Title
Characterization of Post-infarct Scars in a Porcine Model --- A Combined Experimental and Theoretical Study
Abstract
Arrhythmias are often associated with healing infarcts and could arise from the border zone of the scars. The main purpose of this work was to characterize the infarct scars using in vivo electro-anatomic CARTO maps (recorded in sinus rhythm) and high-resolution ex-vivo MR images in a porcine model of chronic infarct. The MR images were segmented into scar, peri-infarct and healthy ventricular tissue, and, in select slices, the results of segmentation were validated against histology. Further, the segmented volumes and associated fiber directions (derived from diffusion-weighted (DW) MRI as well as from synthetic models), were used as input to a simple two-variable mathematical model that calculates the propagation of depolarization waves and isochronal maps; and these isochronal maps were compared to the measured ones. We further correlated the size of the scar measured during the electrophysiology (EP) study with scar dimensions obtained from MRI using ex-vivo DW-MRI methods. Finally, we present preliminary results from a qualitative comparison between the scar delineation from ex vivo and in vivo MR images.
Year
DOI
Venue
2009
10.1007/978-3-642-01932-6_1
FIMH
Keywords
Field
DocType
isochronal map,vivo mr image,vivo electro-anatomic carto map,post-infarct scars,scar delineation,combined experimental,theoretical study,high-resolution ex-vivo mr image,mr image,scar dimension,associated fiber direction,infarct scar,porcine model,ex vivo,mathematical model,computer model,high resolution,computer modeling,directional derivative,electrophysiology
Ex vivo,Anatomy,Segmentation,Border zone,In vivo,Scars,Sinus rhythm,Medicine
Conference
Volume
ISSN
Citations 
5528
0302-9743
1
PageRank 
References 
Authors
0.43
6
11
Name
Order
Citations
PageRank
Mihaela Pop18719.46
Maxime Sermesant21111122.97
Tommaso Mansi345445.94
Eugene Crystal4286.46
Jay Detsky5142.33
Yuesong Yang611.11
Paul Fefer771.24
E. Mcveigh833540.50
Alexander Dick9345.00
Nicholas Ayache10108041654.36
Graham A. Wright1112325.09