EP Map Confidence Level Visualization for Cardiac Diagnostics

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Solution Overview

Problem

Existing electrophysiological (EP) mapping techniques fail to effectively indicate the quality of EP values on cardiac maps, often incorporating outlier values and not utilizing all acquired data, which can lead to unreliable diagnostic interpretations.

Innovation Solution

A method and system that estimate and visually represent confidence levels for EP values on a modeled heart surface by defining regions, calculating confidence based on the count or variance of EP values, and displaying these levels graphically, allowing for the identification and updating of low-confidence areas with additional data points.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Area of stationary object

If EP values are interpolated and displayed on the map, then the map coverage and visualization are improved, but the reliability of the displayed values deteriorates due to inclusion of outlier values and insufficient data utilization

Engineering Contradiction:
Improvemap coverageVSAvoidreliability of EP values
Core Design Contradiction:
Area of stationary objectVSReliability

Solution Approach 1:

The patent applies local quality by assigning different confidence levels to different regions of the EP map based on local data density and quality metrics. Each location on the map is evaluated independently using criteria such as the number of contributing electrodes, signal-to-noise ratio, and anatomical plausibility, allowing high-confidence regions to be displayed with full reliability while low-confidence regions are marked or excluded, thus resolving the contradiction between comprehensive coverage and reliability.

Inventive Principle:
Principle #3Local quality

2Quantity of substance

If all acquired data points are utilized in the map, then the data utilization is improved, but the complexity of processing and validating the data increases

Engineering Contradiction:
Improvedata utilizationVSAvoidprocessing complexity
Core Design Contradiction:
Quantity of substanceVSDevice complexity

Solution Approach 1:

The patent segments the large set of acquired EP data into multiple processing stages: initial data acquisition, quality filtering based on predefined criteria, confidence level calculation, and selective incorporation into the final map. This segmentation allows the system to process and evaluate each data point systematically using automated algorithms, reducing the perceived complexity while maximizing data utilization by incorporating only validated measurements.

Inventive Principle:
Principle #1Segmentation

3Reliability

If confidence levels are calculated and displayed for each region, then the diagnostic reliability is improved, but the visual complexity and information overload increase

Engineering Contradiction:
Improvediagnostic reliabilityVSAvoidvisual complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent implements confidence level visualization through color-coded overlays on the EP map, where different colors or shades represent different confidence thresholds. This allows practitioners to quickly assess data reliability across the map without being overwhelmed by numerical details, as the color encoding provides an intuitive visual summary that maintains diagnostic reliability while minimizing visual complexity.

Inventive Principle:
Principle #32Color changes

Data Source

PatentUS11478182B2Incorporating a confidence level into an electrophysiological (EP) map
Publication Date: 2022.10.25 BIOSENSE WEBSTER (ISRAEL) LTD
  • US11478182B2 patent drawing
  • US11478182B2 patent drawing
  • US11478182B2 patent drawing

AI summary

A method includes receiving (i) a modeled surface of at least a portion of a heart and (ii) multiple EP values measured at multiple respective positions in the heart. Multiple regions are defined on the modeled surface and, for each region, a confidence level is estimated for the EP values whose positions fall in the region. The modeled surface is presented to a user, including (i) the EP values overlaid on the modeled surface, and (ii) the confidence level graphically visualized in each region of the modeled surface.