Model-Based Imaging of Cardiac Apparent Conductivity and Local Conduction Velocity for Diagnosis and Planning of Therapy

Phani Chinchapatnam, Kawal S. Rhode, Matthew Ginks, C. Aldo Rinaldi, Pier Lambiase, Reza Razavi, Simon Arridge, Maxime Sermesant
2008 IEEE Transactions on Medical Imaging  
We present an adaptive algorithm which uses a fast electrophysiological (EP) model to estimate apparent electrical conductivity and local conduction velocity from non-contact mapping of the endocardial surface potential. Development of such functional imaging revealing hidden parameters of the heart can be instrumental for improved diagnosis and planning of therapy for cardiac arrhythmia and heart failure, for example during procedures such as radio-frequency ablation and cardiac
more » ... on therapy. The proposed model is validated on synthetic data and applied to clinical data derived using hybrid X-ray/magnetic resonance imaging. We demonstrate a qualitative match between the estimated conductivity parameter and pathology locations in the human left ventricle. We also present a proof of concept for an electrophysiological model which utilises the estimated apparent conductivity parameter to simulate the effect of pacing different ventricular sites. This approach opens up possibilities to directly integrate modelling in the cardiac EP laboratory.
doi:10.1109/tmi.2008.2004644 pmid:18955178 fatcat:wlg63jnspfgr3erhccv6dpdvv4