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  4. Probabilistic guidance for catheter tip motion in cardiac ablation procedures
 
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Probabilistic guidance for catheter tip motion in cardiac ablation procedures
File(s)
Probabilistic_Guidance_clean (1).pdf (5.61 MB)
Accepted version
Author(s)
Constantinescu, Mihaela Am
Lee, Su-Lin
Ernst, Sabine
Hemakom, Apit
Mandic, Danilo
more
Type
Journal Article
Abstract
Radiofrequency catheter ablation is one of the commonly available therapeutic methods for patients suffering from cardiac arrhythmias. The prerequisite of successful ablation is sufficient energy delivery at the target site. However, cardiac and respiratory motion, coupled with endocardial irregularities, can cause catheter drift and dispersion of the radiofrequency energy, thus prolonging procedure time, damaging adjacent tissue, and leading to electrical reconnection of temporarily ablated regions. Therefore, positional accuracy and stability of the catheter tip during energy delivery is of great importance for the outcome of the procedure. This paper presents an analytical scheme for assessing catheter tip stability, whereby a sequence of catheter tip motion recorded at sparse locations on the endocardium is decomposed. The spatial sliding component along the endocardial wall is extracted from the recording and maximal slippage and its associated probability are computed at each mapping point. Finally, a global map is generated, allowing the assessment of potential areas that are compromised by tip slippage. The proposed framework was applied to 40 retrospective studies of congenital heart disease patients and further validated on phantom data and simulations. The results show a good correlation with other intraoperative factors, such as catheter tip contact force amplitude and orientation, and with clinically documented anatomical areas of high catheter tip instability.
Date Issued
2018-07
Date Acceptance
2018-03-20
Citation
Medical Image Analysis, 2018, 47, pp.1-14
URI
http://hdl.handle.net/10044/1/60692
DOI
https://www.dx.doi.org/10.1016/j.media.2018.03.008
ISSN
1361-8415
Publisher
Elsevier
Start Page
1
End Page
14
Journal / Book Title
Medical Image Analysis
Volume
47
Copyright Statement
Crown Copyright © 2018 Published by Elsevier B.V. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29653251
PII: S1361-8415(18)30106-3
Subjects
Cardiac ablation
Catheter motion
Intraoperative guidance
Multivariate empirical mode decomposition (MEMD)
Probabilistic map
Publication Status
Published
Coverage Spatial
Netherlands
Date Publish Online
2018-03-23
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