Methods and systems for estimation of residual ECG noise level and adaptive noise threshold

Patent metadata

Field	Value
Publication number	US-11944459-B2
Application number	US-201916731646-A
Country	US
Kind code	B2
Filing date	Dec 31, 2019
Priority date	Dec 31, 2019
Publication date	Apr 2, 2024
Grant date	Apr 2, 2024

Abstract

A system including a means for estimating the residual noise level in electrocardiogram (ECG) signals is disclosed. The disclosed system and methods may be used in an electrocardiograph devices. According to an exemplary embodiment of the present invention, a plurality of electrodes positioned in proximity to a cardiac structure may measure an electrical signal of the cardiac structure to produce the ECG signal. The system may segment the ECG signal into a plurality of segments. For each of the plurality of segments, the linear trend energy and/or direct current (DC) energy may be removed from the segment, and the estimated noise energy of the segment may be calculated. A subset of the plurality of segments with a minimum estimated noise energy may be selected. The residual noise energy of the ECG signal may be estimated by calculating an average of the estimated noise energy over the subset of segments.

First claim

What is claimed is:

1. A system for estimating residual noise energy of an electrocardiogram (ECG) signal, the system comprising:
a plurality of electrodes configured to measure an electrical signal of a cardiac structure to produce the ECG signal; and
a processor configured to:
determine a segment duration based on a linear trend energy of the ECG signal, wherein the linear trend energy corresponds to an increasing or decreasing slope of the ECG signal;
segment the ECG signal into a plurality of segments in accordance with the determined segment duration;
for each of the plurality of segments:
remove the linear trend energy and direct current (DC) energy from the segment, and calculate an estimated noise energy of the segment;

select a subset of the plurality of segments with a minimum estimated noise energy;
estimate the residual noise energy of the ECG signal by calculating an average of the estimated noise energy over the subset of segments; manage a noise level of the ECG signal using the estimated residual noise energy of the ECG signal; and enable a clinician's ability to diagnose and treat a heart disorder according to the subset of segments.

2. The system of claim 1 , wherein the plurality of electrodes include at least one of intracardiac electrodes mounted on a catheter configured for insertion into a chamber of the cardiac structure and surface electrodes located on a body surface exterior to the cardiac structure.

3. The system of claim 1 , wherein adjacent segments in the plurality of segments partially overlap in time.

4. The system of claim 1 , wherein the ECG signal is a raw unipolar or bipolar ECG signal prior to any filtering.

5. The system of claim 1 , further comprising:
at least one power filter configured to filter the ECG signal.

6. The system of claim 1 , further comprising:
at least one of a near regression median filter, a derivative filter, or a high pass filter to filter the ECG signal.

7. The system of claim 1 , wherein:
the processor is configured to determine the segment duration so that the linear trend energy of the ECG signal is minimal.

8. The system of claim 1 , wherein:
the processor is configured to calculate the estimated noise energy of the segment by taking a root-mean-square (RMS) amplitude or peak-to-peak (PP) amplitude of the segment.

9. The system of claim 1 , wherein:
the processor is further configured to normalize the estimated noise energy of the segment by a duration of the segment.

10. The system of claim 1 , wherein:
the plurality of electrodes are further configured to produce a plurality of ECG signals; and
the processor is configured to estimate the residual noise energy of each of the plurality of ECG signals and generate noise statistics over the plurality of ECG signals.

11. A method for estimating residual noise energy of an electrocardiogram (ECG) signal, the method comprising:
measuring, using a plurality of electrodes, an electrical signal of a cardiac structure to produce the ECG signal;
determining a segment duration based on a linear trend energy of the ECG signal, wherein the linear trend energy corres ponds to an increasing or decreasing slope of the ECG signal;
segmenting the ECG signal into a plurality of segments in accordance with the determined segment duration;
for each of the plurality of segments, removing the linear trend energy and direct current (DC) energy from the segment, and calculating an estimated noise energy of the segment;
selecting a subset of the plurality of segments with a minimum estimated noise energy; estimating the residual noise energy of the ECG signal by calculating an average of the estimated noise energy over the subset of segments; managing a noise level of the ECG signal using the estimated residual noise energy of the ECG signal; and enabling a clinician's ability to diagnose and treat a heart disorder according to the selecting the subset of segments.

12. The method of claim 11 , wherein the plurality of electrodes include at least one of intracardiac electrodes mounted on a catheter configured for insertion into a chamber of the cardiac structure and surface electrodes located on a body surface exterior to the cardiac structure.

13. The method of claim 11 , wherein adjacent segments in the plurality of segments partially overlap in time.

14. The method of claim 11 , wherein the ECG signal is a raw unipolar or bipolar ECG signal prior to any filtering.

15. The method of claim 11 , further comprising:
using a power filter to filter the ECG signal.

16. The method of claim 11 , further comprising:
comprising using at least one of a near regression median filter, a derivative filter, or a high pass filter to filter the ECG signal.

17. The method of claim 11 ,
wherein the segment duration is determined so that the linear trend energy of the ECG signal is minimal.

18. The method of claim 11 , wherein:
the estimated noise energy of the segment is calculated by taking a root-mean-square (RMS) amplitude or peak-to-peak (PP) amplitude of the segment.

19. The method of claim 11 , further comprising:
normalizing the estimated noise energy of the segment by a duration of the segment.

20. The method of claim 11 , further comprising:
producing a plurality of ECG signals;
estimating the residual noise energy of each of the plurality of ECG signals; and
generating noise statistics over the plurality of ECG signals.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Botzer Lior

Classifications

• A61B5/7221

  Determining signal validity, reliability or quality (preventing, reducing or removing noise induced by motion artefacts A61B5/7207; noise originating from a therapeutic or surgical apparatus A61B5/7217) · CPC title

• A61B5/282

  Holders for multiple electrodes (for introduction into the body A61B5/287) · CPC title

• A61B5/287

  Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS] · CPC title

• A61B5/7203 Primary

  for noise prevention, reduction or removal · CPC title

• A61B5/316

  Modalities, i.e. specific diagnostic methods · CPC title