ECG-Based Cardiac Activation Area Determination

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Solution Overview

Problem

Current methods for determining the cardiac activation area in patients with ventricular tachycardia lack precision, particularly in non-invasive techniques, which can complicate the success and safety of ablation procedures.

Innovation Solution

A system and method using electrocardiography (ECG) that combines image data of the heart and torso with electrode positions to create a model estimating electrical potentials, generating simulated ECG signals for various activation patterns to identify the cardiac activation area by comparing them with measured signals.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If non-invasive ECG-based techniques are used to determine cardiac activation area, then patient safety and procedure simplicity are improved, but measurement precision and location accuracy deteriorate

Engineering Contradiction:
Improvepatient safetyVSAvoidcardiac activation area location accuracy
Core Design Contradiction:
ReliabilityVSMeasurement precision

Solution Approach 1:

The patent introduces a computational model as an intermediary between the non-invasive ECG measurements and the cardiac activation area determination. The model incorporates anatomical information from image data and electrical properties to translate surface ECG signals into accurate subsurface activation locations, thereby maintaining patient safety while improving measurement precision through mathematical transformation and multi-parameter integration

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces the mechanical/invasive approach of directly inserting catheters into the heart with a non-invasive computational electrophysiology system. By substituting physical intervention with mathematical modeling and signal processing, the system achieves accurate cardiac activation area determination without compromising patient safety or requiring invasive procedures

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

2Measurement precision

If invasive catheter procedures are used to determine cardiac activation area, then measurement precision is improved, but patient risk and procedure complexity increase

Engineering Contradiction:
Improvecardiac activation area location accuracyVSAvoidpatient risk
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent creates a virtual copy of the cardiac electrical system through computational modeling. By simulating the cardiac activation process and comparing modeled ECG signals with measured signals, the system determines the cardiac activation area with high precision without requiring physical catheter insertion, thereby eliminating invasive risks while maintaining measurement accuracy

Inventive Principle:
Principle #26Copying

Solution Approach 2:

The computational model serves as an intermediary that bridges non-invasive measurements and precise cardiac activation area determination. The model integrates anatomical structures, electrical properties, and ECG signals to accurately locate activation areas without direct physical contact with the heart, thus reducing patient risk while preserving measurement precision

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentEP4477137A1Electrocardiography based determination of a cardiac activation area
Publication Date: 2024.12.18 VARIAN MEDICAL SYSTEMS INC
  • EP4477137A1 patent drawingFigure 1
  • EP4477137A1 patent drawingFigure 2
  • EP4477137A1 patent drawing

AI summary

The present invention relates to a method for determining a cardiac activation area of a heart (154) of a patient (150) based on electrocardiography, ECG. The method (200) comprises obtaining (202) image data (252) of the heart (154) of the patient (150), obtaining (204) image data (254) of a torso (152) of the patient (150), obtaining (208) positions (258) of electrodes (142) at the torso (152), obtaining (206) a measured ECG signal (256) measured at the patient (150) using the electrodes (142), parameterizing (210) of a model (260) for estimating electrical potentials on the skin of the torso of the patient (150) depending on cardiac activity, determining (212) multiple simulated ECG signals (262-266) for multiple activation patterns using the model (260), and determining (218) the cardiac activation area of the heart (154) based on comparing the multiple simulated ECG signals (262-266) with the measured ECG signal (256).