Assessment of the equivalent dipole layer source model in the reconstruction of cardiac activation times on the basis of BSPMs produced by an anisotropic model of the heart.

Promising results have been reported in noninvasive estimation of cardiac activation times (AT) using the equivalent dipole layer (EDL) source model in combination with the boundary element method (BEM). However, the assumption of equal anisotropy ratios in the heart that underlies the EDL model doe...

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Publicado en:Medical & Biological Engineering & Computing Vol. 56; no. 6; pp. 1013 - 1026
Autores principales: Janssen, Arno M., Potyagaylo, Danila, Dössel, Olaf, Oostendorp, Thom F.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Assessment of the equivalent dipole layer source model in the reconstruction of cardiac activation times on the basis of BSPMs produced by an anisotropic model of the heart.
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          Janssen, Arno M.
          Potyagaylo, Danila
          Dössel, Olaf
          Oostendorp, Thom F.
        affil: The Netherlands Heart Institute, Utrecht, The Netherlands
      sug:
        subj:
          Neuroendocrine Tumors Radiotherapy
          Neuroendocrine Tumors Pathology
          Liver Neoplasms
          Liver Neoplasms Radiotherapy
          Embolization, Therapeutic Methods
          Radioisotopes
          Aged, 80 and Over
          Male
          Retrospective Design
          Latex
          Middle Age
          Survival
          Female
          Radiography, Interventional
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          Treatment Outcomes
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          Human
          Aged, 80 & over
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          Adult: 19-44 years
          Aged: 65+ years
          Male
          Female
      ab: Promising results have been reported in noninvasive estimation of cardiac activation times (AT) using the equivalent dipole layer (EDL) source model in combination with the boundary element method (BEM). However, the assumption of equal anisotropy ratios in the heart that underlies the EDL model does not reflect reality. In the present study, we quantify the errors of the nonlinear AT imaging based on the EDL approximation. Nine different excitation patterns (sinus rhythm and eight ectopic beats) were simulated with the monodomain model. Based on the bidomain theory, the body surface potential maps (BSPMs) were calculated for a realistic finite element volume conductor with an anisotropic heart model. For the forward calculations, three cases of bidomain conductivity tensors in the heart were considered: isotropic, equal, and unequal anisotropy ratios in the intra- and extracellular spaces. In all inverse reconstructions, the EDL model with BEM was employed: AT were estimated by solving the nonlinear optimization problem with the initial guess provided by the fastest route algorithm. Expectedly, the case of unequal anisotropy ratios resulted in larger localization errors for almost all considered activation patterns. For the sinus rhythm, all sites of early activation were correctly estimated with an optimal regularization parameter being used. For the ectopic beats, all but one foci were correctly classified to have either endo- or epicardial origin with an average localization error of 20.4 mm for unequal anisotropy ratio. The obtained results confirm validation studies and suggest that cardiac anisotropy might be neglected in clinical applications of the considered EDL-based inverse procedure.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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