The disclosure relates to a medical image acquisition device with a pilot tone transmitter and a pilot tone receiver and to a method for operating the same. The pilot tone transmitter is configured to emit an electromagnetic radio frequency signal into a patient. The pilot tone receiver is configured to receive the radio frequency signal and to decode an item of information relating to a physiological process in the patient. The pilot tone transmitter has a modulator configured to modulate the electromagnetic radio frequency signal with a code and the pilot tone receiver is configured to select the modulated radio frequency signal using the encoding from a plurality of signals.