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dc.rights.licenseopenen_US
hal.structure.identifierInstitut de Mathématiques de Bordeaux [IMB]
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorLANGFIELD, Peter
hal.structure.identifierInstitut de Mathématiques de Bordeaux [IMB]
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorFENG, Yingjing
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorBEAR, Laura R.
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorDUCHATEAU, Josselin
dc.contributor.authorSEBASTIAN, Rafael
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorABELL, Emma
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorDUBOIS, Remi
dc.contributor.authorLABROUSSE, Louis
dc.contributor.authorROGIER, Julien
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorHOCINI, Meleze
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorHAISSAGUERRE, Michel
hal.structure.identifierInstitut de Mathématiques de Bordeaux [IMB]
hal.structure.identifierInstitut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
dc.contributor.authorVIGMOND, Edward
IDREF: 228222443
dc.date.accessioned2022-10-12T08:03:35Z
dc.date.available2022-10-12T08:03:35Z
dc.date.issued2021-08-01
dc.identifier.issn1361-8415en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/149084
dc.description.abstractEnReliable patient-specific ventricular repolarization times (RTs) can identify regions of functional block or afterdepolarizations, indicating arrhythmogenic cardiac tissue and the risk of sudden cardiac death. Unipolar electrograms (UEs) record electric potentials, and the Wyatt method has been shown to be accurate for estimating RT from a UE. High-pass filtering is an important step in processing UEs, however, it is known to distort the T-wave phase of the UE, which may compromise the accuracy of the Wyatt method. The aim of this study was to examine the effects of high-pass filtering, and improve RT estimates derived from filtered UEs. We first generated a comprehensive set of UEs, corresponding to early and late activation and repolarization, that were then high-pass filtered with settings that mimicked the CARTO filter. We trained a deep neural network (DNN) to output a probabilistic estimation of RT and a measure of confidence, using the filtered synthetic UEs and their true RTs. Unfiltered ex-vivo human UEs were also filtered and the trained DNN used to estimate RT. Even a modest 2 Hz high-pass filter imposes a significant error on RT estimation using the Wyatt method. The DNN outperformed the Wyatt method in 62.75% of cases, and produced a significantly lower absolute error (p=8.99E−13), with a median of 16.91 ms, on 102 ex-vivo UEs. We also applied the DNN to patient UEs from CARTO, from which an RT map was computed. In conclusion, DNNs trained on synthetic UEs improve the RT estimation from filtered UEs, which leads to more reliable repolarization maps that help to identify patient-specific repolarization abnormalities.
dc.description.sponsorshipL'Institut de Rythmologie et modélisation Cardiaque - ANR-10-IAHU-0004en_US
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enCARTO
dc.subject.enFiltering
dc.subject.enNeural network
dc.subject.enRepolarization
dc.subject.enUnipolar electrogram
dc.title.enA novel method to correct repolarization time estimation from unipolar electrograms distorted by standard filtering
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.media.2021.102075en_US
dc.subject.halSciences de l'ingénieur [physics]en_US
dc.identifier.pubmed34020081en_US
dc.description.sponsorshipEuropePersonalised In-Silico Cardiologyen_US
bordeaux.journalMedical Image Analysisen_US
bordeaux.volume72en_US
bordeaux.hal.laboratoriesCentre de Recherche Cardio-Thoracique de Bordeaux (CRCTB) - U 1045en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionBordeaux INP
bordeaux.institutionCNRS
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDAgence Nationale de la Rechercheen_US
hal.identifierhal-03811712
hal.version1
hal.date.transferred2022-10-12T08:03:39Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Medical%20Image%20Analysis&rft.date=2021-08-01&rft.volume=72&rft.eissn=1361-8415&rft.issn=1361-8415&rft.au=LANGFIELD,%20Peter&FENG,%20Yingjing&BEAR,%20Laura%20R.&DUCHATEAU,%20Josselin&SEBASTIAN,%20Rafael&rft.genre=article


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