Noninvasive Volumetric Imaging of Cardiac Electrophysiology

Abstract

Volumetric details of cardiac electrophysiology, such as transmembrane potential dynamics and tissue excitability of the myocardium, are of fundamental importance for understanding normal and pathological cardiac mechanisms, and for aiding the diagnosis and treatment of cardiac arrhythmia. Noninvasive observations, however, are made on body surface as an integration-projection of the volumetric phenomena inside patient's heart. We present a physiological-model-constrained statistical framework where prior knowledge of general myocardial electrical activity is used to guide the reconstruction of patient-specific volumetric cardiac electrophysiological details from body surface potential data. Sequential data assimilation with proper computational reduction is developed to estimate transmembrane potential and myocardial excitability inside the heart, which are then utilized to depict arrhythmogenic substrates. Effectiveness and validity of the framework is demonstrated through its application to evaluate the location and extent of myocardial infract using real patient data.