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Inverse estimation of ventricular Purkinje tree pathways from sequences of depolarization

机译:从去极化序列反推心室浦肯野树路径

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The electrical activation of the heart is a complex process that is essential for the understanding and treatment of several cardiac dysfunctions, such as ventricular tachycardia. Patient-specific local activation times (LAT) are usually obtained using electro-anatomical maps, however unveiling the underlying fast pathways formed by the Purkinje network remains a complex problem. We present a method based on differential geometry to estimate from a set of endocardium LATs, the locations on the endocardium with a potential number of Purkinje myocardial junctions, and the corresponding Purkinje branching structure. We evaluate our method on biophysical simulations using several Purkinje configurations. LAT errors of estimated Purkinje trees are in the order of 6 ms.
机译:心脏的电激活是一个复杂的过程,对于理解和治疗几种心脏功能障碍(例如心室性心动过速)至关重要。通常使用电解剖图获得患者特定的局部激活时间(LAT),但是揭开由Purkinje网络形成的基本快速途径仍然是一个复杂的问题。我们提出了一种基于微分几何的方法,可从一组心内膜LAT,心内膜上具有潜在数量的Purkinje心肌结的位置以及相应的Purkinje分支结构进行估计。我们使用几种浦肯野配置对我们的方法进行生物物理模拟评估。估计的Purkinje树的LAT误差约为6 ms。

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