Title
Towards personalized clinical in-silico modeling of atrial anatomy and electrophysiology.
Abstract
Computational atrial models aid the understanding of pathological mechanisms and therapeutic measures in basic research. The use of biophysical models in a clinical environment requires methods to personalize the anatomy and electrophysiology (EP). Strategies for the automation of model generation and for evaluation are needed. In this manuscript, the current efforts of clinical atrial modeling in the euHeart project are summarized within the context of recent publications in this field. Model-based segmentation methods allow for the automatic generation of ready-to-simulate patient-specific anatomical models. EP models can be adapted to patient groups based on a-priori knowledge and to the individual without significant further data acquisition. ECG and intracardiac data build the basis for excitation personalization. Information from late enhancement (LE) MRI can be used to evaluate the success of radio-frequency ablation (RFA) procedures and interactive virtual atria pave the way for RFA planning. Atrial modeling is currently in a transition from the sole use in basic research to future clinical applications. The proposed methods build the framework for model-based diagnosis and therapy evaluation and planning. Complex models allow to understand biophysical mechanisms and enable the development of simplified models for clinical applications.
Year
DOI
Venue
2013
10.1007/s11517-012-0970-0
Med. Biol. Engineering and Computing
Keywords
Field
DocType
Atrial fibrillation, Radio-frequency ablation, Biophysical model, Model personalization
Anatomy,Segmentation,Automation,Therapy Evaluation,Basic research,Medicine,In silico,Personalization
Journal
Volume
Issue
ISSN
51
11
1741-0444
Citations 
PageRank 
References 
3
0.75
21
Authors
6
Name
Order
Citations
PageRank
Martin W. Krueger19813.35
Walther H. W. Schulze2246.21
Kawal S. Rhode375978.72
Reza Razavi492994.25
Gunnar Seemann521248.50
Olaf Dössel626456.10