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However, comprehensive studies evaluating the test-retest reliability of multiple measures and stimuli within a single study are scarce, and a standardized clinical protocol for robust early markers of SNHL remains elusive. To address these gaps, this study explores the intra-subject variability of various potential electroencephalogram- (EEG-) biomarkers for cochlear synaptopathy (CS) and other SNHL-markers in the same individuals. Fifteen normal-hearing young adults underwent repeated measures of (extended high-frequency) pure-tone audiometry, speech-in-noise intelligibility, distortion-product otoacoustic emissions (DPOAEs), and auditory evoked potentials; comprising envelope following responses (EFR) and auditory brainstem responses (ABR). Results confirm high reliability in pure-tone audiometry, whereas the matrix sentence-test exhibited a significant learning effect. The reliability of DPOAEs varied across three evaluation methods, each employing distinct SNR-based criteria for DPOAE-datapoints. EFRs exhibited superior test-retest reliability compared to ABR-amplitudes. Our findings emphasize the need for careful interpretation of presumed noninvasive SNHL measures. While tonal-audiometry's robustness was corroborated, we observed a confounding learning effect in longitudinal speech audiometry. The variability in DPOAEs highlights the importance of consistent ear probe replacement and meticulous measurement techniques, indicating that DPOAE test-retest reliability is significantly compromised under less-than-ideal conditions. As potential EEG-biomarkers of CS, EFRs are preferred over ABR-amplitudes based on the current study results.<\/jats:p>","DOI":"10.1121\/10.0034423","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T08:16:29Z","timestamp":1732090589000},"page":"3480-3495","update-policy":"https:\/\/doi.org\/10.1063\/aip-crossmark-policy-page","source":"Crossref","is-referenced-by-count":6,"title":["Intrasubject variability in potential early markers of sensorineural hearing damage"],"prefix":"10.1121","volume":"156","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7318-0290","authenticated-orcid":false,"given":"Nele","family":"De Poortere","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences\u2013Audiology, Ghent University 1 , Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0081-8243","authenticated-orcid":false,"given":"Sarineh","family":"Keshishzadeh","sequence":"additional","affiliation":[{"name":"Department of Information Technology\u2013Hearing Technology @ WAVES, Ghent University 2 , Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8684-9448","authenticated-orcid":false,"given":"Hannah","family":"Keppler","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences\u2013Audiology, Ghent University 1 , Ghent,","place":["Belgium"]},{"name":"Department of Head and Skin, Ghent University 3 , Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingeborg","family":"Dhooge","sequence":"additional","affiliation":[{"name":"Department of Head and Skin, Ghent University 3 , Ghent,","place":["Belgium"]},{"name":"Department of Ear, Nose and Throat, Ghent University Hospital 4 , Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6498-7719","authenticated-orcid":false,"given":"Sarah","family":"Verhulst","sequence":"additional","affiliation":[{"name":"Department of Information Technology\u2013Hearing Technology @ WAVES, Ghent University 2 , Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"231","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"2024112013162147100_c1","doi-asserted-by":"publisher","first-page":"206","DOI":"10.3389\/fneur.2014.00206","article-title":"Central gain control in tinnitus and hyperacusis","volume":"5","year":"2014","journal-title":"Front. 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