PubMed Health⌕ Search

PubMed · 10473208

Source localization in an inhomogeneous physical thorax phantom.

Abstract

The influence of lung inhomogeneities on focal source localizations in electrocardiography (ECG) and magnetocardiography (MCG) is investigated. A realistically shaped physical thorax phantom with cylindrical lung inhomogeneities is used for electric and magnetic measurements. The lungs are modelled with a special ionic exchange membrane which allows different conductivity compartments without influencing the free ionic current flow. The dipolar current sources are composed of platinum wire and located at different depths and directions between the lung inhomogeneities. We localized the current dipoles with different boundary element method (BEM) models, based on electrical data and simultaneous electrical and magnetic data. Our results indicate the possibility of superadditive information gain by combining electrical and magnetic data for source reconstructions. We found a significant influence of the inhomogeneities on both the calculated source location and the calculated source strength. Mislocalizations of up to 16 mm and wrong dipole strengths of up to 52% were obtained when the lung inhomogeneities were not taken into account for source localization. Dipoles parallel to the lungs showed a larger localization error in depth than dipoles perpendicular to the lungs. We conclude that the incorporation of lung inhomogeneities will improve source localization accuracy in ECG and MCG.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

U Tenner, J Haueisen, H Nowak, U Leder, H Brauer. 1999. Source localization in an inhomogeneous physical thorax phantom.. https://doi.org/10.1088/0031-9155%2F44%2F8%2F309

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Case report: Symptoms of advanced heart failure--a case for radiofrequency catheter ablation?

A sixty-year-old man with previous history of coronary artery disease was admitted due to progressive worsening of dyspnoea at exertion (NYHA III functional class) and no angina. Coronary angiography confirmed occlusion of the right coronary artery which was naturally bypassed by homocollaterals with TIMI 3 flow to the peripheral branches. The lesion was not technically suitable for percutaneous angioplasty. The left coronary artery was without stenosis. On echocardiography, both the left ventricle and the left atrium were dilated and hemodynamically significant mitral regurgitation was present. Surface ECG showed a left bundle branch block with repeated runs of monomorphic ventricular ectopic beats (PVC). Radiofrequency catheter ablation of the focus in the posteroseptal region of the left ventricle underneath the mitral valve was performed using electroanatomical mapping system. After the procedure, mitral regurgitation decreased and reverse remodeling of the left ventricle and the left atrium occurred with concomitant significant clinical improvement of the patient. The authors discuss several treatment strategies: mitral valve repair surgery combined with revascularization, implantation of a biventricular ICD system or elimination of the focus of monomorphic VT runs by radiofrequency catheter ablation as a possible causal approach in the treatment of PVC-induced cardiomyopathy.

Body Surface Potential Mapping↗