The magnetic resonance imaging (MRI) technique is a powerful diagnostic tool which is nowadays commonly used in many fields of medicine. In some cases, especially of the patients of intensive care units, it is highly recommended or even necessary to provide continuous monitoring of basic physiologic parameters, mainly the heart rate and the respiratory rate, during the MRI scan procedure. The presence of a strong magnetic field within the MRI chamber requires application of non-standard devices and solutions. The monitoring system needs to be immune to the strong magnetic field and simultaneously cannot negatively influence on the results of the scan. Therefore, application of optical sensing technologies could be potentially advantageous to fulfil these requirements. In this work we propose a novel optoelectronic measurement system, dedicated to monitoring of the patient during an MRI scan, immune to strong magnetic field and compatible with the MRI apparatus.
Fiber Bragg gratings (FBGs) are used as the sensing elements – the strain induced by the patient’s respiration and cardiac activity cause a change of the Bragg wavelength. These changes can be accurately measured and monitored in the time domain. The respiratory and heart rate can be extracted by further processing of the measured signal by dedicated software. The gratings are organized in a network to maximize the effective sensing area. Each of the FBGs has a different Bragg wavelength so that they can be connected in series.
The information from the sensors is read out using an interrogator based on an application specific photonic integrated circuit (ASPIC), designed and fabricated in an InP-based generic integration technology. The interrogator comprises a 36-channel arrayed waveguide grating wavelength demultiplexer, which outputs are connected to PIN photodiodes. Such a photonic circuit acts as a spectrometer and allows to reconstruct the reflection spectrum of many gratings simultaneously. An external superluminescent LED is used as the light source, however in the target configuration the source could be monolithically integrated with the interrogator. The Bragg gratings, the interrogator and the SLED are connected with each other using an optical circulator.
Initial tests of the monitoring system have been performed using a single fiber Bragg grating as the strain sensor and a commercially available optoelectronic interrogator. The fiber with an inscribed FBG was mounted using an epoxy glue on a PMMA board and deployed under the patient. Two signals can be distinguished out of the measured waves. The first one, with strong and slowly-varying peaks, reflects the respiration of the patient. The second signal, characterized by low-intensity and fast-varying peaks is a result of the cardiac activity. No influence of the magnetic field of the MRI instrument on the sensing system has been observed. The first results have confirmed both the correctness of the approach and the applicability of the system to monitoring the patient’s physical condition during MRI diagnosis.
This work was supported by the National Centre for Research and Development, project OPTO-SPARE, grant agreement PBS3/B9/41/2015.
The issues involved with recording vital functions in the magnetic resonance imaging (MRI) environment using fiber-optic sensors are considered in this paper. Basic physiological parameters, such as respiration and heart rate, are fundamental for predicting the risk of anxiety, panic, and claustrophobic episodes in patients undergoing MRI examinations. Electronic transducers are generally hazardous to the patient and are prone to erroneous operation in heavily electromagnetically penetrated MRI environments; however, nonmetallic fiber-optic sensors are inherently immune to electromagnetic effects and will be crucial for acquiring the above-mentioned physiological parameters. Forty-seven MRI-tested or potentially MRI-compatible sensors have appeared in the literature over the last 20 years. The author classifies these sensors into several categories and subcategories, depending on the sensing element placement, method of application, and measurand type. The author includes five in-house-designed fiber Bragg grating based sensors and shares experience in acquiring physiological measurements during MRI scans. This paper aims to systematize the knowledge of fiber-optic techniques for recording life functions and to indicate the current directions of development in this area.
We present a fiber-optic sensor for monitoring respiration and heart activity designed to operate in the magnetic resonance imaging (MRI) environment. The sensor employs a Plexiglas springboard, which converts movements of the patient’s body lying on the board (i.e., lung- and heart-induced vibrations) to strain, where a fiber Bragg grating attached to the board is used to measure this strain. Experimental studies are carried out during thoracic spine MRI examinations. The presence of the metal-free sensor construction in the MRI environment does not pose a threat to the patient and has no influence over the quality of imaging, and the signal is identical to that obtained without any electromagnetic interference. The results show that the sensor is able to accurately reflect the ballistocardiographic signal, enabling determinations of the respiration rate (RR) and heart rate (HR). The data delivered by the sensor are normally distributed on the Bland–Altman plot for the characteristic point determination and exhibit clear dependence on the RR and HR values for the RR and HR determinations, respectively. Measurement accuracies are better than 7% of the average values, and thus, with further development, the sensor will be implemented in routine MRI examinations.
The paper presents the concept of the modalmetric fiber optic sensor system for human psychophysical
activity detection. A fiber optic sensor that utilizes intensity of propagated light to monitor a patient's
vital signs such as respiration cardiac activity, blood pressure and body's physical movements. The sensor,
which is non-invasive, comprises an multimode fiber proximately situated to the patient so that time varying
acusto-mechanical signals from the patient are coupled by the singlemode optical fiber to detector. The
system can be implemented in embodiments ranging form a low cost in-home to a high end product for in
hospital use. We present the laboratory test of comparing their results with the known methods like EKG.
addition, the article describes the work on integrated system to human psychophysiology activity monitoring.
That system including a EMFIT, microwave, fiber optic and capacitive sensors.
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