CN1794947A - Computer-assisted diagnostic hearing test - Google Patents

Computer-assisted diagnostic hearing test Download PDF

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Publication number
CN1794947A
CN1794947A CN 200480013168 CN200480013168A CN1794947A CN 1794947 A CN1794947 A CN 1794947A CN 200480013168 CN200480013168 CN 200480013168 CN 200480013168 A CN200480013168 A CN 200480013168A CN 1794947 A CN1794947 A CN 1794947A
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test
hearing test
user
patient
word
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CN 200480013168
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Chinese (zh)
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克里斯多佛·L·瓦思顿
肯尼思·R·斯托特
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Tympany Inc
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Tympany Inc
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Priority claimed from US10/439,958 external-priority patent/US7695441B2/en
Application filed by Tympany Inc filed Critical Tympany Inc
Publication of CN1794947A publication Critical patent/CN1794947A/en
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Abstract

A method and a system are disclosed for a computer-assisted diagnostic hearing test. The computer-assisted diagnostic hearing test includes an ambient noise monitoring module configured to monitor an ambient noise in a surrounding environment, a patient information module configured to receive patient information and hearing related tests selections, and a pure tone threshold module configured to facilitate manual testing of a pure tone threshold test. The computer-assisted diagnostic hearing test further includes a speech reception threshold module configured to facilitate manual testing of a speech reception threshold test, and a speech discrimination module configured to facilitate manual testing of a speech discrimination test.

Description

Computer-assisted diagnostic hearing test
Technical field
Relate generally to audiology of the present invention field particularly, relates to the computer assistant methods and the system that are used to test and assess and analyze anaudia.
Background technology
According to research in recent years, only just have to surpass 20,000,000 people to a certain degree anaudia is arranged in the U.S..Estimate to have in the worldwide people's the quantity of anaudia to a certain degree also much bigger.Not surprisingly, these people do not recognize that much they have suffered the decline of hearing ability.The decline of this hearing ability may be caused by a plurality of factors, comprises age, health, occupation, injured and disease.This anaudia may cause quality of life significantly to descend, inter personal contact is impaired, employment reduces and reducing of the productivity.Fail to treat anaudia and will worsen these influences.Better Hearing institute is represented, in the U.S., because the annual expense of cap loss, specific education and health care aspect that untreated anaudia causes is about 56,000,000,000 dollars.Much can reduce or prevent in this astonishing expense by early stage detection and treatment.Unfortunately, owing to lack simple, convenient and relatively cheap hearing test, few people are with the part of regular and frequent hearing test as their conventional health care.
Traditionally, in clinical setting, carry out hearing test by the hearing health (as audiologist) of labor management hearing test.Hearing health control audibility meter is to produce a series of tone, and each tone has frequency and the intensity of determining very much." intensity " speech is used to refer to the amplitude of tone in this article, and is unit with decibel (dB) often.By transducer (such as earphone or earplug) tone is directed at patient in quiet room or the soundproof room then.For each tone that can hear, the patient makes gesture or represents that with other modes he has heard this tone.If do not hear tone, then the patient does not respond.Thereafter hearing health becomes and can be heard by the patient up to it with the intensity level of predetermined up regulation tone.By several different tones being repeated this process and the result is edited, hearing health can be determined the degree of anaudia, if any.
Allow the advantage of hearing health labor management hearing test be to use his a large amount of training and experience in the test period hearing health.For example, by with the simple talk of patient and change the size of tone, hearing health can determine to start the initial strength level of tone and voice.And hearing health can be regulated the speed of test as required to adapt to tired or disoperative patient.The more important thing is that hearing health can be distinguished false response or conjecture and real response.At last, hearing health can be adjusted the result of hearing test as required to reflect environment or the problem that the state of an illness is alleviated, such as limitation and other similar factors of excessive environment noise, equipment.
Yet traditional audibility meter and other hearing test equipment may clumsyly use with being difficult to.For example, traditional audiometers needs the artificial turning knob of hearing health usually and regulates dial.Usually must read detecting information from divider (needle gauge) reader such as frequency and intensity level.And hearing health must manually be carried out a lot of aspects of hearing test, comprises marking and drawing threshold of audibility and level is sheltered in setting.Not only poor efficiency is time-consuming for all these, and has the look and feel of " with low content of technology ", may cause the suspection of patient to test accuracy.
What therefore, need is can be by hearing health hearing test management, that do not have traditional hearing test shortcoming.What need particularly, is the user-friendly hearing test that can be managed under the help of computer by hearing health.
Summary of the invention
The present invention relates to a kind of computer-assisted diagnostic hearing test.This computer-assisted diagnostic hearing test comprises the environment noise monitoring module, is configured to the environment noise in the surrounding being monitored; Patient information module is configured to receive patient information and hearing related and selects; And pure tone threshold module, the manual testing who is configured to help to carry out the pure tone audiometry test.Computer-assisted diagnostic hearing test also comprises voice receive threshold module, is configured to help to carry out the manual testing of voice receive threshold test; And speech discrimination module, the manual testing who is configured to help to carry out the phonological detection test.
Generally, on the one hand, the present invention relates to a kind of computer-aid method that presents diagnostic hearing test.This method may further comprise the steps: show the graphical set for the control of this diagnostic hearing test, these controls are controlled the various aspects of this diagnostic hearing test, and make the user can use the graphical set of this control to specify the one or more aspects of diagnostic hearing test.This method is further comprising the steps of: according to the specified figure control of user the hearing test signal is presented to transducer, and control the indication of being carried out according to the user by figure, store patient is to the response of this hearing test signal.Can generate result's report of diagnostic hearing test then for the user.
Generally, on the other hand, the present invention relates to a kind of computer based system that is used to carry out diagnostic hearing test.This system comprises: display screen; CPU is configured to control display screen; Transducer is used for receiving the hearing test signal from CPU; And the memory element that links to each other with central processing unit.This cell stores computer-readable instruction, these instructions will be presented on the display screen CPU for the graphical set of the control of diagnostic hearing test, and these controls are controlled the various aspects of diagnostic hearing test.One or more aspect that this computer-readable instruction also makes CPU allow the user can use figure control to organize to specify diagnostic hearing test and can the hearing test signal be presented to transducer according to the specified figure control of user.According to user's indication, the patient is stored in the memory element the response of hearing test signal then, and generates result's report of diagnostic hearing test for the user.
Generally, aspect another, the present invention relates to a kind of multimedia graphic user interface that is used for diagnostic hearing test.This user interface comprises: the environment noise monitoring module, be used for the ambient noise level of pictorial display diagnostic hearing test, and comprise the intensity level of one or more frequency content of environment noise.This user interface also comprises patient information module, is used to make the user can import patient information and can selects the patient is carried out which kind of hearing test and which ear of test.Also comprise the pure tone module, be used to make the user can manually carry out pure tone audiometry test, comprise that selection will present to the intensity level and the frequency of patient's pure tone signal.The voice receiver module makes the user can manually carry out the test of voice receive threshold, comprises the response of record patient to the test of voice receive threshold; And speech discrimination module makes the user can manually carry out the phonological detection test, comprises the response of record patient to the phonological detection test.
Description of drawings
Consulting following specifying in conjunction with the drawings can understand the present invention better, wherein:
Fig. 1 illustrates the example system that is used to provide the area of computer aided hearing test according to the embodiment of the invention;
Fig. 2 illustrates the block diagram of system that is used to provide computer-assisted diagnostic hearing test according to the embodiment of the invention;
Fig. 3 illustrates the exemplary computer auxiliary diagnosis hearing test according to the embodiment of the invention;
Fig. 4 illustrates the example implementation of the environment noise monitoring module of computer-assisted diagnostic hearing test;
Fig. 5 illustrates the example implementation of the patient information module of computer-assisted diagnostic hearing;
Fig. 6 illustrates the example implementation of the pure tone threshold module of computer-assisted diagnostic hearing test;
Fig. 7 A-7C illustrates the example implementation of the voice receive threshold module of computer-assisted diagnostic hearing test;
Fig. 8 A-8D illustrates the example implementation of the speech discrimination module of computer-assisted diagnostic hearing test; And
Fig. 9 illustrates the example report that is generated by computer-assisted diagnostic hearing test.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is specifically described, in the accompanying drawings identical or similar element is used identical or similar Reference numeral.Unless it should be noted that statement, otherwise the design of the various features shown in the accompanying drawing and layout, size, shape, color (perhaps not having color), position and the arrangement and other information that comprise each field, check box, text box and figure only are used for illustrative purpose, and the invention is not restricted to any specific design or layout.
As mentioned above, the present invention relates to the computer-aided diagnosis test of patient's audition.Computer-assisted diagnostic hearing test uses computer based hearing test equipment, comprises the multimedia interface directly perceived, user-friendly that is used to help carry out the performance of various hearing related.Can Artificial Control and carry out hearing related, perhaps hearing health can be selected some aspect of automatically controlling and testing.When finishing hearing related, generate test result automatically by computer-assisted diagnostic hearing test.
Referring now to Fig. 1, the system 100 that is used to provide according to the area of computer aided hearing test of the embodiment of the invention is shown.System 100 has three main modular, that is, and and computer 102 and display screen 104, and at least one transducer 106.Other modules that system 100 can have comprise tympanometer (tympanometer), keyboard, mouse, printer, paging system etc. (by 108 totally expressions).Paging system can be to use one or more a plurality of any suitable paging technique that is used to remind operator's pager 108.This or more a plurality of pager 108 preferably can show and be used for reminding character notifying operation person's text message.Under the situation that does not break away from the scope of the invention paging system of the Internet (for example, based on), also can use the paging system of other types.
Computer 102 can be any suitable computer from Desktop PC to high-end work station, because the particular type/model of computer/brand is not very important to practice of the present invention.Equally, display screen 104 can be any suitable display screen from CRT to LCD, because the particular type/model of display screen/brand is not very important to purpose of the present invention.Yet in certain embodiments, with regard to the physics between patient and the double-Y shaped multi was mutual, touch-screen display may be more easy-to-use than traditional C RT or LCD display.
As for transducer 106, this member can be the earplug that is used for aerial conduction, earphone etc.For bone conduction, transducer 106 can be oscillator or other similar devices.In some cases, transducer 106 can be installed on the earphone by patient wear.Usually,, use the independent transducer that is used for aerial conduction, and during hearing test, exchange these transducers as required for bone conduction transducer.Preferably, bone conduction transducer is arranged by this way: can not move this transducer and not interfere each ear of ground test with air conduction transducer.In certain embodiments, the two is incorporated in the individual unit with air conduction transducer and bone conduction transducer.At the U.S. Patent application No.10/438 that is entitled as " Apparatus for Bone Conduction Threshold Hearing Test ", this merge cells has been described in 751, incorporate this application by reference at this.
Fig. 2 shows system 100 with the block diagram form.Can see that computer 102 has a plurality of building blocks of functions, comprise video unit 200, CPU 202, hearing detection equipment 204 and memory element 206.These members are known in computer realm, therefore in this only simple declaration.In general, video unit 200 provides video signal, and this video signal is shown as image on display screen 104.In certain embodiments, video unit 200 can be any in several commercially available video cards.CPU 202 is responsible for whole operations of computer 102, comprises operating system resident in the object computer 102 and any software application.In certain embodiments, CPU 202 can be any in several commercially available microprocessors.Hearing test equipment 204 can comprise sonometer, otoacoustic emission test equipment, tympanometer, shelter in noisemaker or other hearing test equipment arbitrarily or all.In certain embodiments, hearing test equipment 204 can be or the more a plurality of circuit board that is used to carry out the function of these testing equipments in the computer 102.Alternatively, hearing test equipment 204 can be the independent unit of computer 102 outsides.The software that memory element 206 is used for computer 102 and data provide long-term and interim (being buffer memory) storage, and for example can comprise in the hard disk drive, main storage, removable memorizer (for example CD-ROM, floppy disk) etc. one or more a plurality of.
In certain embodiments, memory element 206 is also stored hearing test 208.More specifically, memory element 206 storages can be by computer 102 that carry out, computer-readable hearing tests 208.The term of execution, for example a part of hearing test 208 can be loaded into the main storage member of memory element 206 from hard disk temporarily.Except independent setting, can also carry out hearing test 208 from network.For example, hearing test 208 can be stored in the server computer (not illustrating especially) that can visit several client computers.This arrangement has the advantage that can upgrade hearing test 208 for all client computers rapidly and easily.Also can use other environment that are used to carry out hearing test 208 without departing from the present invention.
Fig. 3 illustrates the example implementation of hearing test 208.Can see that hearing test 208 has a plurality of functional modules, comprise environment noise monitoring module 300, patient's input module 302, pure tone threshold module 304, voice receive threshold module 306 and speech discrimination module 308.Usually carry out various functional modules with the order of double-Y shaped multi progress, but any functional module can be as required before the execution of any other functional module, among and carry out afterwards.Finish with any suitable input equipment that can use alternately of hearing test 208, for example mouse, keyboard, independent special-purpose response button perhaps use touch screen display unit.When using touch screen display unit, hearing test 208 can the display graphics keyboard (except that conventional keyboard or alternative conventional keyboard), and operator and/or patient can therefrom select alphanumeric character as required.It below is the explanation of each module of hearing test 208.
Below with reference to Fig. 4, the figure shows the example implementation of environment noise monitoring module 300.The function of environment noise monitoring module is the environment noise that exists in the surrounding being monitored.In certain embodiments, ambient noise monitoring modular 300 comprises ambient noise screen 400.Ambient noise screen 400 has the chart of the environment noise amount that exists in the expression environment.The longitudinal axis is represented the intensity of environment noise, and transverse axis is represented the frequency of environment noise.A plurality of (402 places illustrate one of them) represent the intensity level of the frequency content of current environment noise.Ambient noise screen 400 also comprises acceptable level designator 404, and it is indicated according to for example ansi standard acceptable ambient noise level.Any environment noise composition that surpasses acceptable level should be annotated or be highlighted in the test result at this frequency.The particular source of the environment noise that designator 406 expressions in source are measured.For example, source designator 406 can show the earplug from patient's ear just, the earphone from patient's ear or simply from the mike measure ambient noise of uncovered.In certain embodiments, ambient noise screen 400 also comprises and is used for the only option 408 to testing more than or equal to the frequency of for example 1kHz.
Fig. 5 illustrates the example implementation of patient information module 302.The function of this module is to make hearing health can import about patient's information and selection to carry out which hearing related.In certain embodiments, patient information module 302 realizes above-mentioned functions by new session screen 500 is provided to hearing health.New session screen 500 can comprise the patient's name's field 504 that is used to import the chart number field 502 of patient's chart number and is used to import the patient's name.This information can be used for storing and the result who retrieves arbitrary test session subsequently with date and other possible information.In addition, because double-Y shaped multi can be tested (for example English, Spanish, French etc.) with polyglot, so new session screen 500 can comprise the field 506 that is used to select to use which kind of language testing patient in certain embodiments.New session screen 500 can also comprise and be used to select to carry out a plurality of check boxes 508 of which hearing related to the patient.For example, new session screen 500 can comprise the check box that is used to select tympanometry test, acoustic reflex test and distortion product (DP (distortion product)) otoacoustic emission test.Other available selections have air and bone conduction, voice acceptance test and phonological detection test.Select survey of patients to make double-Y shaped multi can collect some the audition relevant information about the patient, hearing health can be used this diagnosis of audition relevant information and recommended therapy.
A plurality of buttons 510,512,514,516 and 518 along new session screen 500 left sides make hearing health can begin a plurality of tasks, such as beginning test, watch report, enter Advanced Options, close test and reconfiguring test.Particularly, advanced options button 514 makes hearing health to choose from a plurality of Advanced Options that comprise the patient manual testing.In one example, press advanced options button 514 and draw frame 520, frame 520 is listed hearing health can therefrom choose the frequency of carrying out the manual testing.He always can select, never or as required test in these frequencies one or more a plurality of.Advanced options button 514 is also drawn stimulates choice box 522, and this frame 522 makes hearing health can select whether to test auris dextra, left ear and/or bone conduction.
If selected the pure tone audiometry test, then begin to test with the pure tone audiometry test.Fig. 6 illustrates the example implementation of the pure tone threshold module 304 of area of computer aided hearing test.The function of this module be make hearing health can manual testing patient at the hearing ability at each frequency place.For this reason, in certain embodiments, pure tone threshold module 304 comprises the pure tone test screen 600 that makes hearing health can control the various aspects of pure tone audiometry test.Pure tone test screen 600 also makes hearing health can watch test result in real time when test takes place.
Comprise the result's who is used to show the ear of testing test resolution 602 in the pure tone test screen 600 and be used for showing the mask chart 604 of sheltering (if carrying out any sheltering) over against non-tested ear.One group of test control 606 makes hearing health can control the pure tone test, shelters control 608 and makes hearing health to control to shelter for one group simultaneously.In certain embodiments, test resolution 602 and mask chart 604 are according to the ear switch sides of testing.For example, when test during auris dextra, test resolution 602 appears at the left side and mask chart 604 appears at the right side.When the left ear of test, 602 and 604 two chart switch sides.In certain embodiments, test control 606 and shelter control 608 according to their charts 602 and 604 separately switch sides correspondingly.In further embodiments, can fix control 606 and 608 by selecting nail control knob 601.
Test control 606 comprises a plurality of control knobs that allow hearing health control the various aspects of pure tone audiometry test.For example, test control 606 comprises tone intensity level controller 612, and it makes hearing health can regulate the intensity level of tested tone.Though be embodied as " making progress " and " downwards " button here, also can use some other functional mechanisms to realize tone intensity level controller 612.The current tone intensity level of tone intensity level bar 614 expressions, and the current pitch frequency of tone frequency bar 616 expressions.Hearing health can be wanted the numerical value of frequency or regulate pitch frequency by dragging vertical bar 616 by clicking or touching.Pressing present tone button 618 makes by patient's transducer frequency to be set and intensity level is read tone to the patient.Hearing health waits for to observe the patient whether having heard this tone then.If the patient does not hear this tone, then hearing health can increase intensity level by working strength horizontal controller 612.If the patient represents that he has heard this tone, then hearing health can be pressed frequency and the intensity level that plot threshold button 620 is come this tone of labelling.Show the example of this labelling at 622 places.Yet, the patient still can't hear this tone if hearing health increases to maximum horizontal with intensity level, and then hearing health can be pressed and mark and draw no response button 624 to be marked at the response of this frequency and intensity level place or above nothing on chart 602.On the other hand, the patient still can hear tone if hearing health is reduced to minimum level with intensity level, and then hearing health can be pressed and mark and draw lowest limit button 626 and can hear to be marked at this frequency and intensity level place or following patient on chart 602.If hearing health determines that he wishes to rub off marks, then he can press deletion plot button 628 to remove labelling.
Button 636 switch test between left ear and auris dextra is changed in a left side/right cut.Air/bone switching push button 638 will be tested between aerial conduction and bone conduction and switch.If use aerial conduction, then earplug/earphone button 640 switches between insert type transducer and earpiece type transducer.In certain embodiments, just accepting ear of testing and the transducer type of just using (comprising bone conduction) in (for example writtenly) shown in test resolution 602 and the mask chart 604.
In certain embodiments, sheltering control 608 comprises and shelters supplemental button 642.That presses that this button uses hearing test 208 shelters feature automatically.This feature automatically determines whether to open to shelter and be provided with to non-tested ear to shelter intensity level.As for the more information relevant with sheltering feature automatically, the reader can consult the U.S. Patent application No.10/439 that is entitled as " AutomatedDiagnostic Hearing Test " that for example submitted on May 15th, 2003,958, incorporate this application by reference at this.Can also shelter by sheltering button 644 Artificial Control by hearing health.Press this button and non-tested ear is opened sheltered, hearing health can be used and shelter intensity level controller 646 and regulate intensity level then.Shelter intensity level bar 648 and represent the current intensity level of sheltering, and shelter the current frequency of sheltering of frequency bar 650 expressions.Note sheltering the frequency that frequency can be followed tone in some cases, therefore, be shown in broken lines here and shelter frequency bar 650.
Fig. 7 A-7C illustrates the example implementation of voice receive threshold module 306.The function of this module is the manual testing that patient's voice receive threshold is carried out in help.Test period, voice receive threshold module 306 will be in patient's transducer with the each speech of various intensity level read aloud various words.Wish oral this word that repeats of patient then.Give a mark by voice receive threshold module 306 by hearing health.The word of reading aloud is to select from one group of predetermined word.If the patient does not know the above-mentioned fact, so because any answer all is possible in principle, so this test is regarded as the test of " the open setting ".If the patient knows the above-mentioned fact and knows that what word can use that then this test is regarded as the test of " sealing is provided with ".
In certain embodiments, voice receive threshold module 306 is with 700 beginnings of indication picture.The indication picture 700 comprise one group the instruction 702 and other, wherein instruct 702 the indication hearing health display unit is removed from the patient.The effect that display unit is removed from the patient is sealing to be provided with test conversion become opening that test is set, because the patient can't see predetermined group of words.Certainly, hearing health can be informed the patient with the predetermined word of this group, tests in this case will become to seal that test being set.Can press confirming button 704 and represent to defer to instruction 702, and order button 706 is drawn at this moment various appropriate command (for example suspend, withdraw from etc.).The progress of progress indicator 708 expression tests.The second indication picture 710 comprises one group of instruction 712, and its indication hearing health tells the patient that he should repeat the word that he hears.Can press another ACK button 714 and represent to defer to second group of instruction 712, can begin test then.
When reading aloud each word to the patient, voice receive picture 720 and show predetermined group 722, read aloud a word 724 from this predetermined group.Preferably, the word of use is the synthetic word of two different syllables.For the language that does not use this word, can carry out suitable replacement.Voice receive threshold module 306 is read aloud word randomly to the each speech ground of patient is oral, and intensity level reduces gradually, does not read any syllable again.If the patient repeats correct word, then hearing health can be answered correct by clicking or press this word labelling.In certain embodiments, each word can be accompanied by the width of cloth picture at this word, and this picture can alternatively be pressed or click to hearing health.If the patient has repeated wrong word or do not answered, then hearing health can be answered incorrect by pressing or click wrong answer button 728 labellings.When determining to have reached threshold value, automatically finish test by voice receive threshold module 306.In certain embodiments, this threshold value can be confirmed as the intensity level that the patient can correctly discern 50% word.
Fig. 8 A-8D illustrates the example implementation of the speech discrimination module 308 of hearing test 208.The function of speech discrimination module 308 is the abilities that help manual testing patient's discriminate between words.Different with the test of pure tone audiometry and voice receive threshold, the light water that phonological detection tests that test patient not can hear is flat.On the contrary, phonological detection test-based examination patient can the more than enough word of distinguishing well.Therefore, hear most possibly that with the patient intensity level of each word reads aloud each word.The certain words of reading aloud is the single syllable word of picked at random from a sizable group of words, and therefore, this test is the open test that is provided with in principle.
The intensity level of reading aloud word is mainly determined by the result of pure tone audiometry test.As for the definite relevant more information of the intensity level of phonological detection test, the reader can consult the U. S. application No.10/439 that is entitled as " Automated Diagnostic Hearing Test " that for example submitted on May 15th, 2003,958, incorporate this application by reference at this.If also the patient is not carried out the pure tone audiometry test, then speech discrimination module 308 uses presentation level screen 800 with this actual notice hearing health.Presentation level screen 800 does not have pure tone air and bone conduction to the hearing health explanation, and the reading level of phonological detection test must manually be set.A plurality of fields in the frame 802 make hearing health can fill in the employed value of this reading level.In certain embodiments, can use screen upper keyboard 804 to fill in information needed.
Determined after the reading level that speech discrimination module 308 provides indication picture 810.Indication picture 810 comprises one group of instruction 812, and the indication hearing health is removed display unit from the patient.Can press confirming button 814 and represent to defer to instruction 812.The second indication picture 820 comprises one group of instruction 822, and its indication hearing health is to tell the patient that he should repeat the word that he hears.Can represent to defer to second group of instruction 822 by next ACK button 824, can begin test then.
When reading aloud each word to the patient, speech discrimination screen 830 shows correct answer box 832 and wrong answer box 834.If the patient repeats correct word, then hearing health can come labelling to answer correctly by clicking or press correct answer box 832.In certain embodiments, correct answer box 832 can comprise that the word of reading aloud also may comprise the picture relevant with this word.If the word of patient's repetitive error or not answer, then hearing health can come the labelling answer incorrect by pressing or click erroneous answers button 834.When satisfying some condition, finish test automatically by speech discrimination module 308.In certain embodiments, when the correct response of receiving enough percentage ratio (for example 85%) or obtained abundant sample and finish test when providing accurate evaluation.
The example implementation of report 900 on the screen that Fig. 9 illustrates hearing related to be generated by hearing test 208 after finishing.This picture can be used as the single page reporting printing.Report picture 900 comprises all relevant informations that hearing health should be seen generally.A plurality of buttons 902,904,906,908 and 910 make hearing health can carry out various tasks, as some test of reforming, beginning new session, watch report, printing bill, printed report etc.Report picture 900 can present the result of hearing test with the form of two panels, and the result of auris dextra is in a chart 912, and the result of left ear is in another chart 914.Chart 912 and 914 is the reflection patient of computer generation audiograms for the performance of fc-specific test FC (for example air and bone conduction).Can obtain being used for other charts of other tests in the fc-specific test FC session, and from the chart at a plurality of test session of particular patient.Also show the related data (totally illustrating) that is used for each chart at 916 and 918 places, and some essential information (totally illustrating at 920 places), comprise date and time, figure grade, doctor, test man or operator, clinic and the test time spent of patient's name, test.
Though invention has been described at a plurality of specific embodiments, those skilled in the art will recognize that and in very wide range of application, to make amendment and modification the innovation concept of explanation here.For example,, two or more a plurality of module can be merged to form one or more a plurality of super module, perhaps a module can be divided into several submodules though described multimedia hearing test of the present invention with regard to a plurality of dispersive modules.Therefore, scope of the present invention should not be limited to any concrete exemplary teachings of being discussed, and should be limited by claim subsequently.

Claims (24)

1, a kind of computer-aid method that presents diagnostic hearing test comprises:
Demonstration is for the graphical set of the control of this diagnostic hearing test, and these controls are controlled the various aspects of this diagnostic hearing test;
Make the user can use the graphical set of this control to specify one or more aspect of diagnostic hearing test;
According to the specified figure control of user the hearing test signal is presented to transducer;
According to the indication that the user is undertaken by figure control, store patient is to the response of this hearing test signal; And
Generate result's report of this diagnostic hearing test for the user.
2, method according to claim 1 also comprises one or the intensity level of more a plurality of frequency contents of environment noise and this environment noise of pictorial display of monitoring, diagnosing audition.
3, method according to claim 1, this shelters the intensity level and the frequency of level also to comprise the level of sheltering that diagnostic hearing test is set and pictorial display.
4, method according to claim 1 also comprises making the user can use figure control to specify the level of sheltering of this diagnostic hearing test, and pictorial display this shelter the intensity level and the frequency of level.
5, method according to claim 1 also comprises making the user can import about patient's information and selection the patient is carried out which hearing test and which ear of test.
6, method according to claim 1, wherein this diagnostic hearing test comprises that pure tone audiometry test and hearing test signal are the pure tone signals, this method also comprises intensity level and the frequency that makes the user can use figure to control to specify the pure tone signal, and intensity level and frequency that can this pure tone signal of pictorial display.
7, method according to claim 6 comprise that also the indication according to the user generates the drawing of patient for the response of pure tone signal, and pictorial display should be drawn.
8, method according to claim 1, wherein diagnostic hearing test comprises that test of voice receive threshold and hearing test signal are words, this method also comprises the intensity level that reduces word when selecting word at random and reading aloud this word at every turn from one group of word with default increment, has received patient's response up to user's indication.
9, method according to claim 1, wherein diagnostic hearing test comprises that phonological detection test and hearing test signal are words, and this method also comprises to be selected word at random and use the computer based testing equipment to determine for the employed suitable strength level of each word from one group of word.
10, method according to claim 1, wherein diagnostic hearing test comprises that phonological detection test and hearing test signal are words, and this method also comprises to be selected word and make the user can use figure to control to be provided with for the employed suitable strength level of each word at random from one group of word.
11, a kind of computer based system that is used to carry out diagnostic hearing test comprises:
Display screen;
CPU is configured to control display screen;
Transducer is used for receiving the hearing test signal from this CPU; And
Be connected to the memory element of this central processing unit, this cell stores computer-readable instruction, these instructions are carried out CPU:
To be presented on the display screen for the graphical set of the control of diagnostic hearing test, these controls are controlled the various aspects of diagnostic hearing test;
Make the user can use the graphical set of this control to specify one or more aspect of diagnostic hearing test;
According to the specified figure control of user the hearing test signal is presented to this transducer;
According to user's indication, the patient is stored in this memory element for the response of hearing test signal; And
Generate result's report of diagnostic hearing test for the user.
12, system according to claim 11, wherein computer-readable instruction further makes CPU use the environment noise of transducer monitoring, diagnosing audition, and on display screen one or the intensity level of more a plurality of frequency contents of this environment noise of pictorial display.
13, system according to claim 11, wherein computer-readable instruction further makes CPU that the level of sheltering of diagnostic hearing test is set, and on display screen pictorial display this shelter the intensity level and the frequency of level.
14, system according to claim 11, wherein this computer-readable instruction further makes CPU allow the user to use figure control to specify the level of sheltering of diagnostic hearing test and allows graphical user to show intensity level and the frequency that this shelters level.
15, system according to claim 11, wherein this computer-readable instruction further makes CPU allow user's input about patient's information and permission user selection the patient to be carried out which hearing test and which ear of test.
16, system according to claim 11, wherein this diagnostic hearing test comprises that pure tone audiometry test and hearing test signal are the pure tone signals, and computer-readable instruction also makes CPU allow the user to use figure to control to specify the intensity level of this pure tone signal and frequency and allows the intensity level and the frequency of user's this pure tone signal of pictorial display on display screen.
17, system according to claim 16, wherein this computer-readable instruction further makes CPU allow the user marking and drawing response and permission user the response that on display screen pictorial display mark and draw of patient to the pure tone signal on the display screen.
18, system according to claim 11, wherein this diagnostic hearing test comprises that test of voice receive threshold and hearing test signal are words, computer-readable instruction further makes CPU select word at random from one group of word and reduces the intensity level of word at every turn when reading aloud word with default increment, has received patient's response up to user's indication.
19, system according to claim 11, wherein diagnostic hearing test comprises that phonological detection test and hearing test signal are words, and computer-readable instruction further makes CPU select word and definite for the employed suitable strength level of each word at random from one group of word.
20, system according to claim 11, wherein diagnostic hearing test comprises that phonological detection test and hearing test signal are words, and this computer-readable instruction further makes CPU select word at random from one group of word and allows the user to use figure control to be provided with for the employed suitable strength level of each word.
21, a kind of multimedia graphic user interface that is used for diagnostic hearing test comprises:
The environment noise monitoring module is used for the ambient noise level of pictorial display diagnostic hearing test, comprises the intensity level of one or more frequency content of this environment noise;
Patient information module is used to make the user can import patient information and selects the patient is carried out which kind of hearing test and which ear of test;
The pure tone module is used to make the user can manually carry out pure tone audiometry test, comprises that selection will present to the intensity level and the frequency of patient's pure tone signal;
The voice receiver module makes the user can manually carry out the test of voice receive threshold, comprises the response of record patient for the test of voice receive threshold; And
Speech discrimination module makes the user can manually carry out the phonological detection test, comprises the response of record patient to this phonological detection test.
22, user interface according to claim 21, wherein this pure tone module, voice receiver module and speech discrimination module are configured to generate their reports of test result separately of expression.
23, user interface according to claim 21, wherein this pure tone module makes that further the user can the artificially or the level of sheltering of pure tone audiometry test automatically is set.
24, user interface according to claim 21, wherein this speech discrimination module makes that further the user can the artificially or the level of sheltering of phonological detection test automatically is set.
CN 200480013168 2003-05-15 2004-05-14 Computer-assisted diagnostic hearing test Pending CN1794947A (en)

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US20110257994A1 (en) * 2008-10-24 2011-10-20 Givens Gregg D Internet based multi-user diagnostic hearing assessment systems having client-server architecture with user-based access levels for secure data exchange
JP2017529198A (en) * 2014-08-14 2017-10-05 オウディックス システムズ リミテッド A system for defining and performing hearing tests
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