NOISE REMOVAL IN MAGNETOMETER FOR MEDICAL USE
20200178827 ยท 2020-06-11
Assignee
Inventors
- Abbas Ahmad Al-Shimary (Leeds, GB)
- David Diamante Dimambro (Leeds, GB)
- Benjamin Thomas Hornsby Varcoe (Leeds, GB)
- Richard Theodore Grant (Leeds, GB)
Cpc classification
A61B5/7285
HUMAN NECESSITIES
A61B5/243
HUMAN NECESSITIES
A61B5/725
HUMAN NECESSITIES
International classification
Abstract
A method of using a magnetometer system to analyse the magnetic field of a region of a subject's body is disclosed. The method comprises using one or more detectors to detect the time varying magnetic field of a region of a subject's body, filtering a signal or signals from the one or more detectors using a filter or filters, and using the filtered signal or signals to analyse the magnetic field generated by the region of a subject's body. The filter or filters is configured to attenuate noise in the signal or signals that is synchronised with motion of the region of the subject's body such as ballistocardiographic noise.
Claims
1. A method of using a magnetometer system to analyse the magnetic field of a region of a subject's body, the method comprising: using one or more detectors to detect the time varying magnetic field of a region of a subject's body; filtering a signal or signals from the one or more detectors using a filter or filters, wherein the filter or filters is configured to attenuate noise in the signal or signals that is synchronised with motion of the region of the subject's body; and using the filtered signal or signals to analyse the magnetic field generated by the region of a subject's body.
2. The method of claim 1, wherein the filter or filters is configured to attenuate signals having frequencies below a low frequency cut-off frequency, wherein the low frequency cut-off frequency is optionally between around 8 and 12 Hz.
3. (canceled)
4. (canceled)
5. The method of claim 1, wherein the filter or filters is configured to attenuate signals having frequencies above a high frequency cut-off frequency.
6. The method of claim 5, wherein the high frequency cut-off frequency is between around 45 and 60 Hz.
7. The method of claim 1, wherein the filter or filters comprises at least one windowed sinc filter.
8. The method of claim 7, wherein the windowed sine filter is formed using a Blackman window.
9. The method of claim 1, comprising using the magnetometer system to detect the time varying magnetic field of a region of a subject's body in a non-magnetically shielded environment.
10. The method of claim 1, comprising using the magnetometer system to detect the time varying magnetic field of a region of a subject's body when the subject is supported by a structure that comprises electrically conductive and/or ferrous material.
11. The method of claim 1, wherein the region of the subject's body comprises one of: the abdomen, bladder, heart, head, brain, chest, womb, one or more foetuses, or a muscle.
12. A magnetometer system for medical use, comprising: one or more detectors for detecting the time varying magnetic field of a region of a subject's body; and a filter or filters configured to filter a signal or signals from the one or more detectors, wherein the filter or filters is configured to attenuate noise in the signal or signals that is synchronised with motion of the region of the subject's body; wherein the magnetometer system is configured to provide the filtered signal or signals for use to analyse the magnetic field generated by the region of the subject's body.
13. The system of claim 12, wherein the filter or filters is configured to attenuate signals having frequencies below a low frequency cut-off frequency.
14. The system of claim 13, wherein the low frequency cut-off frequency is between around 8 and 12 Hz.
15. A magnetometer system for medical use, comprising: one or more detectors for detecting the time varying magnetic field of a region of a subject's body; and a filter or filters configured to filter a signal or signals from the one or more detectors, wherein the filter or filters is configured to attenuate signals having frequencies below a low frequency cut-off frequency, wherein the low frequency cut-off frequency is between around 8 and 12 Hz; wherein the magnetometer system is configured to provide the filtered signal or signals for use to analyse the magnetic field generated by the region of the subject's body.
16. The system of claim 12, wherein the filter or filters is configured to attenuate signals having frequencies above a high frequency cut-off frequency.
17. The system of claim 15, wherein the high frequency cut-off frequency is between around 45 and 60 Hz.
18. The system of claim 12, wherein the filter or filters comprises at least one windowed sinc filter.
19. The system of claim 12, wherein the windowed sinc filter is formed using a Blackman window.
20. The system of claim 12, wherein the region of the subject's body comprises one of: the abdomen, bladder, heart, head, brain, chest, womb, one or more foetus, or a muscle.
21. The system of claim 12, wherein the magnetometer system is configured to detect the time varying magnetic field of a region of a subject's body in a non-magnetically shielded environment.
22. The system of claim 12, further comprising a support structure for supporting the subject's body, wherein the support structure comprises electrically conductive and/or ferrous material.
Description
[0187] A number of preferred embodiments of the present invention will now be described by way of example only and with reference to the accompanying drawings, in which:
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[0201] Like reference numerals are used for like components where appropriate in the Figures.
[0202] Magnetocardiography (MCG) is the measurement of magnetic fields emitted by the heart caused by the electrical current within myocardium heart cells. The measurement of these fields provides diagnostically significant information which is complimentary to that obtained by electrocardiography (ECG), and can be used to diagnose abnormalities of heart function.
[0203]
[0204] The magnetometer system comprises a detector 40 coupled to a detection circuit 41 that may contain a number of components. The detector 40 may be an induction coil 40. The detection circuit 41 may comprise a low impedance preamplifier, such as a microphone amplifier, that is connected to the coil 40.
[0205] The current output from the coil 40 is processed and converted to a voltage by the detection circuit 41 and provided to an analogue to digital converter (ADC) 42 which digitises the analogue signal from the coil 40 and provides it to a data acquisition system 43.
[0206] A biological signal that is correlated to the heartbeat, e.g. an ECG or Pulse-Ox trigger from the test subject may be used as a detection trigger for the digital signal acquisition, and the digitised signal over a number of trigger pulses is then binned into appropriate signal bins, and the signal bins overlaid or averaged, by the data acquisition unit 43. Other arrangements would, however, be possible.
[0207] The coil 40 and detection circuit 41 may be arranged such that the coil 40 and the preamplifier of the detection circuit 41 are arranged together in a sensor head or probe which is then joined by a wire to a processing circuit that comprises the remaining components of the detection circuit 41. Connecting the sensor head (probe) and the processing circuit by wire allows the processing circuit to be spaced from the sensor head (probe) in use.
[0208] With this magnetometer, the sensor head (probe) will be used as a magnetic probe by placing it in the vicinity of the magnetic fields of interest.
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[0212] In this circuit, the outputs from the detection circuits 41 are passed through respective amplifiers 47, 48, respectively, before being provided to the differential amplifier 45. At least one of the amplifiers 47, 48 is tuneable. In use, a known global field 46, such as 50 or 60 Hz line (and harmonics) noise, or a signal, such as a 1 kHz signal, applied by a signal generator 49, is introduced to both coils 40, 44. The presence of a signal on this frequency on the output of the differential amplifier 45, which can be observed, for example, using an oscilloscope 50, will then indicate that the coils 40, 44 are not matched. An amplifier control 51 can then be used to tune the tuneable voltage controlled amplifier 48 to eliminate the global noise on the output of the differential amplifier 45 thereby matching the outputs from the two coils appropriately.
[0213] Most preferably in this arrangement, a known global field of 1 kHz or so is applied to both coils, so as to achieve the appropriate coil matching for the gradient subtraction.
[0214]
[0215] The above embodiments of the present invention show arrangements in which there is a single pickup coil that may be used to detect the magnetic field of the subject's heart. In these arrangements, in order then to make a diagnostic scan of the magnetic fields generated by a subject's heart, the single pickup coil can be moved appropriately over the subject's chest to take readings at appropriate spatial positions over the subject's chest. The readings can then be collected and used to compile appropriate magnetic field scans of the subject's heart.
[0216] It would also be possible to arrange a plurality of coil and detection circuit arrangements, e.g. of the form shown in
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[0218] Other array arrangements could be used, if desired, such as circular arrays, irregular arrays, etc.
[0219] More (or less) coils could be provided in the array, e.g. up to 50 coils, or more than 50 coils. For example, where it is desired to measure the magnetic field of a different region of a subject's body (i.e. other than the heart), then an increased number of coils may be provided so as to provide an appropriate number of sampling points and an appropriate spatial coverage for the region of the subject's body in question.
[0220] It would also be possible in this arrangement to use some of the coils 61 to detect the background magnetic field for the purposes of background noise subtraction, rather than for detecting the wanted field of the subject's heart. For example, the outer coils 62 of the array could be used as background field detectors, with the signals detected by those coils then being subtracted appropriately from the signals detected by the remaining coils of the array. Other arrangements for background noise subtraction would, of course, be possible.
[0221] It would also be possible to have multiple layers of arrays of the form shown in
[0222] To measure the magnetic fields generated by the heart, the above arrangements can be used to compile magnetic field scans of a subject's heart by collecting magnetic field measurements at intervals over the subject's chest. False colour images, for example, can then be compiled for any section of the heartbeat, and the scans then used, for example by comparison with known reference images, to diagnose various cardiac conditions. Moreover this can be done for significantly lower costs both in terms of installation and on-going running costs, than existing cardiac magnetometry devices.
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[0224] As shown in
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[0226] As used herein, a magnetometer or other apparatus in a magnetically shielded environment may comprise a magnetometer or other apparatus that is either arranged in a specially designed room or enclosure. In such arrangements, both the subject being measured and the equipment doing the measuring are contained within the same shielded enclosure. By contrast, as used herein, a magnetometer or other apparatus in a non-magnetically shielded comprises a magnetometer or other apparatus for which no external piece or pieces of apparatus are used to protect the subject being measured, nor the equipment doing the measuring.
[0227] The magnetometer system can be used in an analogous manner to detect and analyse other medically useful magnetic fields produced by other regions of the body, such as the bladder, abdomen, chest, head, brain, one or more foetuses, a muscle, etc.
[0228] Despite the success of MCG as a diagnostic aid, the hospital environment (such as an emergency department) can present challenges which interfere with the acquisition of acceptable MCG data.
[0229] Three main types of noise can cause such interference: homogenous noise (e.g. the earth's magnetic field), stochastic noise (e.g. white noise, coloured noise), and background noise (e.g. power line disturbances with power spectrum peaks at 50 or 60 Hz (and harmonics), vibrations of the system itself, etc.). Background noise can often exceed the MCG signal by orders of magnitudes and can vary in time, which makes its removal a challenging problem. The present embodiment is directed, in particular, to the removal of background noise components.
[0230] Background noise components may be characterised as being either low, medium or high frequency noise. Low frequency noise (0.1 to 1 Hz) is typically due to moving elevators, metal doors, metal chairs or other metallic objects. High frequency noise (>20 Hz) is mostly due to power supplies, monitor frequencies, or other electronic devices. Vibrations of the system itself cause disturbances in the middle frequency noise range (1 Hz to 20 Hz).
[0231] The Applicants have recognised that, where it is desired to take a scan of a patient's heart while the patient is on a hospital bed 31, noise can be produced due to coupling of residual magnetism in the steel frame of the hospital bed 31, which can vibrate due to the motion of the patient as their heart beats.
[0232] These transient noise pulses consist of a relatively short sharp initial pulse followed by decaying low-frequency oscillations. The initial pulse is due to the heart beat (systole), whereas the oscillations are due to the resonance of the system (bed and patient) excited by the initial pulse.
[0233] Once picked up by the magnetometer device 30, this transient noise can make it difficult to assess the quality of the captured data during the scanning process. It also makes it difficult to extract the useful undistorted magnetocardiograph data that is required for an accurate diagnostic.
[0234] Ballistocardiographic noise may be caused by vibration of the bed 31, where the vibration is correlated with the recoil forces of the body in reaction to cardiac ejection of blood into the vasculature.
[0235] Other sources of synchronised biological noise include, for example, seismocardiographic noise which may be caused by local vibrations of the chest wall in response to the heartbeat, as well as breathing, and changes in the position of the subject's body on the bed 31, e.g. due to talking, fidgeting, etc., that can cause vibration of the bed 31 which in turn can produce synchronous magnetic noise in the magnetocardiograph.
[0236] These biological sources of synchronous noise should be contrasted with other sources of noise such as nearby vibrations (e.g. vibrating lift shafts, large objects being dropped or moved, etc.). Although these other noise sources can cause vibration of the bed 31 which in turn can produce magnetic noise in the magnetocardiograph, generally such noise is not synchronised with the motion of region of the subject's body in question (e.g. heartbeat) and can therefore be reduced using averaging (over a long enough period of time).
[0237] Other support structures such as beds, chairs, etc., may also give rise to biological synchronous magnetic noise, e.g. where the support structure comprises a material that can produce a magnetic field, such as high permeability materials, and/or high conductivity materials.
[0238] High permeability materials include, for example, iron, steel, nickel, and various alloys thereof. High permeability materials comprise materials that can be magnetised and/or that can attract a magnet, e.g. ferrous materials that can generally hold and maintain a permanent magnetic field of their own (i.e. that are ferromagnetic). High permeability materials react strongly to applied magnetic fields, and are typically electrically conductive.
[0239] Low permeability, high conductivity materials comprise highly conductive materials that do not have a magnetic field of their own but can produce a response in reaction to changes in applied fields (e.g. paramagnetic or diamagnetic). Low permeability, high conductivity materials comprise, for example, stainless steel, aluminium, graphene, etc.
[0240] With respect to electrically conductive materials, if a conductive material is stationary and an applied field is stationary, it will not produce a magnetic field. However, if a conductive material is stationary and an applied magnetic field is moving, electric (eddy) currents may be induced in the material, which have their own corresponding magnetic fields. Equally, if a conductive material is moving and the magnetic field is stationary, electric (eddy) currents may be induced in the material, which have their own corresponding fields.
[0241] By contrast, low permeability, low conductivity materials may comprise, for example, wood, most plastics, ceramics, fiberglass, etc. Low permeability, low conductivity materials are (non-conductive) electrical insulators with low permeability and conductivity and do not provide any magnetic interference, i.e. do not produce magnetic fields even if they vibrate.
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[0243] The peaks visible in the middle of
[0244] Distortions to the MCG data caused by the magnetic bed material are evident in
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[0246] The noise peaks visible in
[0247] The contribution of the healthy subject MCG signal to the spectral content in
[0248] These ballistic effects fall in the frequency range <10 Hz, making it difficult to extract useful information from the MCG signal.
[0249] The Applicants attempted to use a number of techniques to try to diminish or remove such unwanted noise from the MCG signal.
[0250] One such technique is nonlinear denoising (NLD) in state space. Nonlinear denoising operates on the reconstructed state space of the time series which represents the dynamical properties of the observed system. Background noise such as powerline disturbances fills a subspace in the state space which can be separated from the MCG manifold. This is done by recording the disturbances using an additional sensor, followed by a projection onto the noise subspace, followed by a subtraction from the original signal.
[0251] This approach requires the noise to be at least approximately deterministic, and therefore works well in removing powerline disturbances. However, the Applicants have found that this approach fails to remove transient noise caused by the bed vibrations, i.e. due to their nondeterministic nature.
[0252] In contrast with this, and in accordance with the present invention, the Applicants have found that a particular band-pass filter arrangement (as described further below) can be used to successfully separate the ballistic effects caused by the use of magnetic beds from the QRS complex. This allows a useful signal to be extracted from the corrupted MCG signal.
[0253] The Applicants have found, in particular, that a bandpass filter having a passband around 8-45 Hz can be used to separate the MCG signal from the ballistocardiographic (BCG) noise and background noise. The filter is designed to significantly reduce the impact of the ballistic effects from the measured signal, specifically the QRS region. The filter is a band pass filter constructed as combination of a high pass filter (removing ballistic effects <10 Hz), and a low pass filter (removing background noise >50 Hz).
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[0255] In the present embodiment, in order to approximate such an ideal filter, two windowed-sinc filters are combined to construct a band-pass filter that can separate the MCG signal from the BCG signal and background noise. This allows for an efficient separation of the QRS-complex from the ballistic effects and other background noise interferences, without phase distortions.
[0256] The filter is configured such that it removes all frequency components below a cut-off frequency f.sub.c1 and above a cut-off frequency f.sub.c2 without affecting frequencies in between. The filter is designed as the difference of two windowed-sinc filters whose cut-off frequencies are f.sub.c1 and f.sub.c2. The filter is able to significantly reduce the impact of the ballistocardiographic effects (BCG), on the MCG signal, specifically the depolarisation (QRS) section.
[0257] In the present embodiment, the signal from the detector is firstly digitised, e.g. using a 4-bit 37-channel 2400 kS/s ADC. MCG signals are baseline corrected and averaged to increase signal-to-noise level. Data are averaged centring on the R wave peak, which is obtained using an accompanying ECG signal. The averaged signal can be windowed, using a suitable window function, to reduce abruptness.
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[0259] In the time domain, the filter kernel is a modification of the sinc function. The frequency response of the windowed-sinc filter is rectangular. This corresponds to the fact that the sinc filter is the ideal (brick-wall, i.e. rectangular frequency response) low-pass filter.
[0260] The windowed-sinc filter kernel with cut-off frequency f.sub.c1 is given by:
where w[t] is a window function centred on t=0, and where i ranges from 0 to M. The constant K is a normalisation factor chosen to provide a unity gain at zero frequency. The cut-off frequency f.sub.c is expressed as a fraction of the sampling rate (a value between 0 and 0.5). The length of the filter kernel is determined by M, which must be an even integer.
[0261] The Applicants have found that, for the purposes of the present embodiment, the choice of window function is important. This involves a trade-off between roll-off and stop-band attenuation. Possible choices for the window function include the Hamming window, the Blackman window, the Bartlett window, and the Hanning window.
[0262] The Applicants have found in particular that, for the purposes of the present embodiment, the Blackman window is particularly suitable. This window has a slower roll-off compared with other window functions such as the Hamming window. However, the Blackman window has an improved stopband attenuation, and a lower passband ripple.
[0263] A Fourier transform may be performed to convert a signal in the time domain to its frequency domain counterpart. To calculate the output of the filter in the time domain a convolution may be performed, and in the frequency domain a point-by-point multiplication may be performed.
[0264] The length of the filter kernel M determines the transition bandwidth of the filter in the frequency domain, BW (the transition bandwidth is measured from where the curve leaves a value of one, to where it almost reaches zero), and is expressed as a fraction of the sampling rate (i.e. a value between 0 and 0.5). The trade-off between the computation time (which depends on the value of M) and the filter sharpness (the value of BW) can be expressed through the approximation:
[0265] As such, the sharper the filter is (the smaller the transition bandwidth BW), the longer is the time required to perform convolution in the time domain.
[0266] In the present embodiment, the signal is averaged into a single 1s cycle (e.g. 2400 samples at 2400 Hz sampling rate, i.e. one second of data which is approximately equivalent to a single heartbeat). The length of M is then maximised M=2400 to minimise the transition bandwidth BW. This means that BW 4/24000.00167, or BW2 samples.
[0267] The filter of the present embodiment is constructed as the difference of two windowed-sinc filters whose cut-off frequencies are f.sub.c1 and f.sub.c2. Since taking linear combinations in the frequency domain is equivalent to taking the same linear combinations in the time domain, the filter is constructed as the difference of two windowed-sinc filters:
g[i]=h.sub.f.sub.
[0268] This provides a band pass filter which only passes frequencies between f.sub.c1 and f.sub.c2. If f.sub.c2 is set as 0.5, a high pass filter is obtained, and if f.sub.c1 is set as 0.0, a low pass filter is obtained.
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[0270] The filter can be applied in either the time domain or the frequency domain to effectively separate the repolarisation (QRS section) of the MCG signal from the BCG effects and background noise.
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[0276] A sensor 40 and a digitiser 42 are used to obtain a signal 101. The signal is then averaged 102 over plural periods. This involves using a trigger such as the ECG to determine the plural repeating periods of the signal. Data is taken from the target waveform in each of plural windows around each of plural triggers. Several subsequent windows are averaged to remove random noise.
[0277] Filtering 103 is then applied to remove the noise that cannot be removed by averaging, i.e. the bed noise and other background noise as described above.
[0278] Following any additional data processing 104, diagnostic parameter extraction 105 may be performed, and used for analysis 106.
[0279] Some examples of medically useful signals that may be analysed are (i) S-T baseline shifts (STEMI) e.g. S-T elevated myocardial infarction; and (ii) R-S transition rate, e.g. bundle branch block. However, in general any of the signal features described herein may have diagnostic importance and may be used for analysis.
[0280] It can be seen from above that the present invention provides an improved magnetometer system for medical use. This is achieved, in the preferred embodiments of the present invention at least by filtering a signal or signals from using a filter that is configured to attenuate synchronised, e.g. ballistocardiographic noise.