Progress of MRI-guided EP Interventions is Hampered by a Lack of ECG-based Patient Monitoring – An Engineering Perspective

Johannes Krug Passand, Johannes Krug Passand, Georg Rose, Georg Rose

2019

Abstract

This position paper discusses the current developments and advances of electrophysiological (EP) interventions guided by magnetic resonance imaging (MRI) and the associated technological challenges and difficulties which need to be overcome in the future. MRI provides several advantages compared to other medical imaging modalities. However, performing any kind of intervention or surgery in an MRI scanner is technical challenging. EP procedures are a special case since they involve many sensitive electronic stimulation and measurement devices and also require a high quality patient monitoring. Monitoring the patient’s electrocardiogram (ECG) inside an MRI is a challenging task due to the MRI’s hazardous environment. Hence, ECG signals are highly distorted and are of limited diagnostic value. This limitation in ECG-based patient monitoring and the lack of a fully functional, MRI-conditional 12-lead ECG hampers or delays the progress of EP procedures during MRI. We review and discuss the main reasons for this limitation and give an outlook and recommendation for further research approaches.

Paper Citation

in Harvard Style

Passand J. and Rose G. (2019). Progress of MRI-guided EP Interventions is Hampered by a Lack of ECG-based Patient Monitoring – An Engineering Perspective. In Proceedings of the 12th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2019) - Volume 4: BIOSIGNALS; ISBN 978-989-758-353-7, SciTePress, pages 201-208. DOI: 10.5220/0007485702010208

in Bibtex Style

@conference{biosignals19,
author={Johannes Krug Passand and Georg Rose},
title={Progress of MRI-guided EP Interventions is Hampered by a Lack of ECG-based Patient Monitoring – An Engineering Perspective},
booktitle={Proceedings of the 12th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2019) - Volume 4: BIOSIGNALS},
year={2019},
pages={201-208},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007485702010208},
isbn={978-989-758-353-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 12th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2019) - Volume 4: BIOSIGNALS
TI - Progress of MRI-guided EP Interventions is Hampered by a Lack of ECG-based Patient Monitoring – An Engineering Perspective
SN - 978-989-758-353-7
AU - Passand J.
AU - Rose G.
PY - 2019
SP - 201
EP - 208
DO - 10.5220/0007485702010208
PB - SciTePress