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用于去除功能性电刺激阻抗断层成像检测癫痫发作过程中连续 EEG 记录中的伪影的方法。

A method for removing artefacts from continuous EEG recordings during functional electrical impedance tomography for the detection of epileptic seizures.

机构信息

Department of Medical Physics and Bioengineering, Malet Place Engineering Building, Gower Street, University College London, London WC1E 6BT, UK.

出版信息

Physiol Meas. 2010 Aug;31(8):S57-72. doi: 10.1088/0967-3334/31/8/S05. Epub 2010 Jul 21.

Abstract

Electrical impedance tomography (EIT) is a portable, non-invasive medical imaging method, which could be employed to image the seizure onset in subjects undergoing assessment prior to epilepsy surgery. Each image is obtained from impedance measurements conducted with imperceptible current at tens of kHz. For concurrent imaging with video electroencephalogram (EEG), the EIT introduces a substantial artefact into the EEG due to current switching at frequencies in the EEG band. We present here a method for its removal, so that EIT and the EEG could be acquired simultaneously. A low-pass analogue filter for EEG channels (-6 dB at 48 Hz) and a high-pass filter (-3 dB at 72 Hz) for EIT channels reduced the artefact from 2-3 mV to 50-300 microV, but still left a periodic artefact at about 3 Hz. This was reduced to less than 10 microV with a software filter, which subtracted an artefact template from the EEG raw traces. The EEG was made clinically acceptable at four times its acquisition speed. This method could enable EIT to become a technique for imaging on telemetry units alongside EEG, without interfering with routine EEG reporting.

摘要

电阻抗断层成像(EIT)是一种便携式、非侵入性的医学成像方法,可用于对接受癫痫手术评估的患者进行癫痫发作起始部位的成像。每个图像都是通过在数十千赫兹的可感知电流下进行阻抗测量获得的。为了与视频脑电图(EEG)进行同步成像,EIT 会在 EEG 频段的频率下切换电流,从而在 EEG 中引入大量伪影。我们在此提出了一种去除伪影的方法,以便能够同时获取 EIT 和 EEG。用于 EEG 通道的低通模拟滤波器(在 48 Hz 处 -6 dB)和用于 EIT 通道的高通滤波器(在 72 Hz 处 -3 dB)将伪影从 2-3 mV 降低到 50-300 μV,但仍在大约 3 Hz 处留下周期性伪影。使用软件滤波器将 EEG 原始迹线中的伪影模板减去,可以将其降低到小于 10 μV。EEG 的采集速度提高了四倍,仍具有临床可接受性。这种方法可以使 EIT 成为与 EEG 一起在遥测单元上进行成像的技术,而不会干扰常规 EEG 报告。

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