Douglas M. Blakeley

Temperature sensing and control system for cardiac monitoring electrodes

A cardiac electrode (40) has a plug (48) which is frictionally received in a socket (50) of an electrical lead (56). An impedance (54) is connected in series between the electrical lead and the socket to pass ECG signals substantially unattenuated and for blocking radio frequency signals induced in the lead from reaching the socket and the electrode and heating the electrode to a sufficient temperature to burn the patient. The impedance includes an LC circuit (66, 68) which freely passes low frequency signals, such as cardiac signals, but which is tuned to resonance at radio frequencies, particularly at the frequency of resonance excitation and manipulation pulses of a magnetic resonance imager (A). Alternately, the impedance may include a resistive element for blocking the induced currents. A temperature sensor (60) is mounted in intimate contact with an electrically and thermally conductive socket portion (52) to sense the temperature of the electrode, indirectly. A temperature sensor lead (62), the cardiac lead (56), and a respiratory or other anatomical condition sensor are connected with a multiplexing means (140) which cyclically connects the output signals thereof with an analog to digital converter (142). The digital signals are converted to digital optical signals (102) to be conveyed along a light path (104) out of the examination region. The bits of the received digital signal are sorted (144) between an R-wave detector (120), a temperature limit check (122) which checks whether the temperature of the electrode exceeds preselected limits, and a respiratory detector (132).

Cardiac and respiratory monitor with magnetic gradient noise elimination

A magnetic resonance imaging apparatus (A) generates a uniform magnetic field, causes gradient fields transversely thereacross, excites resonance in nuclei within the image region, receives radio frequency signals from resonating nuclei, and reconstructs images representative thereof. Electrodes (30) monitor the cardiac cycle of a patient (B) being imaged and an expansion belt (32) monitors the respiratory cycle. During a magnetic resonance imaging scan, noise signal wave forms or spikes are superimposed on the cardiac cycle signal. A noise spike detector detects noise spikes. Specifically, a comparator (48) compares each wave form received from the electrodes with properties of a cardiac signal, such as the slope. When the comparator determines that a noise wave form is being received, it gates a track and hold circuit (52). The track and hold circuit passes the received signal except when gated by the comparator. When gated by the comparator, the track and hold circuit continues to supply the same output amplitude as it had in the beginning of the gating period. A filter (54) smooths the plateaus in the cardiac signal formed as the noise signal wave forms are removed.

Adaptive filtering of physiological signals in physiologically gated magnetic resonance imaging

A patient (B) is disposed in a region of interest of a magnetic resonance apparatus (A). During an imaging sequence, changing magnetic field gradients and radio frequency pulses are applied to the region of interest. The changing magnetic field gradients induce a corresponding electrical response in the patient. Electrodes (40) of a cardiac monitor (C) sense the electrocardiographic signal of the patient as well as the electrical response to the magnetic field gradient changes and produces an output signal having a cardiac component and a noise component. The bandwidth of the noise component varies in accordance with the changes of the magnetic field gradients. An adaptive filter (80) filters the output signal to remove the changing magnetic field gradient induced noise. The bandwidth of the filter function with which the output signal is filtered is varied or adjusted in accordance with the magnetic field gradient changes. The magnetic field gradient changes are monitored (84), their rate of change determined (88), and the bandwidth of the filter function is adjusted (92) in accordance with the rate of change. Alternately, the magnetic field gradient changes are determined a priori from a knowledge of the imaging sequence. As the imaging sequence progresses, a look-up table (150) is addressed to retrieve preprogrammed filter function information for various views or stages of the imaging sequence.