In clinical EEG recording by monopolar derivation, earlobe is usually used as a reference point. But this point is more or less influenced by temporal activity. While the balanced non-cephalic reference electrode method (B reference electrode method) is theoretically ideal for monopolar derivation, this method has some drawbacks, e. g., the ECG artifacts.
In this paper, we present the principle and the device for eliminating the ECG artifacts, when using the B reference electrode method. EEG signals with ECG artifacts (original EEG signals) derived from the B reference electrode method were averaged by computer which was triggered by QRS complex, and, consequently, averaged ECG pattern mixed in EEG signal was detected. Then the averaged ECG pattern was subtracted from the original EEG signals. By these procedures ECG artifacts were eliminated without deformation of EEG signals. Amplitude difference between averaged ECG and individual ECG mixed in EEG was indicated by percentage for averaged ECG amplitude which was 10-15%. If the amplitude of ECG artifacts derived by the B reference electrode method was 100 μV, this percentage (10-15%) was negligible because this value was equivalent to deflection of 10-15 μV in the EEG record. It was confirmed that our method of ECG elimination was also available for subjects with arrthymias, but not for some subjects with transiently deformed ECG pattern, e. g., ventricular premature beat.
EEGs recorded by the B reference electrode method using our device were compared with those recorded by the traditional monopolar method with the reference electrode at the earlobe. The difference was also shown as the power spectra. It was concluded that the B reference electrode method with our device was more available than the traditional reference electrode method, especially for measurement of amplitude, phase-relation and distribution of EEG activity.
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