Estimating Cardiac Tissue Conductivity from Electrograms with Fully
Convolutional Networks
- URL: http://arxiv.org/abs/2212.03012v1
- Date: Tue, 6 Dec 2022 14:37:59 GMT
- Title: Estimating Cardiac Tissue Conductivity from Electrograms with Fully
Convolutional Networks
- Authors: Konstantinos Ntagiantas (1), Eduardo Pignatelli (1), Nicholas S.
Peters (2), Chris D. Cantwell (3), Rasheda A.Chowdhury (2), Anil A. Bharath
(1) ((1) Department of Bioengineering, Imperial College London, (2) National
Heart and Lung Institute, Imperial College London, (3) Department of
Aeronautics, Imperial College London)
- Abstract summary: Atrial Fibrillation (AF) is characterized by disorganised electrical activity in the atria.
Estimating the effective conductivity of myocardium and identifying regions of abnormal propagation is crucial for the effective treatment of AF.
- Score: 0.0
- License: http://creativecommons.org/licenses/by/4.0/
- Abstract: Atrial Fibrillation (AF) is characterized by disorganised electrical activity
in the atria and is known to be sustained by the presence of regions of
fibrosis (scars) or functional cellular remodeling, both of which may lead to
areas of slow conduction. Estimating the effective conductivity of the
myocardium and identifying regions of abnormal propagation is therefore crucial
for the effective treatment of AF. We hypothesise that the spatial distribution
of tissue conductivity can be directly inferred from an array of concurrently
acquired contact electrograms (EGMs). We generate a dataset of simulated
cardiac AP propagation using randomised scar distributions and a
phenomenological cardiac model and calculate contact electrograms at various
positions on the field. A deep neural network, based on a modified U-net
architecture, is trained to estimate the location of the scar and quantify
conductivity of the tissue with a Jaccard index of $91$%. We adapt a
wavelet-based surrogate testing analysis to confirm that the inferred
conductivity distribution is an accurate representation of the ground truth
input to the model. We find that the root mean square error (RMSE) between the
ground truth and our predictions is significantly smaller ($p_{val}=0.007$)
than the RMSE between the ground truth and surrogate samples.
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