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RPS/GMM Approach toward the localization of myocardial infarction RPS/GMM定位心肌梗死的方法
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745452
M.A. Mneimneh, R. Povinelli
Due to the lack between clinical methods and applications used to diagnose ischemic heart disease, the 2007 Physionet/Computers in Cardiology challenge focuses on the ability to identify the segments, extent, and centroid of infarcts through ECG signals and body surface maps. The results from the participants are compared to a gold standard that consists of expert analysis of gadolinium-enhanced MRI data. The main hypothesis in this work is that the ordinary 12 ordinary leads contain the necessary information to identify the segment of the infarct. This hypothesis is tested using a reconstructed phase space and Gaussian Mixture Model approach in order to identify the infarcted segments. Since the challenge dataset consists of only two records for training and two for testing, the RPS/GMM approach is trained on the infarcted records from the PTB Diagnostics database and tested on the challenge data. The final score for the classification method was 1.15 out of maximum of 2.
由于缺乏用于诊断缺血性心脏病的临床方法和应用,2007年Physionet/Computers in Cardiology挑战赛侧重于通过ECG信号和体表图识别梗死段、范围和质心的能力。参与者的结果与金标准进行比较,金标准由专家分析钆增强MRI数据组成。这项工作的主要假设是,普通的12个普通导联包含必要的信息,以确定梗塞的部分。为了识别梗死段,使用重构相空间和高斯混合模型方法对这一假设进行了检验。由于挑战数据集仅由两条用于训练的记录和两条用于测试的记录组成,RPS/GMM方法在PTB诊断数据库中的梗死记录上进行训练,并在挑战数据上进行测试。该分类方法的最终得分为1.15分,满分为2分。
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引用次数: 15
Recognition of cardiac arrhythmias by means of beat clustering on ECG-holter records 心电动态记录的心跳聚类识别心律失常
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745446
E. Delgado, J.L. Rodriguez, Favio Jiménez, D. Cuesta, G. Castellanos
The follow-up of some cardiac diseases may be achieved by ECG-holter record analysis. A heartbeat clustering method can be used to reduce the usually high computational cost of such Holter analysis. This study describes a method aimed at cardiac arrhythmia recognition based on this approach, by means of unsupervised inspection of morphologically similar heartbeat groups. Singular Value Decomposition (SVD) is used as the feature selection method since the complexity increases exponentially with the number of features. A modification of the k-means algorithm was developed for centroid computation, taking into account heartbeat length changes. Experimental set consisted of ECG records from the MIT database. The method yielded a 99.9% clustering accuracy considering pathological versus normal heartbeats. Both clustering error and critical error percentage was 0.01%.
一些心脏疾病的随访可以通过心电图记录分析来实现。心跳聚类方法可以用来减少这种动态心电图分析通常较高的计算成本。本研究描述了一种基于该方法的心律失常识别方法,通过对形态学相似的心跳组进行无监督检查。由于特征选择的复杂度随着特征数量的增加呈指数增长,因此采用奇异值分解(SVD)作为特征选择方法。对k-means算法进行了改进,用于质心计算,考虑了心跳长度的变化。实验集由麻省理工学院数据库中的心电图记录组成。考虑到病理心跳和正常心跳,该方法的聚类准确率为99.9%。聚类误差和临界误差百分比均为0.01%。
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引用次数: 6
A decision support system for ischemic event detection 缺血性事件检测的决策支持系统
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745459
F. O. Favretto, C. Farias, L. Murta
This paper describes the main aspects of a decision support system for automatic detection of ischemic events from electrocardiogram (ECG) digital data. In order to detect ischemic events, the system extracts a number of autoregressive coefficients from the ECG signal as well as a measure of the ST-segment deviation. The Quadratic Discriminant Function was used to perform the ECG classification. An ECG visualization tool and an ECG digital data to XML converter were also developed in scope of this work.
本文介绍了从心电图数字数据中自动检测缺血事件的决策支持系统的主要方面。为了检测缺血事件,该系统从心电信号中提取一些自回归系数以及st段偏差的度量。采用二次判别函数对心电信号进行分类。本文还开发了心电可视化工具和心电数字数据到XML转换器。
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引用次数: 3
A graphical user interface for the study of heart rate variability 一个用于研究心率变异性的图形用户界面
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745524
P. Domitrovich
A truly windows-based graphical user interface (GUI) for heart rate variability (HRV) is an easy-to-use, educational, and valuable research tool. The development of such a GUI is not a trivial endeavor. The document-view architecture of the Microsoft Visual Studio (MSVS), which is based upon the Microsoft Foundation Classes (MFC) written in C++, is utilized. A dynamic splitter-window is included to provide 4 simultaneous views. The GUI allows 720 various segment lengths. A total 270 different 4-paned views are possible, and 59 adjustable parameters are available. One view contains an interactively editable heart-rate-arousal and duration detector. The Lomb periodogram, the fast-Fourier transform (FFT), Poincarepsila plots, HRV in text format, phase-plane plots, multi-line heart-rate tachograms, and 2-minute-averaged Lomb and FFT power spectral amplitude plots are available.
一个真正基于windows的用于心率变异性(HRV)的图形用户界面(GUI)是一个易于使用、具有教育意义和有价值的研究工具。开发这样一个GUI并不是一项微不足道的工作。本文利用了Microsoft Visual Studio (MSVS)的文档视图架构,该架构基于用c++编写的Microsoft Foundation Classes (MFC)。包括一个动态拆分器窗口,以提供4个同时视图。GUI允许720种不同的段长度。总共270个不同的4窗格视图是可能的,59个可调参数可用。其中一个视图包含一个交互式可编辑的心率唤醒和持续时间检测器。Lomb周期图,快速傅里叶变换(FFT), Poincarepsila图,文本格式的HRV,相平面图,多线心率速度图,以及2分钟平均Lomb和FFT功率谱幅度图。
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引用次数: 1
Non-contact measurement of cardiac electromagnetic field in mice by use of a microfabricated atomic magnetometer 用微制造原子磁强计非接触测量小鼠心脏电磁场
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745517
B. Lindseth, P. Schwindt, J. Kitching, D. Fischer, V. Shusterman
The development of clinical applications of magnetocardiography has been impeded by the large size of the systems used to measure magnetic fields. Here we present the first measurements of the cardiac electromagnetic field with a highly miniaturized (20 mm3), atomic magnetometer constructed by microfabrication techniques. Measurements were performed in two mice. The magnetometer was placed close to the sternum region, approximately 2 mm away from the surface of the skin. QRS complexes were identifiable in the magnetocardiographic signals in all recordings except for those performed when the animal was moved far away (>10 cm) from the sensor. Non-contact recording of cardiac electromagnetic fields with a microfabricated magnetometer is feasible in a shielded environment.
用于测量磁场的大尺寸系统阻碍了心脏磁图临床应用的发展。在这里,我们提出了一个高度小型化(20毫米3)的心脏电磁场的第一次测量,原子磁强计由微加工技术构建。在两只小鼠中进行了测量。磁力计靠近胸骨区域放置,距离皮肤表面约2毫米。除了当动物远离传感器(bbb10 cm)时进行的记录外,在所有记录的心磁图信号中都可以识别QRS复合物。在屏蔽环境下,利用微结构磁强计进行心脏电磁场的非接触记录是可行的。
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引用次数: 14
Synthesizing surface ECGs from intracardiac electrograms using an adaptive filter method 用自适应滤波法从心内电图合成表面心电图
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745541
J. Lian, H. Kraetschmer, D. Mussig
This study investigates the feasibility of synthesizing surface ECG (SECG) from the intracardiac electrogram (IEGM) measured by the implanted device. Using an adaptive filter approach, we characterize the optimal filters relating the representative IEGM templates and the desired SECG templates. The optimal filters, which vary from sample to sample and are specific to event types, are then used to process the IEGM input to generate the pseudo-ECG output. The algorithm was preliminarily evaluated on experimental data collected from an anaesthetized pig and in selected data from the Ann Arbor Electrogram Libraries. In all tested cases, the morphological features of the pseudo-ECG are highly comparable to the SECG, and clinically relevant cardiac rhythm information was preserved. The IEGM derived pseudo-ECG may provide useful diagnostic information and facilitate implant device follow-up.
本研究探讨了利用植入装置测量的心内电图合成体表心电图(SECG)的可行性。使用自适应滤波方法,我们描述了与代表性IEGM模板和期望的SECG模板相关的最优滤波器。最优滤波器根据不同的样本和特定的事件类型而变化,然后用于处理IEGM输入以生成伪心电输出。通过麻醉猪的实验数据和Ann Arbor Electrogram Libraries的部分数据对该算法进行了初步评价。在所有测试病例中,伪心电图的形态学特征与SECG具有高度的可比性,并保留了临床相关的心律信息。IEGM衍生的伪心电图可以提供有用的诊断信息,方便植入装置的随访。
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引用次数: 1
Use of body-surface potential mapping and computer model simulations for optimal programming of cardiac resynchronization therapy devices 使用体表电位映射和计算机模型模拟心脏再同步化治疗装置的最佳规划
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745423
R. Mohindra, J. Sapp, J. Clements, B. Horáček
It has been proposed that by optimizing the timing of activation between the ventricles (V-V interval), with the aid of body-surface potential mapping (BSPM), the success rate of cardiac resynchronization therapy (CRT) devices could be improved. We recorded 120-electrode BSPM data and CT scans from two patients with implanted CRT devices and calculated, by means of electrocardiographic inverse solution, epicardial potentials and isochrones of activation for different V-V intervals. To gain better insight, we used a computer model of ventricular activation to simulate activation isochrones for CRT pacing. As a measure of inter-ventricular synchrony for a variety of V-V settings we used the area between the LV and RV percent surface activated curves. We have demonstrated that by aiming to minimize dyssynchrony in ventricular activation patterns, an optimal CRT pacing V-V interval can be selected. The computer model simulations provided a baseline measure by which our measure of synchrony can be evaluated.
通过优化心室之间的激活时间(V-V间隔),借助体表电位映射(BSPM),可以提高心脏再同步化治疗(CRT)装置的成功率。我们记录了两例植入CRT装置的患者的120个电极BSPM数据和CT扫描,并通过心电图反解计算了不同V-V间隔的心外膜电位和激活等时线。为了获得更好的理解,我们使用了一个心室激活的计算机模型来模拟CRT起搏的激活等时线。作为对各种V-V设置的心室间同步的测量,我们使用了左室和右室表面激活曲线之间的面积百分比。我们已经证明,通过最小化心室激活模式的非同步化,可以选择最佳的CRT起搏V-V间隔。计算机模型模拟提供了一个基线测量,我们的同步测量可以通过它来评估。
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引用次数: 4
Computation of coronary perfusion territories from CT angiography CT血管造影冠状动脉灌注区域的计算
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745595
Pascale Beliveau, R. Setser, F. Cheriet, R. White, Thomas O'Donnell
The assessment of myocardial viability in the left ventricle (LV) of patients with coronary artery disease is essential for determining prognosis and planning appropriate therapy. Typically, population-based models are used to associate regions containing non-viable (dead) myocardial tissue with a particular coronary artery. We propose a technique to automatically generate patient specific coronary distribution maps based on noninvasive multi-slice computed tomography (MSCT). We associate a region with the closest coronary using geodesic distance measurement over the LV epicardial surface. Projection of the coronary territories onto a flat disk allows our maps to be compared to standard models (i.e., the 17-Segment Model). This technique was applied to seven cases and an experienced cardiac radiologist examined the results for validation. Additionally, we register the patient-specific coronary territory maps with myocardial viability maps derived from noninvasive magnetic resonance imaging (MRI).
评估冠状动脉疾病患者左心室(LV)的心肌活力对于确定预后和制定适当的治疗方案至关重要。通常,基于人群的模型用于将含有无活力(死亡)心肌组织的区域与特定冠状动脉联系起来。我们提出了一种基于无创多层计算机断层扫描(MSCT)自动生成患者特定冠状动脉分布图的技术。我们将一个区域与最近的冠状动脉联系起来,使用在左室心外膜表面的测地线距离测量。将冠状动脉区域投影到平面圆盘上,可以将我们的地图与标准模型(即17段模型)进行比较。该技术应用于七个病例,并由一位经验丰富的心脏放射科医生检查结果以进行验证。此外,我们将患者特定的冠状动脉区域图与非侵入性磁共振成像(MRI)得出的心肌活力图进行了登记。
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引用次数: 9
Automated and accurate measurement of aortic pulse wave velocity using magnetic resonance imaging 使用磁共振成像自动准确测量主动脉脉冲波速度
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745572
S. S. Giri, Yu Ding, Yoshinori Nishijima, A. Pedraza-Toscano, Patrick Burns, Robert L. Hamlin, Orlando P. Simonetti
Arterial stiffness is thought to be a powerful indicator of present and possible future cardiovascular risk. Accordingly, there is an increasing interest in the non-invasive clinical measurement of arterial stiffness. The commonly used non-invasive methods assess aortic pulse wave velocity (PWV) which is known to be a good indicator of aortic stiffness. These methods calculate the PWV by measuring the pressure or flow velocity at two locations along the aorta to determine the arrival time of the pulse wave; the distance between these locations is measured either on the body surface or using high resolution images. In this study, we have developed a novel method based on MRI that calculates the aortic PWV using multiple locations along the aorta. This approach is largely automatic vis-a-vis aortic segmentation that reduces user-subjectivity; the inclusion of multiple points along aorta increases the accuracy of PWV measurement by averaging.
动脉僵硬度被认为是当前和未来心血管风险的有力指标。因此,人们对动脉硬度的非侵入性临床测量越来越感兴趣。常用的无创方法评估主动脉脉冲波速度(PWV),这是主动脉僵硬度的一个很好的指标。这些方法通过测量沿主动脉两个位置的压力或流速来计算脉冲电压,从而确定脉冲波到达的时间;这些位置之间的距离可以在体表上测量,也可以使用高分辨率图像测量。在这项研究中,我们开发了一种基于MRI的新方法,通过沿主动脉的多个位置计算主动脉PWV。这种方法在很大程度上是自动的主动脉分割,减少了用户的主观性;主动脉上多个点的包含增加了平均测量PWV的准确性。
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引用次数: 17
Simulation analysis of mechanical properties of the canine heart with bundle branch block based on a 3-D electromechanical model 基于三维机电模型的束支块犬心脏力学特性仿真分析
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745575
L. Xia, J. Dou, Y. Gong, Y. Zhang, D. Deng
Asynchronous electrical activation, induced by bundle branch block (BBB), can cause reduced ventricular function. However, effects of BBB on the mechanical function of heart are difficult to assess experimentally. Based on an electromechanical canine heart model developed recently, the mechanical properties of complete LBBB and RBBB were simulated. The geometries and myofibre orientations of ventricles were constructed based on MR scan and diffusion tensor MRI datasets. The electrical activation sequences were simulated by solutions of reaction-diffusion equations and myocardial active forces were used to calculate ventricular wall deformation based on FEM method. The results showed that there is an asynchronous contraction of the septum in BBB during systole, the ejection fraction of left ventricle during LBBB and RBBB is 21.7% and 24.7% respectively, and patients with LBBB may have a more decreased stroke volume and thus are more likely to develop cardiovascular diseases.
由束支阻滞(BBB)引起的异步电激活可导致心室功能降低。然而,血脑屏障对心脏机械功能的影响很难通过实验来评估。基于新近建立的机电犬心脏模型,对完整的左、右两种心脏的力学性能进行了仿真。基于磁共振扫描和弥散张量数据集构建心室的几何形状和肌纤维取向。采用反应扩散方程对电激活序列进行模拟,并采用有限元法计算心肌主动力对心室壁变形的影响。结果表明,收缩期血脑屏障中间隔存在非同步收缩,LBBB和RBBB期间左心室射血分数分别为21.7%和24.7%,LBBB患者的脑卒中体积更小,更容易发生心血管疾病。
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引用次数: 2
期刊
2007 Computers in Cardiology
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