Title
Physiology-based regularization improves noninvasive reconstruction and localization of cardiac electrical activity
Abstract
The objective of the inverse problem of electrocardiography is to noninvasively reconstruct information about electrical activity at the heart surface (epicardium), from electrical measurements on the body surface and a patient-specific torso-heart geometry. This is complicated by the ill-posedness of the inverse problem. Previously, we have shown that a realistic basis can be created from (simulated) epicardial training potentials. Potentials reconstructed with traditional methods can be projected onto this basis, improving the quality of reconstructions. Here, we propose a novel superior method called `physiology-based regularization' that renders traditional reconstruction and projection unnecessary. Instead, reconstruction of epicardial electrograms is achieved directly, by pursuing a sparse representation in terms of this realistic basis. We validate this method by invasive epicardial electrogram recordings in a canine experiment. We further demonstrate that by creating a realistic basis for a specific purpose, this method can answer clinical questions with improved accuracy. Ultimately, physiology-based regularization would improve patient care by yielding patient-specific results, inspired by electrophysiological knowledge and optimized to answer clinically relevant questions.
Year
Venue
Keywords
2014
CinC
electrocardiography,inverse problems,medical signal processing,signal reconstruction,canine experiment,cardiac electrical activity localization,epicardial electrograms,epicardium,heart surface,ill posedness,inverse problem,noninvasive reconstruction,patient specific torso-heart geometry,physiology based regularization,sparse representation,surface reconstruction,physiology,electrodes,image reconstruction,electric potential,heart
Field
DocType
Volume
Iterative reconstruction,Surface reconstruction,Sparse approximation,Regularization (mathematics),Inverse problem,Patient care,Physiology,Mathematics
Conference
41
ISSN
Citations 
PageRank 
2325-8861
1
0.37
References 
Authors
2
5