Magnetic Resonance Pilot-Tone Triggering for Inhale Breath Holds
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Solution Overview
Problem
The cardiac triggering procedure based on pilot tone (CPT) is susceptible to suboptimal signal extraction during non-trained breathing situations, particularly inhale breath holds, leading to reduced trigger signal amplitude and issues like delayed or missed triggers.
Innovation Solution
A method to determine and correct amplitude variations of the trigger signal in real-time by analyzing first motion patterns, such as breathing patterns, using a magnetic resonance device's control unit to predict and adjust trigger signal amplitudes based on predefined thresholds and activity indicator values.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If a training-based signal extraction algorithm is used for CPT, then the trigger detection is robust during free breathing and exhale breath holds, but the trigger detection fails during inhale breath holds due to suboptimal signal extraction
Solution Approach 1:
The system dynamically adapts the trigger threshold based on the detected breathing pattern. During inhale breath holds, the threshold is adjusted to account for the reduced signal amplitude, while maintaining the original threshold during free breathing and exhale breath holds. This dynamic adaptation allows the system to maintain reliable trigger detection across all breathing patterns without requiring separate training for each pattern.
Solution Approach 2:
The invention changes the trigger threshold parameter based on the breathing phase. When an inhale breath hold is detected, the system modifies the threshold value to be more sensitive to the reduced signal amplitude characteristic of this breathing pattern. This parameter change enables the system to overcome the limitation of the fixed-threshold algorithm and successfully detect triggers during inhale breath holds.
2Reliability
If the trigger threshold is lowered to detect reduced amplitude signals during inhale breath holds, then trigger detection during inhale breath holds improves, but false triggers increase during free breathing
Solution Approach 1:
The system dynamically adjusts the trigger threshold based on the current breathing pattern detected by the motion pattern determination unit. During inhale breath holds, a lower threshold is applied to detect the reduced signal amplitude. During free breathing and exhale breath holds, the original higher threshold is maintained to prevent false triggers. This dynamic approach allows the system to optimize sensitivity for each breathing pattern without compromising overall specificity.
Solution Approach 2:
The system performs preliminary detection of the breathing pattern before setting the trigger threshold. By first determining whether the patient is in an inhale breath hold, free breathing, or exhale breath hold state, the system can pre-adjust the appropriate threshold value before trigger detection occurs. This preliminary action ensures that the correct threshold is in place before the trigger detection algorithm processes the signal, preventing both missed triggers and false triggers.
Data Source
AI summary
Systems and methods for determining a first motion pattern of a subsequent first motion period, including the following steps performed by a control unit of a magnetic resonance device for each current first motion period: extracting a pilot tone raw signal from the raw data signal; extracting at least one first motion component from the pilot tone raw signal; determining a respective first motion signal that is a first derivative of the at least one first motion component; determining a determined activity indicator value of the current first motion period, that is a maximum amplitude value of the respective first motion signal of the current first motion period; determining a predicted activity indicator value of the subsequent first motion period based on the determined activity indicator value of the current first motion period.


