System and methods for gating heart signals

• US 20060247550A1
• Filed: 03/16/2006
• Published: 11/02/2006
• Est. Priority Date: 05/28/2001
• Status: Abandoned Application

• Current Assignee: HD Medical Group Limited
• Original Assignee: HD Medical Group Limited
• Inventors: Coffman, Damon J., Teo, Tat-Jin, Thiagarajan, Arvind
• Application Number:
  US11/377,903
• Publication Number:
  US 20060247550A1
• Time in Patent Office: Days
• US Class Current: 600/528
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

A heart gating system in which the heart sounds are used to generate the acquisition trigger signals. This is possible because the various heart sound components have characteristics in the temporal domain to allow for distinguishing the S1'"'"'s and S2'"'"'s. Hence, the individual heart sound components can be temporally distinguished and gating signals can be generated based on the identified heart sounds such as the S2 heart sound. In addition, S1 also has a frequency spectrum different from that of S2. Hence, in another embodiment of the invention, the frequency characteristics of the heart sounds can be used to distinguish S1 from S2. The combined temporal and frequency characteristics of the heart sounds can also be used to distinguish S1 from S2. In addition, detecting carotid pulses and/or changes in thoracic cavity can also used to better distinguish between S1 and S2.

Claims

1. A method of generating heart gating signals, useful in association with a heart imaging device, the method comprising:

receiving at least two heart sounds including an S1 heart sound and an S2 heart sound;

identifying the S2 heart sound; and

sending an S2 gating signal corresponding to the S2 heart sound to the heart imaging device.

2. The method of claim 1 wherein identifying the S2 heart sound includes differentiating temporally between the S1 heart sound and the S2 heart sound.

3. The method of claim 2 wherein differentiating temporally includes measuring an S1-to-S2 interval between the S1 heart sound and the S2 heart sound, and measuring an S2-to-S1 interval between a subsequent pair of S2 and S1 heart sounds.

4. The method of claim 1 wherein identifying the S2 heart sound includes detecting a pulse.

5. The method of claim 4 wherein the pulse is at least one of a carotid pulse, a radial pulse and a brachial pulse.

6. The method of claim 1 wherein identifying the S2 heart sound includes differentiating spectrally between the S1 heart sound and the S2 heart sound.

7. The method of claim 6 wherein differentiating spectrally includes detecting a lower frequency band associated with the S2 heart sound and detecting a higher frequency band associated with the S1 heart sound.

8. The method of claim 7 wherein the lower frequency band is substantially below 100 Hertz and the higher frequency band is substantially above 100 Hertz.

9. The method of claim 1 wherein the S2 gating signal is a pseudo ECG signal which compensates for time delay between an ECG signal and the S2 heart sound.

10. The method of claim 1 wherein identifying the S2 heart sound includes detecting changes in thoracic cavity caused by at least one of volume change, blood flow and heart wall motion.

11. The method of claim 1 wherein identifying the S2 heart sound includes filtering a heart murmur sound.

12. A heart gating system, useful in association with a heart imaging device, the system comprising:

an acoustic sensor configured to receive at least two heart sounds including an S1 heart sound and an S2 heart sound;

a heart sound detector configured to identify the S2 heart sound; and

a gating signal generator configured to send an S2 gating signal corresponding to the S2 heart sound to the heart imaging device.

13. The gating system of claim 12 wherein identifying the S2 heart sound includes differentiating temporally between the S1 heart sound and the S2 heart sound.

14. The gating system of claim 13 wherein differentiating temporally includes measuring an S1-to-S2 interval between the S1 heart sound and the S2 heart sound, and measuring an S2-to-S1 interval between a subsequent pair of S2 and S1 heart sounds.

15. The gating system of claim 12 further comprising a sensor configured to detect a pulse.

16. The gating system of claim 15 wherein the pulse is at least one of a carotid pulse, a radial pulse and a brachial pulse.

17. The gating system of claim 12 wherein identifying the S2 heart sound includes differentiating spectrally between the S1 heart sound and the S2 heart sound.

18. The gating system of claim 17 wherein differentiating spectrally includes detecting a lower frequency band associated with the S2 heart sound and detecting a higher frequency band associated with the S1 heart sound.

19. The gating system of claim 18 wherein the lower frequency band is substantially below 100 Hertz and the higher frequency band is substantially above 100 Hertz.

20. The gating system of claim 12 wherein the S2 gating signal is a pseudo ECG signal which compensates for time delay between an ECG signal and the S2 heart sound.

21. The gating system of claim 12 further comprising a sensor configured to detect changes in thoracic cavity caused by at least one of volume change, blood flow and heart wall motion.

22. The gating system of claim 12 further comprising a filter for filtering a heart murmur sound.