Automated Atrial Fibrillation Source Detection Using Machine Learning

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Solution Overview

Problem

Conventional methods for catheter ablation in treating cardiac arrhythmia, such as atrial fibrillation, are time-consuming and require extensive medical expertise, limiting their efficiency and effectiveness in identifying and targeting regions of interest for ablation.

Innovation Solution

The implementation of machine-learning algorithms and fast anatomical mapping techniques for real-time detection of atrial rotational activity pattern sources, using circular catheters and electrocardiogram signals to automatically identify potential ablation regions, reducing the need for extensive training and increasing success rates.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional methods for catheter ablation are used to identify and target regions of interest, then treatment can be performed, but the process is time-consuming and requires extensive medical expertise

Engineering Contradiction:
Improveaccuracy of identifying ablation regionsVSAvoidtime required for map analysis and interpretation
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent replaces manual expert analysis of electroanatomical maps with an automated computer-based system that uses image processing and pattern recognition algorithms to detect rotational activity patterns. This substitution of mechanical/expert analysis with automated computational methods directly reduces the time required for map analysis while maintaining or improving detection accuracy.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The system enables self-service by allowing the mapping system to automatically detect and identify rotational activity patterns without requiring continuous expert intervention. The automated detection algorithms independently analyze the electroanatomical data, identify RAP sources, and guide ablation targeting, reducing dependence on extensive medical expertise for real-time decision making.

Inventive Principle:
Principle #25Self-service

2Reliability

If conventional methods are used for catheter ablation, then treatment can be performed, but extensive medical expertise and training are required

Engineering Contradiction:
Improvesuccess rate of ablation proceduresVSAvoidcomplexity of medical expertise required
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent introduces an automated detection system as an intermediary between the mapping data and the ablation procedure. This intermediary system processes the complex electroanatomical data, identifies rotational activity patterns, and provides guidance to operators, thereby reducing the complexity of expertise required while maintaining procedural reliability.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The system segments the complex task of identifying ablation targets into distinct automated steps: data acquisition, pattern recognition, rotational activity detection, and target identification. This segmentation allows each function to be handled by specialized algorithms rather than requiring comprehensive expert knowledge across all aspects of the procedure.

Inventive Principle:
Principle #1Segmentation

3Productivity

If manual analysis of electroanatomical maps is performed, then ablation regions can be identified, but the process is inefficient and time-consuming

Engineering Contradiction:
Improveefficiency of identifying ablation regionsVSAvoidtime for map analysis
Core Design Contradiction:
ProductivityVSLoss of time

Solution Approach 1:

The patent replaces manual mechanical analysis of electroanatomical maps with automated computer-based image processing and pattern recognition systems. This substitution enables rapid processing of large datasets, significantly improving productivity while reducing the time required for map analysis and interpretation.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The system enables continuous automated analysis of electroanatomical data as it is being collected during the procedure. Rather than requiring pauses for manual analysis, the automated detection algorithms continuously process incoming data streams, maintaining productive workflow without interruption and reducing overall procedure time.

Inventive Principle:
Principle #20Continuity of useful action

Data Source

PatentEP3192445B1System for detecting atrial fibrillation rotational activity pattern sources
Publication Date: 2023.08.16 BIOSENSE WEBSTER (ISRAEL) LTD
  • EP3192445B1 patent drawingFigure 1
  • EP3192445B1 patent drawingFigure 2
  • EP3192445B1 patent drawingFigure 3A

AI summary

A method of atrial rotational activity pattern (RAP) source detection is provided which includes detecting, via a plurality of sensors, electro-cardiogram (ECG) signals over time, each ECG signal detected via one of the plurality of sensors and indicating electrical activity of a heart. The method also includes determining, for each of the plurality of ECG signals, one or more local activation times (LATs) each indicating a time of activation of a corresponding ECG signal. The method further includes detecting whether one or more RAP source areas of activation in the heart is indicated based on the detected ECG signals and the one or more local LATs. Mapping information of the detected RAP source areas of activation in the heart is also generated for providing one or more maps.