WO1999053836A1 - Method and device for diverting an electroencephalogram in a nuclear spin tomograph - Google Patents
Method and device for diverting an electroencephalogram in a nuclear spin tomograph Download PDFInfo
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- WO1999053836A1 WO1999053836A1 PCT/DE1999/001149 DE9901149W WO9953836A1 WO 1999053836 A1 WO1999053836 A1 WO 1999053836A1 DE 9901149 W DE9901149 W DE 9901149W WO 9953836 A1 WO9953836 A1 WO 9953836A1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
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- A—HUMAN NECESSITIES
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/30—Input circuits therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/30—Input circuits therefor
- A61B5/307—Input circuits therefor specially adapted for particular uses
- A61B5/31—Input circuits therefor specially adapted for particular uses for electroencephalography [EEG]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4076—Diagnosing or monitoring particular conditions of the nervous system
- A61B5/4094—Diagnosing or monitoring seizure diseases, e.g. epilepsy
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- A—HUMAN NECESSITIES
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Definitions
- EEG electroencephalogram
- the functional imaging with the MRT provides an unsurpassed spatial resolution of the active regions of the brain, but has the disadvantage that the imaging takes place with a time delay and therefore fast processes in the brain can only be insufficiently examined. This is also due to the fact that the processes to which MRI imaging responds, namely the blood flow to active regions in the brain occur with a time delay when activated.
- the EEG provides a real-time signal with which even fast processes can be detected instantaneously, but the spatial resolution, especially the resolution of the depth of origin, is clear compared to the spatial resolution achieved with the MRT due to the signal derivation with surface electrodes limited.
- the EEG also enables functional examinations in which evoked potentials can be recorded, that is, response potentials to a generated external stimulus (e.g. a noise).
- the MRT uses a static magnetic field to align the nuclear spins, a circularly polarized alternating field in the radio frequency range to excite the nuclear spins, and finally three switched magnetic gradient fields for the spatial coding of the nuclear magnetic resonance signal in all spatial directions.
- the static high magnetic field is also present when the MRI is inactive.
- the EEG arises from voltage fluctuations in the range of 50 microvolts on the head surface, which are generated by the synchronous activity of many nerve cells in the cerebral cortex. These are derived and fed to an amplifier. Because of the extremely small size of these EEG signals, they are of course extremely sensitive to external interference fields.
- the MRI can only work in a perfect Faraday's cage, which in no case may be injured by electrical cables passed through it. For this reason, all signals from the EEG amplifier are transmitted from the shielded room through light guides and not via electrical cables.
- the electrodes for deriving the EEG must not contain any ferro- or diamagnetic substances so that they do not interfere with the homogeneous magnetic field in the MRI. But even eddy currents, which are induced by the switched gradient fields of the MRT in electrically conductive surfaces, i.e.
- EEG electrodes already generate an opposing field, which also disturbs the homogeneous field and leads to artifacts in the data line of the corresponding gradient.
- the derivation of an EEG in MRI has so far been unsatisfactory even in inactive MRI. This is due to the fact that the static high magnetic field is also present in the inactive MRT and the pulsating blood currents generate interference signals which superimpose and disrupt the EEG signals. These disorders are known as pulse artifacts. These can initially occur in the form of movement artifacts, since the pulsating blood flow triggers corresponding pulsating head movements of the patient in the MRI, which can be expressed in a slight pulse-synchronous nod.
- the object of the invention is therefore on the one hand to create a possibility to eliminate the interference of the measuring MRI on the quality of an EEG if possible, and on the other hand to eliminate the influence of pulse artifacts on an EEG if possible, in order to thereby use MRI and EEG simultaneously to bring and to be able to derive an EEG of diagnostic quality even in inactive MRI.
- Severe and often occurring epilepsy are often focal - 4 -
- an epileptic seizure announces itself early on in the EEG, the importance of the derivation of a diagnostically usable EEG in the inactive MRT becomes clear.
- An EEG derived in the still inactive MRI can be used to precisely determine the onset of an epileptic seizure and then switch on the imaging by means of the MRI, in order to then determine the epileptic focus with great precision during the epileptic seizure by means of combined measurement with MRI and EEG and thus the basis for to be able to win the exact surgical treatment.
- pulse artifacts superimposed on the EEG signal on the other hand, the beginning of an epileptic seizure would not be recognizable from the EEG signal.
- brain research In brain processes, for example in thinking processes, in response to any external stimuli of the sensory organs etc., the activated brain regions are supplied with blood considerably more. With the EEG, the processes taking place in the brain can be recorded and localized approximately; With MRI, the areas of increased blood flow can be localized very precisely with high spatial resolution. A combined use of MRI and EEG can provide detailed information about brain areas responsible for certain functions and processes.
- the invention achieves the object presented by a method and a device as specified in the patent claims. Accordingly, the invention works by eliminating the interference in the EEG by digital signal processing with spectral analysis and filtering of the EEG signals and with triggered subtraction of the pulse artifacts in order to eliminate them and thereby create an EEG in MRI with diagnostic quality.
- FIG. 1 shows a schematic representation of the apparatus for deriving an EEG in the MRI
- FIG. 4 shows a comparison of an unfiltered and a filtered EEG signal from the MRT
- Fig. 5 signal images that illustrate the reduction of pulse artifacts.
- the MRI tube 1 shows in a very schematic representation a preferred arrangement for performing the EEG derivation in the MRT.
- the MRI tube 1 is arranged in a shielded tomography room 2.
- a static high magnetic field acts in the MRT tube 1, which is indicated by an arrow.
- the patient's head in the MRT tube is located within an RF head coil 3, via which the high-frequency alternating field is generated to excite the nuclear spins.
- Further coils in the MRT tube 1, which are not shown for the sake of simplicity of illustration, are used to generate the switched gradient fields for the three spatial coordinates for spatial coding of the nuclear magnetic resonance signals in the three spatial directions.
- the lines of the individual EEG lead electrodes 4 on the head surface of the patient are, for example, fixed on the head with a hood and bundled centrally on the head and routed to an EEG amplifier 5 as close as possible to the center of the MRT tube 1. From the EEG amplifier 5, the signals are passed via an optical fiber 6 out of the shielded tomography room to a light receiver 7, which converts the light signals back into electrical signals and feeds them to an EEG recorder 8, to which a PC 9 is connected.
- the bundling of the cables at the head and the avoidance of conductor loops reduce the area into which the gradients or the magnetic part of the high frequency can couple. If you move the cables away from the edge of the MRT tube, the influence of the switched gradients is less.
- the EEG amplifier 5 must behave magnetically neutral in the static high magnetic field of the MRT tube 1, ie the field lines must be able to pass the amplifier essentially unchanged and must not be distorted. Therefore, ferro- or diamagnetic substances in the components of the - 7 -
- the electrodes must not contain any ferromagnetic or diamagnetic substances in order not to disturb the homogeneous magnetic field, because by superimposing a defined inhomogeneous gradient field, the location of the nuclear magnetic resonance is encoded via the changed resonance frequency. Since eddy currents, which are induced by the switched gradient fields in conductive surfaces, also generate an opposing field that disturbs the homogeneous magnetic field, the electrodes are preferably formed from amorphous sintered Ag-AgCl with low electrical conductivity in order to make the formation of eddy currents more difficult.
- the inputs of the EEG amplifier 5 are very high-resistance due to the use of an FET, so that there is practically no current flow.
- the FET enables a high resistance with low thermal noise.
- the potentials derived at the electrodes are amplified accordingly in the EEG amplifier 5 and fed to an A / D converter using the multiplex method, the digital output signal of which is fed into the light guide 6 and fed to the light receiver 7.
- the one interference factor is the field gradients switched in the active MRT for spatial resolution in the xyz coordinate space, which cause interference signals superimposed on the EEG output signal.
- the second disruptive factor is pulse artifacts due to the pulsating blood flows in the patient's head, the cause of which was previously unknown. These pulse artifacts have so far largely made the EEG results unusable even in inactive MRI. It has been assumed that these pulse artifacts are actually only movement artifacts caused by ballistocardial movement of the head due to the pulsation of the blood flow in the large arteries. However, it has been shown that even when using artificial handles real Although motion artifacts could be greatly reduced, the pulse artifacts continued to occur.
- Pulse artifacts are very similar to an alpha activity in the EEG, because this alpha activity lies in the same frequency and amplitude range as a pulse artifact and is only longer pronounced. Therefore, pulse artifacts in the EEG signal cannot be accepted if the EEG derivation is to be informative.
- the two explained interference factors in the EEG derivation are eliminated by digital signal processing of the derived EEG signals, thereby making the pure, unadulterated EEG signal visible.
- the disturbances impressed on the EEG signals by the switched field gradients in the active MRT are eliminated by spectral analysis and filtering.
- the Nyquist theorem states that the maximum visible frequency is determined by half the sampling rate.
- the EEG sampling rate is, for example, 500 Hz.
- a harmonic oscillation whose frequency is higher than half the sampling rate reappears as a result of the sampling - 9 -
- Common gradient shapes are triangles, trapezoids and harmonic vibrations. Since the circuits are periodic, they have a second spectrum. The distance between these peaks is determined by the repetition rate of the individual pulses; the amplitude results from the repeated pulse shape, whereby individual peaks can be without any power component.
- FIG. 3 shows a spectrum of a trapezoidal gradient that is often used.
- the share of the EEG is visible in the range from 0 to 40 Hz; the proportion of alpha activity around 12 Hz can be clearly seen.
- the discrete spectrum consists of multiples of 33.3 Hz; so the individual gradient pulses are repeated periodically at 33.3 Hz.
- the trapezoidal pulse shape is defined by the amplitudes of the individual peaks.
- three gradients are switched, the contributions of which add up.
- the repetition rate should not be below 30 Hz. - 10 -
- the cutoff frequency of the low pass must be chosen to be relatively low. But that also has its disadvantages. Because although the relevant range of brain waves to be recorded with the EEG is in the frequency range from 0 to 40 Hz, it is not desirable to cut off all higher frequencies by a low pass.
- the interference frequencies caused by the MRI operation must be determined.
- the interference frequencies are determined by the sequence and nesting of the program that determines the measurement sequence of the MRI.
- the program loops for the scanning layers, the image lines and the number of image acquisitions are of particular importance. For example, the above-mentioned frequency of 33 Hz and multiples thereof arise as interference frequencies from the frequency program and from 7 Hz through switching processes within the program. - 11 -
- the filter problem can therefore be solved by using additional bandstoppers with narrow blocking frequency bands around the respectively identified interference frequencies within the pass band of the low pass.
- 10th-order or higher-order Butterworth filters can be used for filtering.
- Butterworth filters have a low ripple in the frequency response, but must be used in a higher order in order to cut the interference as sharply as possible at the limit of the frequency range of the EEG.
- the filters used in conventional EEG amplifiers are of a low order and cannot suppress the high power of the interference frequency close to the EEG.
- All channels of the EEG are simultaneously filtered by an identical filter.
- FIG. 4 shows an example of filtering, the upper diagram showing the unfiltered EEG signal and the lower diagram showing the filtered EEG signal. The effect caused by the filtering is striking.
- the interfering frequencies can be eliminated directly and with an accuracy that is proportional to the length of the Fourier transformed signal in the Fourier spectrum.
- the signal is obtained through a reverse transformation without interference.
- the interference factor based on the pulse artifacts is eliminated by triggered subtraction of the pulse artifacts.
- the temporal waveform of the artifact is determined by averaging.
- the EEG signal is an undetermined stationary signal. It is made up of many harmonic vibrations, the power components of which change non-periodically and influenced by the respective situation (not determined), but the overall power remains largely constant (stationary). Because of this indeterminacy, the influence of the EEG on the wave train is reduced with n averaging of the pulse artifacts
- Movement artifacts differentiate the individual areas. After averaging over a sufficient number of, for example, approximately 15 events, the waveform obtained is then folded using a window function, and thus both the beginning and the end of the pulse artifact are reduced to zero.
- pulse-triggered subtraction of pulse artifacts takes place in two steps, namely a calibration routine and an online subtraction.
- EEG signals from all channels and an EKG signal with the patient's eyes open are recorded and displayed for a period of, for example, 30 seconds. It must be filtered with a high pass filter of 0.1 Hz or more. The user can then - 14 -
- the trigger event is the signal increase in the ECG signal recorded parallel to the ECG at the R wave.
- the average (D) and maximum (M) of the ECG signals recorded over the period of 30 seconds are determined.
- the mean (T) is then calculated from the maximum (M) and the average (D) of the ECG section.
- T is the triggering amplitude of the R wave of the EKG.
- the ECG is compared with T from the beginning of the 30-second period. As soon as a value is greater than T, this point in time is a trigger event (E). For the next 300 milliseconds, the EKG is not compared to T; then the comparison with T is continued again and the next trigger event is determined. The first and the last determined trigger event are discarded.
- the pulse-synchronous interference component in the EEG is now determined by calculating the minimum time interval between two trigger signals (E). This time will be reduced by another 10%. This determines the maximum length (L) of the pulse-synchronous interference component that can be subtracted.
- the pulse sections of length L are compared with each other with a coherence analysis from each trigger event (E). If the variance exceeds a certain value, the calibration routine must be repeated. Otherwise, the pulse sections are added and divided by the number of E determined. The averaged pulse section is folded using a window function. The interference signal (P) determined in this way is used for later online subtraction.
- a trigger signal is generated whenever the signal value of the EKG exceeds the value T that was determined in the calibration routine. From this point in time, data point by data point is subtracted from each selected EEG channel signal P over the length L and the cleaned EEG signal is obtained.
- the ECG-synchronous pulse artifacts can also be determined by means of ongoing calibration.
- the last 10 to 20 pulse artifacts in each case are averaged by means of an ECG trigger and subtracted from the pulse artifact that then follows.
- the area used for averaging thus migrates with the EEG signal and thus always gives the current form of the artifact.
- the length L of the pulse sections is of course variable.
- a variation of the pulse artifact with the heart rate can also be taken into account.
- the time of the heart's blood output is linked to the beat frequency by a formula.
- the heartbeat frequency is determined via the R-wave distance in the EKG. If the pulse artifacts are stretched or compressed by means of interpolation using this formula before averaging, a temporal smearing of the artifact can be avoided. To subtract the EEG signal, the averaged artifact is interpolated again to the appropriate length. - 17 -
- the invention shows the causal relationship between the switched gradients and the frequency components in the spectrum of the disturbed EEG.
- the interference by the switched gradients can be eliminated by the signal processor during the recording.
- Corresponding low-pass filters or filter functions can be programmed in accordance with the above description for the respective sequences which are to be used for imaging in the MRT. Since the causes and the relationships are shown, a sequence for imaging can also be taken into account when deriving the EEG. This means that the EEG can be evaluated immediately even during the long data acquisition times of the MRI.
- the causes of the pulse artifacts are also shown. These arise from the ion separation of the pulsating blood in the high magnetic field of the MRI. If one does not want to restrict the positioning of the electrodes for EEG recording to blood vessel-free or blood vessel-poor head zones, the pulse artifacts can only be soothed up by digital signal processing. With the pulse-triggered subtraction shown according to the invention, an effective and reliable method is offered to eliminate the pulse artifacts. As a result, the EEG regains diagnostic quality in MRI. - 18 -
- the complex digital processing described above only needs to take place in order to eliminate the interference from the MRI operation when the MRI is actually in operation.
- the pulse artifacts represent disturbances which have a considerable effect due to the static high magnetic field which also prevails in the non-measuring MRI.
- the arrangement can thus be made such that the digital filtering of the EEG signal only takes place while the MRT is in the measuring mode, that is to say the MRI functions with the switched field gradient etc. generate an interference spectrum.
- This can be done automatically as part of the signal evaluation by evaluating the EEG signal accordingly in order to recognize the time range of the disturbance due to the activity of the magnetic resonance tomograph, or the period during which the magnetic resonance tomograph is active can also be done by an external one Trigger during EEG recording can be determined. This allows the EEG signal filtering to be switched on and off automatically.
- EEG signal Since the digital filtering of the EEG signal to eliminate the interference caused by the MRT operation naturally weakens the EEG signal, appropriate gain control or the like can be used to ensure that after processing the EEG signal by filtering in the period in question or Fourier space, the energy content of the processed EEG signal is adapted again to the energy content of an undisturbed and unprocessed EEG signal. The EEG signal is thus raised by a corresponding factor in this period or Fourier space. This gain control can also be carried out automatically in the same way. The result of this is that an EEG signal derived continuously over inactive and active periods of the MRT appears, which is cleaned of disturbances and runs continuously without jumps in intensity.
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Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP99926257A EP1071368A1 (en) | 1998-04-17 | 1999-04-16 | Method and device for diverting an electroencephalogram in a nuclear spin tomograph |
DE19980653T DE19980653D2 (en) | 1998-04-17 | 1999-04-16 | Method and device for deriving an electron encephalogram in an MRI scanner |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19817094.7 | 1998-04-17 | ||
DE19817094A DE19817094A1 (en) | 1998-04-17 | 1998-04-17 | Method of producing an electrocephalogram in magnetic resonance imaging e.g. for brain diagnosis |
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Publication Number | Publication Date |
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WO1999053836A1 true WO1999053836A1 (en) | 1999-10-28 |
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PCT/DE1999/001149 WO1999053836A1 (en) | 1998-04-17 | 1999-04-16 | Method and device for diverting an electroencephalogram in a nuclear spin tomograph |
Country Status (3)
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EP (1) | EP1071368A1 (en) |
DE (2) | DE19817094A1 (en) |
WO (1) | WO1999053836A1 (en) |
Cited By (6)
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CN104887252A (en) * | 2015-06-12 | 2015-09-09 | 郝英霞 | Mental disease detection device |
CN105997060A (en) * | 2016-05-09 | 2016-10-12 | 中国航天员科研训练中心 | An electroencephalogram analysis system used in an electromagnetic radiation environment |
CN109144277A (en) * | 2018-10-19 | 2019-01-04 | 东南大学 | A kind of construction method for realizing brain control intelligent carriage based on machine learning |
CN109633504A (en) * | 2018-12-14 | 2019-04-16 | 天津大学 | A kind of compound magnetic resonance test body mould system of static-dynamic state |
CN109782202A (en) * | 2018-12-14 | 2019-05-21 | 天津大学 | A kind of static state magnetic resonance test body modular system |
CN109782203A (en) * | 2018-12-14 | 2019-05-21 | 天津大学 | A kind of dynamic magnetic resonance test body mould system |
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DE10047365B4 (en) * | 2000-09-25 | 2005-07-28 | Siemens Ag | Physiological sensor system |
JP3887798B2 (en) | 2001-09-14 | 2007-02-28 | 日本光電工業株式会社 | Biological information display method and biological information display device |
DE10155559B4 (en) * | 2001-11-12 | 2009-01-22 | Universität Duisburg-Essen | Electrode arrangement and arrangement for functional magnetic resonance imaging examination |
US20090163798A1 (en) * | 2005-11-17 | 2009-06-25 | Brain Research Institute Pty Ltd | Apparatus and method for detection and monitoring of electrical activity and motion in the presence of a magnetic field |
DE102006026677A1 (en) * | 2006-06-02 | 2007-12-06 | Eberhard-Karls-Universität Tübingen | Medical electrode device |
DE102006061784A1 (en) * | 2006-12-21 | 2008-06-26 | Rheinisch-Westfälisch Technische Hochschule Aachen | Method and device for operating a magnetic resonance examination device |
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JPH0620446B2 (en) * | 1988-03-14 | 1994-03-23 | 株式会社日立メディコ | Coronary imager |
FR2704131B1 (en) * | 1993-04-22 | 1995-06-30 | Odam | Sensor device for electrocardiogram. |
DE4337503C1 (en) * | 1993-11-03 | 1995-02-09 | Siemens Ag | Method for spatially resolved blood-flow measurement by means of nuclear magnetic resonance |
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1998
- 1998-04-17 DE DE19817094A patent/DE19817094A1/en not_active Withdrawn
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1999
- 1999-04-16 EP EP99926257A patent/EP1071368A1/en not_active Withdrawn
- 1999-04-16 DE DE19980653T patent/DE19980653D2/en not_active Expired - Fee Related
- 1999-04-16 WO PCT/DE1999/001149 patent/WO1999053836A1/en not_active Application Discontinuation
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EP0463698A1 (en) * | 1990-06-29 | 1992-01-02 | Koninklijke Philips Electronics N.V. | QRS filter for NMR imaging apparatus and NMR imaging employing such filter |
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DE19980653D2 (en) | 2001-06-21 |
DE19817094A1 (en) | 1999-10-21 |
EP1071368A1 (en) | 2001-01-31 |
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