Abstract
Purpose To restore 12-lead electrocardiographic (ECG) signal fidelity inside MRI by removing magnetic field gradient-induced voltages during high gradient duty cycle sequences. Theory and Methods A theoretical equation was derived to provide first- and second-order electrical fields induced at individual ECG electrodes as a function of gradient fields. Experiments were performed at 3T on healthy volunteers using a customized acquisition system that captured the full amplitude and frequency response of ECGs, or a commercial recording system. The 19 equation coefficients were derived via linear regression of data from accelerated sequences and were used to compute induced voltages in real-time during full resolution sequences to remove ECG artifacts. Restored traces were evaluated relative to ones acquired without imaging. Results Measured induced voltages were 0.7 V peak-to-peak during balanced steady state free precession (bSSFP) with the heart at the isocenter. Applying the equation during gradient echo sequencing, three-dimensional fast spin echo, and multislice bSSFP imaging restored nonsaturated traces and second-order concomitant terms showed larger contributions in electrodes further from the magnet isocenter. Equation coefficients are evaluated with high repeatability (ρ = 0.996) and are dependent on subject, sequence, and slice orientation. Conclusion Close agreement between theoretical and measured gradient-induced voltages allowed for real-time removal. Prospective estimation of sequence periods in which large induced voltages occur may allow hardware removal of these signals.
Original language | English (US) |
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Pages (from-to) | 2204-2216 |
Number of pages | 13 |
Journal | Magnetic resonance in medicine |
Volume | 75 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2016 |
Externally published | Yes |
Keywords
- 12-lead ECG
- Maxwell's equations
- cardiac magnetic resonance imaging
- gradient-induced noise
- image-guided intervention
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging