학술논문

Vector Field Heterogeneity for the Assessment of Locally Disorganised Cardiac Electrical Propagation Wavefronts From High-Density Multielectrodes
Document Type
article
Source
IEEE Open Journal of Engineering in Medicine and Biology, Vol 5, Pp 32-44 (2024)
Subject
Animal experimental models
cardiac signal processing
electrophysiology
high-density electrode catheters
vector field heterogeneity
Computer applications to medicine. Medical informatics
R858-859.7
Medical technology
R855-855.5
Language
English
ISSN
2644-1276
Abstract
High-density multielectrode catheters are becoming increasingly popular in cardiac electrophysiology for advanced characterisation of the cardiac tissue, due to their potential to identify impaired sites. These are often characterised by abnormal electrical conduction, which may cause locally disorganised propagation wavefronts. To quantify it, a novel heterogeneity parameter based on vector field analysis is proposed, utilising finite differences to measure direction changes between adjacent cliques. The proposed Vector Field Heterogeneity metric has been evaluated on a set of simulations with controlled levels of organisation in vector maps, and a variety of grid sizes. Furthermore, it has been tested on animal experimental models of isolated Langendorff-perfused rabbit hearts. The proposed parameter exhibited superior capturing ability of heterogeneous propagation wavefronts compared to the classical Spatial Inhomogeneity Index, and simulations proved that the metric effectively captures gradual increments in disorganisation in propagation patterns. Notably, it yielded robust and consistent outcomes for $\mathbf {4\times 4}$ grid sizes, underscoring its suitability for the latest generation of orientation-independent cardiac catheters.