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inria-00616205, version 1

A 3D MRI-Based Cardiac Computer Model to Study Arrhythmia and Its In-vivo Experimental Validation

Mihaela Pop 1, Maxime Sermesant (Auteur à contacter de préférence) 2, Jean-Marc Peyrat (Auteur à contacter de préférence) 2, Eugene Crystal 1, Sudip Ghate 1, Tommaso Mansi (Auteur à contacter de préférence) 2, Ilan Lashevsky 1, Beiping Qiang 1, Elliot R. Mcveigh 234, Nicholas Ayache (Auteur à contacter de préférence) 2, Graham Wright 15

FIMH 2011- Sixth International Conference on Functional Imaging and Modeling of the Heart. 6666 (2011) 195-205

Résumé : The aim of this work was to develop a simple and fast 3D MRI-based computer model of arrhythmia inducibility in porcine hearts with chronic infarct scar, and to further validate it using electrophysiology (EP) measures obtained in-vivo. The heart model was built from MRI scans (with voxel size smaller than 1mm3) and had fiber directions extracted from diffusion tensor DT-MRI. We used a macroscopic model that calculates the propagation of action potential (AP) after application of a train of stimuli, with location and timing replicating precisely the stimulation protocol used in the in-vivo EP study. Simulation results were performed for two infarct hearts: one with noninducible and the other with inducible ventricular tachycardia (VT), successfully predicting the study outcome like in the in-vivo cases; for the inducible heart, the average predicted VT cycle length was 273ms, compared to a recorded VT of approximately 250ms. We also generated synthetic fibers for each heart and found the associated helix angle whose transmural variation (in healthy zones) from endo- to epicardium gave the smallest difference (i.e., approx. 41°) when compared to the helix angle corresponding to fibers from DW-MRI. Mean differences between activation times computed using DT-MRI fibers and using synthetic fibers for the two hearts were 6 ms and 11 ms, respectively.

  • 1 :  Imaging Research [Sunnybrook]
  • Sunnybrook Health Sciences Centre – University of Toronto
  • 2 :  ASCLEPIOS (INRIA Sophia Antipolis)
  • INRIA
  • 3 :  Department of Biomedical Engineering [Baltimore] (DBE)
  • The Johns Hopkins University
  • 4 :  Laboratory of Cardiac Energetics (LCE)
  • National Heart – Lung, and Blood Institute – National Institutes of Health
  • 5 :  Department of Medical Biophysics (MBP)
  • University of Toronto
  • Domaine : Informatique/Imagerie médicale
    Informatique/Modélisation et simulation
    Sciences du Vivant/Ingénierie biomédicale/Imagerie
    Sciences de l'ingénieur/Traitement du signal et de l'image
    Informatique/Traitement du signal et de l'image
 
  • inria-00616205, version 1
  • oai:hal.inria.fr:inria-00616205
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  • Soumis le : Vendredi 19 Août 2011, 19:57:14
  • Dernière modification le : Mercredi 18 Avril 2012, 09:02:45