From 3D to 4D imaging: is that useful for interventional cardiac electrophysiology?

Riccardo Fenici, Donatella Brisinda

Risultato della ricerca: Contributo in libroContributo a convegno

Abstract

Three-dimensional electroanatomical imaging is increasingly used in interventional cardiac electrophysiology, to guide catheter ablation of cardiac arrhythmias. At the same time, there is a growing interest for non-invasive methods, such as magnetocardiographic mapping (MCG), to localize the arrhythmogenic substrates, to test their reproducibility and to plan the most appropriate interventional approach. So far electroanatomical imaging has relayed on static mathematical modeling of the heart and more recently on direct merging with three-dimensional rendering of cardiac anatomy from multidetector computer tomography or magnetic resonance imaging. Merging electrophysiological information with static anatomical structures, can surely be a source of uncertainty for MCG-based pre-interventional localization of the arrhythmogenic substrate and causes mismatch between the real-time imaging of moving catheters and the static geometry of the cardiac chambers reconstructed with invasive electroanatomical imaging. The implementation of recent realistic numerical models of the beating heart in a breathing thorax can improve accuracy and fill the gap between non-invasive and interventional electroanatomical imaging.
Lingua originaleEnglish
Titolo della pubblicazione ospiteProceedings of the 29th Annual International Conference of the IEEE EMBS Cité Internationale, Lyon
Pagine219
Numero di pagine1
Stato di pubblicazionePubblicato - 2007
EventoXIX annual internationa l conference of the IEEE Engineering in medicine and Biology Society - Lyon
Durata: 23 ago 200726 ago 2007

Convegno

ConvegnoXIX annual internationa l conference of the IEEE Engineering in medicine and Biology Society
CittàLyon
Periodo23/8/0726/8/07

Keywords

  • Arrhythmias, Cardiac
  • Body Surface Potential Mapping
  • Catheter Ablation
  • Humans
  • Image Interpretation, Computer-Assisted
  • Imaging, Three-Dimensional
  • Intraoperative Care
  • Surgery, Computer-Assisted

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