus to sinusoidally AM tones predominantly suggest subcortical origins (Batra et al. 1989; Creutzfeldt et al. 1980; Frisina et al. 1990; Rees and Møller 1983). Neurons within the cochlear nucleus respond best to modulation rates above 80 Hz (Frisina et al. 1990; Møller 1976); while those in the inferior colliculus respond best to rates between 20 to 40 Hz (Batra et al. 1989). This implies that possible generation of the 40- and 80-Hz ASSR arise from the inferior colliculus and cochlear nucleus, respectively. Kiren and associates (1994) ruled out the cortex as a possible generator of the 80-Hz auditory steady-state response by bilaterally aspirating the auditory cortices in cats. They revealed no change in 80-Hz response phase, thus providing evidence for non-cortical generators. Within this same study, they demonstrated significant phase changes in ASSRs for both ipsilateral and contralateral lesions to the inferior colliculus. The inferior colliculus may play an important role in the generation of 80-Hz responses. Species differences may make it difficult to translate these findings to humans. However, our results do confirm that, in humans, the brainstem is the primary source of the scalp-recorded responses to AM tones modulated at fast rates (i.e., 88 Hz). Latency Estimations Estimating the latency of steady-state responses can be problematic (John and Picton 2000). One does not know how many cycles have intervened between the stimulus and the response that one is recording. This was a particular problem for the individual data (table V) which were more variable than the mean data, particularly for the small radial sources 5 and 6. Furthermore, one does not know whether the modulation waveform evokes a similar response waveform or one inverted in polarity and, therefore, a 180° difference in phase. Our calculations arbitrarily assumed intervening cycles and similar response and stimulus waveforms (i.e., that the 82 Herdman et al. Figure 6. Time domain waveforms for the source activity underlying the responses at 88 and 39 Hz. The responses to left-ear stimulation are shown with dotted lines and the responses to right-ear stimulation with continuous lines. The time axis is equivalent to 2 cycles of the stimulus. In order to facilitate comparison to figure 4, the time scale is divided into 30° sections (12 per cycle). The main activity underlying the 88-Hz response is at source 1 with a time waveform similar to that recorded from the vertex or mid-frontal regions (see figure 2). The activity underlying the 39-Hz response occurs at sources 1, 3 and 4. The waveforms at these source locations differ in onset phase by about 80°. The response waveform recorded at the vertex (see figure 1) has a phase close to that of the source 1 activity and the response recorded from the mid-frontal regions is more like the waveforms of sources 3 and 4. Low-level activity also occurs at sources 5 and 6 with an onset-phase similar to the surface waveform recorded at the mid-temporal electrodes (figure 1). peak of the modulation envelope evoked a positive wave at the vertex). Calculating apparent latencies can obviate some of these problems (Regan 1989). In order to make such calculations one needs to record responses at different modulation frequencies within each frequency region, and this was not done in the present study. Although we cannot conclusively determine the latency for our source waveforms, our estimated latencies agree with the apparent latencies previously reported for ASSRs (Rickards and Clark 1984; Stapells et al. 1984; Linden et al. 1985; Kuwada et al. 1986; Picton et al. 1987; Stapells et al. 1987; Cohen et al. 1991). A limited number of investigations of ASSR to AM tones modulated at low rates (i.e., <25 Hz) have reported apparent latencies between 75 and 153 ms (Rickards and Clark 1984; Stapells et al. 1987). Our estimated latency results for cortical Sources for Auditory Steady-State Responses sources are similar. However, there is considerable variability in onset phase between subjects (see figure 5), and the results should be interpreted with caution. Our data (table III) show latencies around 140 ms which is likely related to the latency of the P1-P2 waves of the transient response. At rapid stimulus rates (e.g., figure 1 of Alain et al. 1994; figure 5 of Roß et al. 2002) the N1 wave of the response decreases in amplitude and the P1 and P2 waves meld into one wave, or the P1 increases in latency to between the normal P1 and P2 response. Our estimated latency of 48 ms for ASSR cortical source waveforms to the 1000-Hz AM tones modulated at 39 Hz are later than the apparent latencies (25 to 41 ms) previously reported (34 ms from Stapells et al. 1984; 32 ms from Kuwada et al. 1986; 36 ms from Linden et al. 1985; 38 ms from Picton et al. 1987; 41 ms from Stapells et al. 1987; 25 ms from Cohen et al. 1991). Our latencies may be prolonged due to different stimulus and recording parameters, such as the alertness of the participants or the intensity of the stimuli. As pointed out by Rickards and Clark (1984), latencies for 40-Hz modulation rates are similar to those of the transient MLRs (Picton et al. 1974). Magnetically recorded 40-Hz ASSRs have been shown to have comparable latencies to those for their transient middle-latency counterparts (Hari et al. 1989; Roß et al. 2000). Our estimated latencies and source locations are in agreement to those reported for these magnetically recorded ASSRs. Such similarities may further indicate that ASSRs have cortical generators comparable to those for transient MLRs (Scherg and von Cramon 1986; Gutschalk et al. 1999). We estimated a one-cycle difference between the brainstem and cortical sources, although the latency differences could have been longer or shorter than the estimated 25 ms. However, for the 39-Hz modulation rate, the approximate latency difference of 25 ms between brainstem and cortical sources (see table V) suggests some type of 40-Hz oscillatory behavior between these generators (Ribary et al. 1991). The latencies for the brainstem sources are more delayed at 12- and 39-Hz as compared to 88-Hz. This may be a result of the slower modulation envelopes of the 12and 39-Hz AM tones as compared to the 88-Hz. For ASSRs evoked by AM tones modulated at 88 Hz, the small amplitude cortical sources had shorter latencies than for the 39-Hz modulation rate. Nevertheless, they are still near the latencies for the transient middle latency response. From the present study, the large amplitude brainstem source activity for the 88-Hz modulation rate has an estimated latency of 19 ms that is comparable to the 19 ms and 13 ms apparent latencies reported by John and Picton (2000) and by Cohen et al. (1991), respectively. The shorter latencies from Cohen et al. (1991) may be the result of basing the latency estimates on a range of modu- 83 lation frequencies that extended higher than the range used by John and Picton (2000). Some Caveats Source modeling for these responses are limited by the amount of data available for each response: two values (real and imaginary) at each electrode location. This approach increases the signal-to-noise ratio of the recordings, because only data that is exactly time locked to the stimulus would be evaluated in the frequency bin of the FFT that equals the modulation frequency. However, it does limit the amount of data that is submitted to the source analysis. The analysis is, therefore, performed using many constraints: fixing the brainstem sources to the midline and making the cortical sources symmetric. The modeling is more confirmatory than analytic. We show that the data could be reasonably interpreted using the combination of brainstem and cortical dipoles, but these dipoles are derived as much from our hypotheses as from our data. The scalp-recorded waveforms of the 39-Hz responses are about five times larger than the 88-Hz responses. Although the noise levels near 88 Hz are less than those near 39 Hz, this difference is not sufficient to counteract the differences in response amplitudes and the signal-to-noise ratio was lower for the 88-Hz responses. Because responses recorded with slower rates are larger in wakefulness than in sleep (Linden et al. 1985; Dobie and Wilson 1998), we decided to have our subjects awake for all recordings. However, one generally records the 80-100 Hz ASSRs from sleeping subjects because this reduces the background noise at these frequencies (mainly from muscle activity) without significantly affecting the response (Cohen et al. 1991). In retrospect, it might have been better to record the 88-Hz response in sleeping subjects and the 39-Hz responses in waking subjects. Repeating sound patterns can evoke reflexes in the scalp muscles and these can affect the recordings in unpredictable ways. These reflexes are usually evoked by high intensity sounds and are usually bilateral. However, they may be asymmetric and variable in location from one subject to another (Picton et al. 1974; Gibson 1979). These may have contributed to our scalp recorded responses. Recent work has shown that the postauricular muscle reflex may be quite asymmetrical if the eyes look in one direction (Patuzzi and Thomson 2000). Looking toward the stimulated ear might have increased the size of the postauricular muscle response on the mastoid near the stimulated ear. This may, in some subjects, have accentuated the asymmetry for the 88 Hz response, since the muscle reflex has a negative wave peaking at about 12 ms after the stimulus. This negativity could add with the inverse of the vertex recorded positive wave. 84 Clinical Significance Because ASSRs are becoming an alternate means of objectively evaluating hearing thresholds in hard-to-test patients, there is a need for clinicians to understand the level of the auditory system being evaluated. Testing patients using ASSRs to AM tones modulated between 70-110 Hz would suggest normal auditory function (i.e., hearing sensitivity) up to the level of the brainstem. Dysfunction further along the auditory pathway may not be resolved unless slower rates (i.e., 40-Hz) are used. Slowing the rate of modulation may only be useful in adults or young children because 40-Hz responses are not reliably recorded in infants (Aoyagi et al. 1993; Maurizi et al. 1990; Stapells et al. 1988; Suzuki and Kobayashi 1984). To date, there are limited data to suggest what the effects of auditory dysfunctions, such as auditory neuropathy or central auditory lesions, would have on ASSRs. 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