Objective assessment of tinnitus laterality.

Tinnitus is a condition which involves hearing sounds not present externally. This common condition can lead to a range of symptoms, including depression, resulting in a severe impact on quality of life. There are currently no reliable treatments for tinnitus. One factor hindering development of tre...

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Main Authors: Mehrnaz Shoushtarian, Jamal Esmaelpoor, Michelle M G Bravo, James B Fallon
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0325903
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author Mehrnaz Shoushtarian
Jamal Esmaelpoor
Michelle M G Bravo
James B Fallon
author_facet Mehrnaz Shoushtarian
Jamal Esmaelpoor
Michelle M G Bravo
James B Fallon
author_sort Mehrnaz Shoushtarian
collection DOAJ
description Tinnitus is a condition which involves hearing sounds not present externally. This common condition can lead to a range of symptoms, including depression, resulting in a severe impact on quality of life. There are currently no reliable treatments for tinnitus. One factor hindering development of treatments is the lack of identified subtypes of tinnitus with different underlying patterns of neural activity to enable more personalised treatments and more accurate monitoring of treatment effects. It has been suggested that the perceived laterality of tinnitus, i.e., whether the sound is perceived unilaterally or bilaterally, characterizes tinnitus subtypes with different underlying neural changes. Our previous work showed sensitivity of a non-invasive brain imaging technique called functional near-infrared spectroscopy (fNIRS), to tinnitus-related changes in brain activity. In this study we aimed to investigate differentiating unilateral and bilateral tinnitus using fNIRS recordings and functional network analysis. We performed fNIRS recordings on 18 individuals with unilateral tinnitus (11 left-sided and 7 right-sided), 26 individuals bilateral tinnitus and 18 controls. fNIRS signals were recorded at rest and in response to auditory and visual stimuli. Using network analysis applied to fNIRS recordings, we derived modules characterized by strong connectivity among channels within a module and weak connectivity among channels in different modules. We then calculated two measures, Module Laterality and Modified Module Laterality, to quantify asymmetry in modules. Our findings showed significant difference in Module Laterality in individuals with unilateral tinnitus compared to both bilateral tinnitus and controls. Within the unilateral tinnitus group, Modified Module Laterality showed significant difference between individuals who experienced left-sided tinnitus compared to right-sided tinnitus. Differentiating tinnitus with distinct laterality precepts has the potential to assist in developing and monitoring relevant treatments by revealing neural mechanisms related to each subtype.
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spelling doaj-art-edbe51b0f026441f9cd84fb8d9e9b68d2025-08-20T03:30:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032590310.1371/journal.pone.0325903Objective assessment of tinnitus laterality.Mehrnaz ShoushtarianJamal EsmaelpoorMichelle M G BravoJames B FallonTinnitus is a condition which involves hearing sounds not present externally. This common condition can lead to a range of symptoms, including depression, resulting in a severe impact on quality of life. There are currently no reliable treatments for tinnitus. One factor hindering development of treatments is the lack of identified subtypes of tinnitus with different underlying patterns of neural activity to enable more personalised treatments and more accurate monitoring of treatment effects. It has been suggested that the perceived laterality of tinnitus, i.e., whether the sound is perceived unilaterally or bilaterally, characterizes tinnitus subtypes with different underlying neural changes. Our previous work showed sensitivity of a non-invasive brain imaging technique called functional near-infrared spectroscopy (fNIRS), to tinnitus-related changes in brain activity. In this study we aimed to investigate differentiating unilateral and bilateral tinnitus using fNIRS recordings and functional network analysis. We performed fNIRS recordings on 18 individuals with unilateral tinnitus (11 left-sided and 7 right-sided), 26 individuals bilateral tinnitus and 18 controls. fNIRS signals were recorded at rest and in response to auditory and visual stimuli. Using network analysis applied to fNIRS recordings, we derived modules characterized by strong connectivity among channels within a module and weak connectivity among channels in different modules. We then calculated two measures, Module Laterality and Modified Module Laterality, to quantify asymmetry in modules. Our findings showed significant difference in Module Laterality in individuals with unilateral tinnitus compared to both bilateral tinnitus and controls. Within the unilateral tinnitus group, Modified Module Laterality showed significant difference between individuals who experienced left-sided tinnitus compared to right-sided tinnitus. Differentiating tinnitus with distinct laterality precepts has the potential to assist in developing and monitoring relevant treatments by revealing neural mechanisms related to each subtype.https://doi.org/10.1371/journal.pone.0325903
spellingShingle Mehrnaz Shoushtarian
Jamal Esmaelpoor
Michelle M G Bravo
James B Fallon
Objective assessment of tinnitus laterality.
PLoS ONE
title Objective assessment of tinnitus laterality.
title_full Objective assessment of tinnitus laterality.
title_fullStr Objective assessment of tinnitus laterality.
title_full_unstemmed Objective assessment of tinnitus laterality.
title_short Objective assessment of tinnitus laterality.
title_sort objective assessment of tinnitus laterality
url https://doi.org/10.1371/journal.pone.0325903
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AT jamalesmaelpoor objectiveassessmentoftinnituslaterality
AT michellemgbravo objectiveassessmentoftinnituslaterality
AT jamesbfallon objectiveassessmentoftinnituslaterality