Abstract | ||
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Bipolar electrograms (EGM) are widely used to assess intracardiac electrical activity and to find the atrial fibrillation-related sources. However, the interpretation of bipolar EGM is not straightforward. Variables including bipolar lead (vector) orientation relative to the wave propagation dynamics significantly impact the EGM and EGM-derived measures, which are clinically used to select target sources for catheter ablation. In this study, left atrial unipolar EGM were recorded using a 4 x 4 grid of 16 unipolar electrodes. A set (node) of 4 unipolar EGM were used to construct possible 6 bipolar EGM to evaluate the measurement uncertainty within a particular node. A novel beamforming-inspired spatial filtering (BiSF) method is proposed to reduce the potential measurement uncertainty inevitable in bipolar EGM. A set of three bipolar lead orientations that were constructed using a common unipolar electrode towards three different directions at 45 degrees s, were added to form beamforming EGM. Finally, two beamforming EGM were intertwined to acquire BiSF EGM for a node. Results show greater signal power gain (at least around 10dB) for all BiSF EGM with better or similar signal-to-noise ratio as compared to their respective bipolar counterparts. In conclusion, reduced uncertainty in BiSF EGM improve the interpretation of EGM and EGM-derived measures used in clinical practice after further validation on a larger dataset. |
Year | DOI | Venue |
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2019 | 10.1109/EMBC.2019.8857194 | 2019 41ST ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY (EMBC) |
Field | DocType | Volume |
Power gain,Computer vision,Beamforming,Computer science,Clinical Practice,Signal-to-noise ratio,Measurement uncertainty,Algorithm,Intracardiac Electrograms,Artificial intelligence,Grid,Spatial filter | Conference | 2019 |
ISSN | Citations | PageRank |
1557-170X | 0 | 0.34 |
References | Authors | |
0 | 4 |
Name | Order | Citations | PageRank |
---|---|---|---|
Simanto Saha | 1 | 1 | 1.03 |
Dominik Linz | 2 | 0 | 0.34 |
P Sanders | 3 | 19 | 4.85 |
Mathias Baumert | 4 | 36 | 11.50 |