Method for checking ECG signals and ECG measuring device

• US 8,380,292 B2
• Filed: 06/11/2009
• Issued: 02/19/2013
• Est. Priority Date: 06/19/2008
• Status: Active Grant

• Current Assignee: Siemens Healthcare GMBH (Siemens AG)
• Original Assignee: Siemens AG
• Inventors: Demharter, Nikolaus, Frank, Michael, Heggen, Sven, Rler, Jrgen
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US12/482,710
• Publication Number:
  US 20090318821A1
• Time in Patent Office: 1,349 Days
• Field of Search: 600/509, 600/524, 607 4- 5, 607/14
• US Class Current: 600/509
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/276 Protection against electrode failure
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• 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: G01R 33/5673 Gating or triggering based on a physiological signal other than an MR signal, e.g. ECG gating or motion monitoring using optical systems for monitoring the motion of a fiducial marker

Abstract

The invention relates to a method for checking ECG signals measured by an ECG measuring device having at least three electrodes for the presence of interference errors. At least three voltages are measured on a closed circulation path across the electrodes of the ECG measuring device. A monitoring value is calculated from the three measured voltages. A presence of an error is checked by determining a deviation of the monitoring value from a reference value. An error signal is outputted if an error is presented. The ECG measuring device has a further processing unit for processing voltage signals between a different pair of electrodes and a monitoring unit for calculating the monitoring value.

Claims

1. A method for checking error states that can affect an electrocardiogram (ECG) signal measured by an ECG measuring device, which is operatively coupled to a magnetic resonance scanner, the method comprising:

measuring voltages generated by a heart on an electrically-closed circuit loop across electrodes of the ECG measuring device between different pairs of the electrodes;

calculating a monitoring value of the voltages generated by the heart from a combination of the measured voltages;

determining a deviation of the calculated monitoring value of the voltages generated by the heart from a reference value and whether the deviation exceeds the reference value by a predefined amount;

synchronous with the measuring of voltages generated by the heart, monitoring at least one signal indicative of an operational condition of the magnetic resonance scanner;

if the deviation of the monitoring value of the voltages generated by the heart exceeds the reference value by the predefined amount and, based on the operational condition of the magnetic resonance scanner, identifying at least an error state due to electromagnetic interference with the monitoring value of the voltages generated by the heart, the electromagnetic interference caused by a temporal change in at least one electromagnetic field generated by the magnetic resonance scanner;

outputting an error signal indicative of the error state; and

generating a suppression signal configured to suppress a triggering of the magnetic resonance scanner in response to the ECG signal measured by the ECG measuring device, wherein a suppression of the magnetic resonance scanner by the suppression signal is temporally arranged to avoid recording a magnetic resonance image while the monitoring value of the voltages generated by the heart is subject to deviation which exceeds the reference value by the predefined amount.

2. The method as claimed in claim 1, wherein the measured voltages are digitized before calculating the monitoring value.

3. The method as claimed in claim 1, wherein the monitoring value is a summation of the measured voltages.

4. The method as claimed in claim 1, wherein the error state is selected from the group consisting of a magnetic-field-induced error, a gradient-induced interference-signal injection and a malfunction in a component of the ECG measuring device.

5. The method as claimed in claim 4, wherein the identifying of the error state is defined so that the error signal indicates the magnetic-field-induced error if the ECG signal is measured simultaneously with a magnetic resonance measurement.

6. The method as claimed in claim 4, wherein the identifying of the error state is defined so that the error signal indicates the magnetic-field-induced error if the ECG measuring device moves in a static magnetic field of the magnetic resonance scanner.

7. The method as claimed in claim 4, wherein the identifying of the error state is defined so that the error signal indicates the gradient-induced interference-signal injection if the ECG measuring device does not move in a static magnetic field of the magnetic resonance scanner.

8. The method as claimed in claim 1, wherein the ECG measuring device comprises at least three electrodes.

9. The method as claimed in claim 1, further comprising configuring the error signal to convey a user-readable indication selected from the group consisting of no error state, a triggering suppression and a fault in the ECG hardware.

10. Apparatus to check error states that can affect an electrocardiogram (ECG) signal measured by an ECG measuring device, which is operatively coupled to a magnetic resonance scanner, said apparatus comprising:

a plurality of electrodes;

a processing unit configured to measure voltages generated by a heart, and which develop on an electrically-closed circuit loop between different pairs of the electrodes;

a monitoring unit coupled to the processing unit and to a control unit of the magnetic resonance scanner, the monitoring unit including a monitoring value calculation unit configured to calculate a monitoring value from a combination of the measured voltages, the monitoring unit further including a checking unit coupled to the monitoring value calculation unit, the checking unit configured to;

determine a deviation of the monitoring value of the voltages generated by the heart from a reference value and whether the deviation exceeds the reference value by a predefined amount;

synchronous with the measurement of voltages generated by the heart, monitor at least one signal from the control unit of the magnetic resonance scanner, said at least one signal indicative of an operational condition of the magnetic resonance scanner;

if the deviation of the calculated monitoring value of the voltages generated by the heart exceeds the reference value by the predefined amount and based on the operational condition of the magnetic resonance scanner, identify at least an error state due to electromagnetic interference with the monitoring value of the voltages generated by the heart, the electromagnetic interference caused by a temporal change in at least one electromagnetic field generated by the magnetic resonance scanner;

output an error signal indicative of the error state;

generate a suppression signal coupled to a trigger unit to suppress a triggering of the magnetic resonance system in response to the ECG signal measured by the ECG measuring device, wherein a suppression of the magnetic resonance scanner by the suppression signal is temporally arranged to avoid recording a magnetic resonance image while the monitoring value of the voltages generated by the heart is subject to deviation which exceeds the reference value by the predefined amount.

11. The apparatus as claimed in claim 10, wherein the monitoring value calculation unit is a summation unit configured to add the voltages to calculate the monitoring value.

12. The apparatus as claimed in claim 10, wherein a digitizer unit is connected to the monitoring value calculation unit and digitizes the measured voltages before calculating the monitoring value.