IEEE Rev Biomed Eng. 2019;12:287-302. doi: 10.1109/RBME.2018.2867555. Epub 2018 Aug 29.
Over the last two decades, high-resolution (HR) mapping has emerged as a powerful technique to study normal and abnormal bioelectrical events in the gastrointestinal (GI) tract. This technique, adapted from cardiology, involves the use of dense arrays of electrodes to track bioelectrical sequences in fine spatiotemporal detail. HR mapping has now been applied in many significant GI experimental studies informing and clarifying both normal physiology and arrhythmic behaviors in disease states. This review provides a comprehensive and critical analysis of current methodologies for HR electrical mapping in the GI tract, including extracellular measurement principles, electrode design and mapping devices, signal processing and visualization techniques, and translational research strategies. The scope of the review encompasses the broad application of GI HR methods from in vitro tissue studies to in vivo experimental studies, including in humans. Controversies and future directions for GI mapping methodologies are addressed, including emerging opportunities to better inform diagnostics and care in patients with functional gut disorders of diverse etiologies.
在过去的二十年中,高分辨率(HR)映射已成为研究胃肠道(GI)道中正常和异常生物电事件的强大技术。这项技术源自心脏病学,涉及使用密集的电极阵列来精细地跟踪生物电序列。HR 映射现在已应用于许多重要的 GI 实验研究中,为正常生理学和疾病状态下的心律失常行为提供了信息和澄清。 本综述全面而批判性地分析了 GI 道中 HR 电映射的当前方法,包括细胞外测量原理、电极设计和映射设备、信号处理和可视化技术以及转化研究策略。 该综述的范围涵盖了从体外组织研究到体内实验研究,包括人类在内的 GI HR 方法的广泛应用。 探讨了 GI 映射方法的争议和未来方向,包括为不同病因的功能性肠道疾病患者提供更好的诊断和治疗的新机会。