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In clinic, auditory brainstem response (ABR) has been widely used for the detection of hearing loss based on its convenience and accuracy. The different reference methods directly influence the quality of the ABR waveform which in turn affects the ABR-based diagnosis. Therefore, in this study, a reference electrode standardization technique (REST) was adopted to systematically investigate and evaluate the effect of different reference methods on the quality of ABR waveform in comparison with the conventional average reference (AR) and mean mastoid (MM) methods. In this study, ABR signals induced by click stimulus were acquired via an EEG electrode cap arrays, and those located on the six channels along the midline were compared systemically. The results showed that, when considering the different channels, the ABR in the Cz channel showed the best morphology. Then, the ABR waveforms acquired via the REST method possessed better morphologies with large amplitude (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mn>0.06<\/a:mn>\n                        <a:mo>\u00b1<\/a:mo>\n                        <a:mn>0.02<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>\u2009\u03bcV for wave I, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mn>0.07<\/c:mn>\n                        <c:mo>\u00b1<\/c:mo>\n                        <c:mn>0.02<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>\u2009\u03bcV for wave III, and <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mn>0.21<\/e:mn>\n                        <e:mo>\u00b1<\/e:mo>\n                        <e:mn>0.04<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>\u2009\u03bcV for wave V) when compared with the traditional method. Summarily, we found that the REST and MM methods improved the quality of ABR on both amplitude and morphology under different stimulation rates and levels without changing the latencies of ABR when compared with the conventional AR method, suggesting that the REST and MM methods have the potential to help physicians with high accurate ABR-based clinical diagnosis. Moreover, this study might also provide a theoretic basis of reference methods on the acquisition of electroencephalogram over public health issues.<\/jats:p>","DOI":"10.1155\/2022\/9923214","type":"journal-article","created":{"date-parts":[[2022,4,9]],"date-time":"2022-04-09T01:20:07Z","timestamp":1649467207000},"page":"1-11","source":"Crossref","is-referenced-by-count":1,"title":["The Effects of Different Reference Methods on Decision-Making Implications of Auditory Brainstem Response"],"prefix":"10.1155","volume":"2022","author":[{"given":"Zhenzhen","family":"Liu","sequence":"first","affiliation":[{"name":"Surgery Division, Epilepsy Center, Shenzhen Children\u2019s Hospital, Shenzhen 518038, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Wang","sequence":"additional","affiliation":[{"name":"The CAS Key Laboratory of Human-Machine Intelligence-Synergy Systems, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 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