Key result
Self-Attention MHDNet detects ECG R-peaks with ~100% F1-score during cardiac MRI.
Why the study?
Magnetic fields during an MRI scan distort ECG data via the magnetohydrodynamic (MHD) effect, hampering QRS complex detection and gating. A reliable method was needed to detect R-peaks in MHD-corrupted ECG waveforms in 3 Tesla (T) and 7T magnetic fields.
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Magnetic resonance imaging (MRI) is commonly used in medical diagnosis and minimally invasive image-guided operations. During an MRI scan, the patient's electrocardiogram (ECG) may be required for either gating or patient monitoring. However, the challenging environment of an MRI scanner, with its several types of magnetic fields, creates significant distortions of the collected ECG data due to the Magnetohydrodynamic (MHD) effect. These changes can be seen as irregular heartbeats. These distortions and abnormalities hamper the detection of QRS complexes, and a more in-depth diagnosis based on the ECG. This study aims to reliably detect R-peaks in the ECG waveforms in 3 Tesla (T) and 7T magnetic fields. A novel model, Self-Attention MHDNet, is proposed to detect R peaks from the MHD corrupted ECG signal through 1D-segmentation. The proposed model achieves a recall and precision of 99.83% and 99.68%, respectively, for the ECG data acquired in a 3T setting, while 99.87% and 99.78%, respectively, in a 7T setting. This model can thus be used in accurately gating the trigger pulse for the cardiovascular functional MRI.
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Chowdhury et al. (2023) studied Electrocardiogram signal distortion due to Magnetohydrodynamic (MHD) effect during MRI (n=28). Self-Attention MHDNet deep learning model vs. Baseline Feature Pyramid Network (FPN) and Self-FPN models was evaluated on R-peak detection F1-score in 3T MRI setting. Self-Attention MHDNet achieved 99.83% recall, 99.68% precision, and 99.76% F1-score in 3T MRI, and 99.87% recall, 99.78% precision, and 99.82% F1-score in 7T MRI for ECG R-peak detection.
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