Abstract
Objective
We describe a new real-time filter to reduce artefacts on electrocardiogram (ECG) due to magnetic field gradients during MRI. The proposed filter is a least mean square (LMS) filter able to continuously adapt its step size according to the gradient signal of the ongoing MRI acquisition.
Materials and methods
We implemented this filter and compared it, within two databases (at 1.5 and 3 T) with over 6000 QRS complexes, to five real-time filtering strategies (no filter, low pass filter, standard LMS, and two other filters optimized within the databases: optimized LMS, and optimized Kalman filter).
Results
The energy of the remaining noise was significantly reduced (26 vs. 68%, p < 0.001) with the new filter vs. standard LMS. The detection error of our ventricular complex (QRS) detector was: 11% with our method vs. 25% with raw ECG, 35% with low pass filter, 17% with standard LMS, 12% with optimized Kalman filter, and 11% with optimized LMS filter.
Conclusion
The adaptive step size LMS improves ECG denoising during MRI. QRS detection has the same F1 score with this filter than with filters optimized within the database.
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Acknowledgements
Julien Oster contributed to this paper as scientific advisor. Several authors were employed by Schiller SA when this study was designed and conducted.
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Three authors André Guillou, Sarah Ménétré and Grégory Petitmangin are employed by Schiller Medicals, Wissembourg, France and declare this financial link as a potential conflict of interest because the algorithm presented in the manuscript is actually implemented in two schiller commercial devices. The authors Jean-Marc Sellal, Jacques Felblinger and Laurent Bonnemains declare that they have no conflict of interest.
Ethical approval
The study complied with the Declaration of Helsinki regarding medical research on human subjects and was approved by a local ethics committee.
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All subjects included in the study gave their informed written consent.
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Guillou, A., Sellal, JM., Ménétré, S. et al. Adaptive step size LMS improves ECG detection during MRI at 1.5 and 3 T. Magn Reson Mater Phy 30, 567–577 (2017). https://doi.org/10.1007/s10334-017-0638-8
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DOI: https://doi.org/10.1007/s10334-017-0638-8