Name
Title | ||
|---|---|---|
An Interactive Virtual Reality Environment For Analysis Of Clinical Atrial Arrhythmias And Ablation Planning |
Abstract | ||
|---|---|---|
Atrial arrhythmias like atrial fibrillation and atrial flutter are a major health challenge in developed countries. Radiofrequency ablation performed via intracardiac catheters is a curative therapy for these reentrant arrhythmias. However, the optimal location of ablation lesions is not straightforward to determine, particularly for complex activation patterns. Thus, a clinical need for tools to intuitively visualize complex activation patterns and to provide a platform to evaluate different ablation strategies in dry runs is apparent.Here, we present a virtual reality system that allows to interactively simulate atrial excitation propagation and place ablation lesions. Our software builds on the IMHOTEP framework for the Unity3D engine and implements a multithreaded model-view-controller design pattern. Excitation propagation is computed using a fast marching approach considering refractoriness. Interactive rewind and playback is supported through a combination of the flyweight pattern for simulation data with complete snapshots for key frames. The system was evaluated in a user study using the HTC Vive (TM) headset including two controllers. For high fidelity virtual reality interaction, a minimum frame rate of 60 per second is required. In a biatrial anatomical model comprising 36,059 nodes (Figure 1), even complex activation patterns with multiple wavefronts could be simulated and rendered down to 2x slow motion (1 sec activation sequence displayed during 2 sec wall time) on a desktop machine. Results of the user study suggest added value regarding the comprehension of arrhythmias and ablation options and very good intuitiveness of the user interface requiring almost no teach-in. The virtual reality tool is ready to be used for educational purposes and prepared to import personalized models supporting diagnosis and therapy planning for atrial arrhythmias in the future. |
Year | DOI | Venue |
|---|---|---|
2017 | 10.22489/CinC.2017.125-118 | 2017 COMPUTING IN CARDIOLOGY (CINC) |
Field | DocType | Volume |
Virtual reality,Simulation,Computer science,Ablation,Radiofrequency ablation,Software,Frame rate,User interface,Flyweight pattern,Atrial flutter | Conference | 44 |
ISSN | Citations | PageRank |
2325-8861 | 1 | 0.37 |
References | Authors | |
0 | 7 | |
Name | Order | Citations | PageRank |
|---|---|---|---|
| Axel Loewe | 1 | 12 | 12.94 |
| Emanuel Poremba | 2 | 1 | 0.37 |
| tobias oesterlein | 3 | 5 | 2.83 |
| Nicolas Pilia | 4 | 5 | 1.84 |
| Micha Pfeiffer | 5 | 1 | 0.37 |
| Olaf Dössel | 6 | 264 | 56.10 |
| Stefanie Speidel | 7 | 313 | 39.70 |