A novel method to correct repolarization time estimation from unipolar electrograms distorted by standard filtering
VIGMOND, Edward
Institut de Mathématiques de Bordeaux [IMB]
Institut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
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Institut de Mathématiques de Bordeaux [IMB]
Institut de rythmologie et modélisation cardiaque [Pessac] [IHU Liryc]
Language
en
Article de revue
This item was published in
Medical Image Analysis. 2021-08-01, vol. 72
Elsevier
English Abstract
Reliable 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 ...Read more >
Reliable 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.Read less <
English Keywords
CARTO
Filtering
Neural network
Repolarization
Unipolar electrogram
European Project
Personalised In-Silico Cardiology
ANR Project
L'Institut de Rythmologie et modélisation Cardiaque
Origin
Hal imported