J. Felblinger et C. Boesch, AMPLITUDE DEMODULATION OF THE ELECTROCARDIOGRAM SIGNAL (ECG) FOR RESPIRATION MONITORING AND COMPENSATION DURING MR EXAMINATIONS, Magnetic resonance in medicine, 38(1), 1997, pp. 129-136
A method for respiration monitoring during MR-sequences using the elec
trocardiogram signal (EGG) is presented. The basic principle is known
in conventional patient monitoring and is based on tile fact that the
amplitude of the EGG-signal varies with respiratory motion, A demodula
tion of this ''cardiorespiratory signal'' yields a respiration curve t
hat can be used for patient monitoring, triggering, or respiration com
pensation of MRI sequences, Since no drift is introduced by digital de
modulation, this method is superior to analog signal processing. The p
roposed method was applied during MR examinations using an optically c
oupled ECG sensor that has the advantage of almost negligible interfer
ence due to the MR sequences (much less than 10% of the main ECG signa
l), The respiration signal obtained is strongly correlated (r = 0.79 t
o 0.98) with the position of the diaphragm in inferior-superior direct
ion measured during breath-holding MRI.