Gradient-induced voltages on 12-lead ECGs during high duty-cycle MRI sequences and a method for their removal considering linear and concomitant gradient terms.

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.

Clinically accurate fetal ECG parameters acquired from maternal abdominal sensors.

OBJECTIVE: We sought to evaluate the accuracy of a novel system for measuring fetal heart rate (FHR) and ST-segment changes using noninvasive electrodes on the maternal abdomen. STUDY DESIGN: Fetal electrocardiograms were recorded using abdominal sensors from 32 term laboring women who had a fetal scalp electrode (FSE) placed for a clinical indication. RESULTS: Good-quality data for FHR estimation were available in 91.2% of the FSE segments and 89.9% of the abdominal electrode segments. The root mean square error between the FHR data calculated by both methods over all processed segments was 0.36 beats per minute. ST deviation from the isoelectric point ranged from 0-14.2% of R-wave amplitude. The root mean square error between the ST change calculated by both methods averaged over all processed segments was 3.2%. CONCLUSION: FHR and ST change acquired from the maternal abdomen is highly accurate and, on average, is clinically indistinguishable from FHR and ST change calculated using FSE data.

Pre-development denudation rates for the Great Barrier Reef catchments derived using 10Be.

Understanding of the pre-development, baseline denudation rates that deliver sediment to the Great Barrier Reef (GBR) has been elusive. Cosmogenic 10Be in sediment is a useful integrator of denudation rates and sediment yields averaged over large spatial and temporal scales. This study presents 10Be data from 71 sites across 11 catchments draining to the GBR: representing 80% of the GBR catchment area and provide background sediment yields for the region. Modern, short-term, sediment yields derived from suspended load concentrations are compared to the 10Be data to calculate an Accelerated Erosion Factor (AEF) that highlights denudation "hot-spots" where sediment yields have increased over the long-term background values. The AEF results show that 58% basins have higher modern sediment yields than long-term yields. The AEF is considered a useful approach to help prioritise on-ground investments in remediation and the additional measured empirical data in this paper will help support future predictive models.

Evaluation of the fetal QT interval using non-invasive fetal ECG technology.

Non-invasive fetal electrocardiography (NI-FECG) is a promising alternative continuous fetal monitoring method that has the potential to allow morphological analysis of the FECG. However, there are a number of challenges associated with the evaluation of morphological parameters from the NI-FECG, including low signal to noise ratio of the NI-FECG and methodological challenges for getting reference annotations and evaluating the accuracy of segmentation algorithms. This work aims to validate the measurement of the fetal QT interval in term laboring women using a NI-FECG electrocardiogram monitor. Fetal electrocardiogram data were recorded from 22 laboring women at term using the NI-FECG and an invasive fetal scalp electrode simultaneously. A total of 105 one-minute epochs were selected for analysis. Three pediatric electrophysiologists independently annotated individual waveforms and averaged waveforms from each epoch. The intervals measured on the averaged cycles taken from the NI-FECG and the fetal scalp electrode showed a close agreement; the root mean square error between all corresponding averaged NI-FECG and fetal scalp electrode beats was 13.6 ms, which is lower than the lowest adult root mean square error of 16.1 ms observed in related adult QT studies. These results provide evidence that NI-FECG technology enables accurate extraction of the fetal QT interval.