Method to identify electrode placement

• US 6,282,440 B1
• Filed: 12/31/1999
• Issued: 08/28/2001
• Est. Priority Date: 12/31/1999
• Status: Expired due to Fees

• Current Assignee: GE Marquette Medical Systems, Inc. (General Electric Company)
• Original Assignee: GE Marquette Medical Systems, Inc. (General Electric Company)
• Inventors: Elko, Paul P., Brodnick, Donald E.
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/477,782
• Time in Patent Office: 606 Days
• Field of Search: 600/509, 600/512
• US Class Current: 600/512
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts

Abstract

An ECG signal is acquired in multiple channels, and sources of interference are filtered from the signals. A covariance matrix is then formed with the channels of data. The invention then employs matrix mathematics to discover a set of eigenvectors that organize the variability of data in a multi-dimensional space along new directions, orthogonal to each other and ranked in order of significance. For each eigenvector, a corresponding eigenvalue is calculated. In addition, coefficients are calculated which correspond to the portion of each eigenvector that is necessary to reconstruct each original vector. From the eigenvector solution of the covariance matrix, the angles between the eigenvectors and the original vectors are determined. The eigenvector coefficients and the angles between the eigenvectors and the original vectors are related by a cosine relationship. The angles calculated for each particular ECG test are compared to a reference set of angles to determine whether the electrodes are placed in the standard ECG electrode placement, an alternative electrode placement, or an incorrect electrode placement.

Claims

1. A method to identify electrode placement in a system for acquiring a patient physiological signal through at least three electrodes applied to the patient, each electrode defining an electrical vector relative to a reference, the method comprising:

acquiring the physiological signal; and

analyzing the physiological signal to determine whether the electrodes are incorrectly positioned or are positioned in a non-standard configuration.

2. The method of claim 1 wherein the system includes a display device, and wherein the method further comprises the act of generating a message on the display device indicating whether the electrodes are incorrectly positioned or are positioned in a non-standard configuration.

3. The method of claim 1 further comprising the act of comparing the angles between the electrical vectors of the electrodes to a standard to determine whether the electrodes are in the correct position.

4. The method of claim 1 wherein the act of analyzing includes computing the covariance matrix of the physiological signal for the at least three electrodes, computing eigenvectors and eigenvalues of the covariance matrix, and evaluating the eigenvectors associated with the largest eigenvalues to determine the angles between the electrical vectors of the electrodes.

5. The method of claim 4 wherein the eigenvector solution is computed using a one of singular value decomposition (SVD), Karhunen-Loeve transform (KLT), principal components analysis and principle forces analysis.

6. The method of claim 4 wherein the system includes a display device, and wherein the method further comprises the act of generating a message on the display device indicating whether the electrodes are in the correct position.

7. The method of claim 1 and further comprising the act of comparing the angles between the electrical vectors of the electrodes to a standard to determine whether the electrodes are in a non-standard configuration.

8. The method of claim 1 wherein the system includes a display device, and wherein the method further comprises the act of generating a message on the display device indicating the non-standard configuration.

9. The method of claim 1 wherein the physiological signal is an eight channel electrocardiogram.

10. The method of claim 1 wherein the physiological signal is a twelve channel electrocardiogram.

11. The method of claim 1 wherein the physiological signal is a four channel electrocardiogram.

12. The method of claim 1 wherein the physiological signal is 10 seconds of electrocardiogram.

13. The method of claim 1 wherein the physiological signal is representative of the electric cardiac activity of the patient during at least a single heart beat.

14. The method of claim 1 wherein the physiological signal is representative of the electric cardiac activity of the patient during at least a portion of a single heart beat.

15. The method of claim 1 wherein the eigenvector solution is computed using a one of singular value decomposition (SVD), Karhunen-Loeve transform (KLT) and principal forces analysis.

16. A method to identify electrode placement in a system for acquiring a patient physiological signal through at least three electrodes applied to the patient, each electrode defining an electrical vector relative to a reference, the method comprising:

acquiring the physiological signal;

computing a covariance matrix of the physiological signal for the at least three electrodes;

computing eigenvectors and eigenvalues of the covariance matrix; and

evaluating the eigenvectors associated with the eigenvalues to determine the angles between the electrical vectors of the electrodes.

17. A device for analyzing physiological patient data originally acquired from a patient via electrodes applied to the patient such that the electrodes define an electrical vector relative to a reference, the device comprising:

an input for receiving the physiological patient data; and

an analysis module including software for analyzing the physiological data to determine the angles between the electrical vectors.

18. A device as set forth in claim 17 and further comprising a memory connected to the analysis module to store the physiological patient data.

19. A device as set forth in claim 17 wherein the analysis module computes a covariance matrix of the physiological signal for the at least three electrodes, computes eigenvectors and eigenvalues of the covariance matrix, and evaluates the eigenvectors associated with the largest eigenvalues to determine the angles between the electrical vectors of the electrodes.

20. A device as set forth in claim 17 wherein the analysis module compares the angles between the electrical vectors of the electrodes to a standard to determine whether the electrodes are in a non-standard configuration.

21. A device as set forth in claim 20 and further comprising a display device for displaying an indication of the non-standard electrode configuration.

22. A device as set forth in claim 17 wherein the analysis module compares the angles between the electrical vectors of the electrodes to a standard to determine whether the electrodes are in the correct position.

23. A device as set forth in claim 22 and further comprising a display device for generating a message indicating whether the electrodes are in the correct position.

24. A device for analyzing physiological patient data originally acquired from a patient via electrodes applied to the patient such that the electrodes define an electrical vector relative to a reference, the device comprising:

an input for receiving the physiological patient data; and

an analysis module for determining the position of the electrodes with respect to each other, and for comparing the positions of the electrodes to a standard in order to determine whether the electrodes are incorrectly positioned or are positioned in a non-standard configuration.

25. A device as set forth in claim 24 and further comprising a memory connected to the analysis module to store the physiological patient data.

26. A device as set forth in claim 24 wherein the analysis module computes a covariance matrix of the physiological signal for the at least three electrodes, computes eigenvectors and eigenvalues of the covariance matrix, and evaluates the eigenvectors associated with the largest eigenvalues to determine the angles between the electrical vectors of the electrodes.

27. A device as set forth in claim 24 wherein the analysis module compares the angles between the electrical vectors of the electrodes to a standard to determine whether the electrodes are in a non-standard configuration.

28. A device as set forth in claim 27 and further comprising a display device for displaying an indication of the non-standard electrode configuration.

29. A device as set forth in claim 24 wherein the analysis module compares the angles between the electrical vectors of the electrodes to a standard to determine whether the electrodes are in the correct position.

30. A device as set forth in claim 29 and further comprising a display device for generating a message indicating whether the electrodes are in the correct position.