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用于组织电导率估计的心房电图的紧凑矩阵模型。

A compact matrix model for atrial electrograms for tissue conductivity estimation.

机构信息

Circuits and Systems (CAS) Group, Delft University of Technology, the Netherlands.

Circuits and Systems (CAS) Group, Delft University of Technology, the Netherlands.

出版信息

Comput Biol Med. 2019 Apr;107:284-291. doi: 10.1016/j.compbiomed.2019.02.012. Epub 2019 Feb 21.

DOI:10.1016/j.compbiomed.2019.02.012
PMID:30901616
Abstract

Finding the hidden parameters of the cardiac electrophysiological model would help to gain more insight on the mechanisms underlying atrial fibrillation, and subsequently, facilitate the diagnosis and treatment of the disease in later stages. In this work, we aim to estimate tissue conductivity from recorded electrograms as an indication of tissue (mal)functioning. To do so, we first develop a simple but effective forward model to replace the computationally intensive reaction-diffusion equations governing the electrical propagation in tissue. Using the simplified model, we present a compact matrix model for electrograms based on conductivity. Subsequently, we exploit the simplicity of the compact model to solve the ill-posed inverse problem of estimating tissue conductivity. The algorithm is demonstrated on simulated data as well as on clinically recorded data. The results show that the model allows to efficiently estimate the conductivity map. In addition, based on the estimated conductivity, realistic electrograms can be regenerated demonstrating the validity of the model.

摘要

寻找心脏电生理模型的隐藏参数有助于深入了解房颤的发生机制,从而在后期为疾病的诊断和治疗提供便利。在这项工作中,我们旨在通过记录的电图来估计组织的电导率,以作为组织(功能)障碍的指示。为此,我们首先开发了一个简单但有效的正向模型来替代控制组织中电传播的计算密集型反应扩散方程。使用简化模型,我们提出了一种基于电导率的紧凑矩阵模型来表示电图。随后,我们利用紧凑模型的简单性来解决估计组织电导率的不适定逆问题。该算法在模拟数据和临床记录数据上进行了验证。结果表明,该模型可以有效地估计电导率图。此外,基于估计的电导率,可以生成逼真的电图,证明了模型的有效性。

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1
A compact matrix model for atrial electrograms for tissue conductivity estimation.用于组织电导率估计的心房电图的紧凑矩阵模型。
Comput Biol Med. 2019 Apr;107:284-291. doi: 10.1016/j.compbiomed.2019.02.012. Epub 2019 Feb 21.
2
Comparison of simulated and clinical intracardiac electrograms.模拟心内电图与临床心内电图的比较。
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Regional conduction velocity calculation from clinical multichannel electrograms in human atria.从人类心房的临床多通道电图计算区域传导速度。
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S-wave predominance of epicardial electrograms during atrial fibrillation in humans: indirect evidence for a role of the thin subepicardial layer.人类心房颤动期间心外膜电图的S波优势:心外膜下薄层作用的间接证据
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