This study describes a pilot clinical validation of a new low-cost system for the continuous monitoring of the human body's cardiorespiratory activities within the magnetic resonance examination area. This study primarily focuses on monitoring cardiac activity and the related cardiac triggering. The patented system tested by the authors is based on seismocardiography (SCG). The study was conducted on 18 subjects on a Siemens Prisma 3T MR scanner. Standard anatomical and diffusion sequences were used to test cardiac activity monitoring. A wide range of commonly used diagnostic sequences were used to test imaging of the heart by means of cardiac triggering. System functionality was verified against a commercially available electrocardiography (ECG) system. Monitoring of cardiac activity (detection of the R-R interval in ECG and the AO-AO interval in SCG) was objectively evaluated by determining the overall probability of correct detection (ACC), sensitivity (SE), positive predictive value (PPV), and harmonic mean between SE and PPV, i.e. F1. Imaging quality control using Cardiac Triggering was performed by subjective evaluation of images by the physicians. The study conducted clearly confirmed the functionality of the system in terms of continuous cardiac activity monitoring. In all 18 subjects, a mean PPV > 99 % was achieved; F1 > 99 %; SE > 99 %; ACC > 98 %; 1.96σ < 3.5 bpm. Also, Cardiac Triggering functionality was confirmed by the physicians on the basis of analyzing cardiac images using the T1/T2 balanced echo sequences and the T1 flash sequence measured natively. INDEX TERMS Seismocardiography-based cardiac triggering, seismocardiography (SCG), siemens prisma 3T, monitor patient vital signs during MRI, cardiac magnetic resonance imaging (CMRI).
New possibilities of vibration monitoring can be found in completely different physical approaches, where all measuring technology is currently based on sensors in the electrical domain. This paper presents two different promising alternative approaches to vibration measurement, specifically in the field of fiber-optics and pneumatic sensors. The proposed solution uses a Michelson fiber-optic interferometer designed without polarization fading and with operationally passive demodulation technique using three mutually phase-shifted optical outputs. Experimentally developed sensor systems for the registration of anthropogenic seismic phenomena were complemented by standard instrumentation for measuring seismicity used as a standard. The measurement was performed under simplified conditions using a calibrated stroke as a source of dynamic loading. In addition to alternative systems, the paper also presents the results of recalculation of the measured values in a time domain and basic relationships for the conversion to basic units derived from the SI (International System of Units) system and used internationally in the field of seismic engineering. The results presented demonstrate that even systems operating on a different physical principle have great potential to replace the existing seismic devices. The correlation coefficients for both sensory devices were high (above 0.9) and the average deviations from the measured values of the amplitude of the oscillation velocity did not exceed the value of 0.02, neither with the fiber-optic or pneumatic sensor.
This pilot pre-clinical study demonstrates the applicability of a new type of pneumatic cardiac triggering (PCT) for cardiac imaging. The pilot research compares the novel FPGA-based pad monitoring system for cardiac triggering using ballistocardiography (BCG) with conventional systems based on electrocardiography (ECG) and photoplethysmography (PPG). The implemented system enables cardiac triggering without the need to fix the sensors to the patient's body. This unique approach has the potential to reduce the preparation time for examination and the examination itself and to increase patient's comfort. The pilot pre-clinical study was conducted on 10 subjects at the Siemens Prisma 3T MRI Scanner within the
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