Estimation of personalized minimal Purkinje systems from human electro-anatomical maps
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Barber Miralles, Fernando; Langfield, P.; Lozano Ibáñez, Miguel; García Fernández, Ignacio; Duchateau, J.; Meleze, H.; Haissaguerre, M.; Vigmond, E.; Sebastián Aguilar, Rafael
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Aquest document és un/a article, creat/da en: 2021
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The Purkinje system is a heart structure responsible for transmitting electrical impulses through the ventricles in a fast and coordinated way to trigger mechanical contraction. Estimating a patient-specific compatible Purkinje Network from an electro-anatomical map is a challenging task, that could help to improve models for electrophysiology simulations or provide aid in therapy planning, such as radiofrequency ablation. In this study, we present a methodology to inversely estimate a Purkinje network from a patient's electro-anatomical map. First, we carry out a simulation study to assess the accuracy of the method for different synthetic Purkinje network morphologies and myocardial junction densities. Second, we estimate the Purkinje network from a set of 28 electro-anatomical maps from patients, obtaining an optimal conduction velocity in the Purkinje network of 1.95 ± 0.25 m/s, together with the location of their Purkinje-myocardial junctions, and Purkinje network structure. Our results showed an average local activation time error of 6.8±2.2 ms in the endocardium. Finally, using the personalized Purkinje network, we obtained correlations higher than 0.85 between simulated and clinical 12-lead ECGs.
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F. Barber et al., "Estimation of Personalized Minimal Purkinje Systems From Human Electro-Anatomical Maps," in IEEE Transactions on Medical Imaging, vol. 40, no. 8, pp. 2182-2194, Aug. 2021, doi: 10.1109/TMI.2021.3073499. |
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