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2019 Computing in Cardiology (CinC)最新文献

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An Automated Device for Recording Peripheral Arterial Waveform 一种记录外周动脉波形的自动装置
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005815
T. Panula, J. Blomster, Mikko Pänkäälä, T. Koivisto, M. Kaisti
The aim of the study was to develop an automated device for recording peripheral arterial pulse wave, in order to assess cardiovascular health. Recent studies have shown that photoplethysmography (PPG) is a viable technique to measure peripheral pressure waveform. We developed a small motorized device that can measure pulse waveform from a finger. The device targets the distal transverse palmar arch (DTPA) artery using infrared wavelength PPG. Measurements were taken from healthy subjects (n = 8).The device was validated by performing HR detection and waveform analysis. The device was able to record high quality blood pressure calibrated arterial waveforms and detect beat-to-beat heart rate allowing the assessment of cardiovascular health status.
本研究的目的是开发一种自动记录外周动脉脉搏波的装置,以评估心血管健康状况。近年来的研究表明,光容积脉搏波(PPG)是一种可行的外周压力波形测量技术。我们开发了一种小型机动装置,可以测量手指的脉冲波形。该装置利用红外波长PPG瞄准远端掌横弓(DTPA)动脉。测量数据取自健康受试者(n = 8)。设备通过HR检测和波形分析进行验证。该设备能够记录高质量的血压校准动脉波形,并检测心跳速率,从而评估心血管健康状况。
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引用次数: 1
Artificially Generated Training Datasets for Supervised Machine Learning Techniques in Magnetic Resonance Imaging: An Example in Myocardial Segmentation 磁共振成像中用于监督机器学习技术的人工生成训练数据集:以心肌分割为例
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005762
C. Xanthis, K. Haris, D. Filos, A. Aletras
Machine learning techniques have become increasingly successful over the last few years in medical image analysis and radiology. However, the low availability, relativeness and size of the training data sets required by the associated learning algorithms prevents their further development or delays their application in clinical practice.This study presented for the first time the development of artificially generated training datasets for supervised learning techniques through the incorporation of a realistic simulation framework in the field of Magnetic Resonance Imaging (MRI). An example in left-ventricle segmentation was utilized and the performance of a fully convolutional network on true cardiac MR data was evaluated.
在过去的几年里,机器学习技术在医学图像分析和放射学方面变得越来越成功。然而,相关学习算法所需的训练数据集的低可用性、相对性和规模阻碍了它们的进一步发展或延迟了它们在临床实践中的应用。本研究通过结合磁共振成像(MRI)领域的现实模拟框架,首次提出了为监督学习技术人工生成训练数据集的发展。以左心室分割为例,对全卷积网络在真实心脏MR数据上的性能进行了评价。
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引用次数: 0
Comparison of CARTO LAT Maps and Non-Invasive Activation Maps for Patients with Intraventricular Conduction Disturbance During Sinus Rhythm 窦性心律时脑室传导障碍患者的CARTO LAT图与无创激活图的比较
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005738
M. Budanova, M. Chmelevsky, S. Zubarev, D. Potyagaylo, B. Rudic, E. Tueluemen, M. Borggrefe
Non-invasive electrocardiographic imaging (ECGI) shows high accuracy for topical diagnosis of focal arrhythmias. Activation maps obtained by ECGI allow for the analysis of excitation propagation during sinus rhythm with conduction disturbances. Nevertheless, noninvasive activation patterns have not been compared with the results of invasive mapping. In this article, we present the results of a qualitative comparison of non-invasive activation maps and CARTO LAT maps.
无创心电图(ECGI)对局灶性心律失常的局部诊断具有较高的准确性。ECGI获得的激活图允许分析传导干扰的窦性心律期间的兴奋传播。然而,非侵入性激活模式尚未与侵入性测绘结果进行比较。在本文中,我们提出了非侵入性激活图和CARTO LAT图的定性比较结果。
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引用次数: 2
A Review of Bandwidth for Pediatric ECGs 儿童心电图带宽研究综述
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005925
S. Luo, Hong Wei, P. Macfarlane
ECGs from neonates are known to have a higher frequency content than adult ECGs.The aim of the study was to determine the effect of using different filter bandwidths on neonatal ECGs initially sampled at a rate of 8000 samples per second (which permits the use of a signal bandwidth much higher than 150 Hz) and to consider the implications for routine ECG recording.48 ECGs were recorded from newly born term infants (0-48 hours postnatal) at Princess Royal Maternity Hospital, Glasgow on a Burdick 8500 electrocardiograph. The frequency response of the machine was carefully checked. Peak to peak QRS amplitudes of average beats of the 10 second recordings were measured in all 8 independent leads with the results obtained at the full bandwidth of the ECG machine regarded as the reference.The full bandwidth of the 8500 was verified as 0.05 – 540Hz. It was found that the recommended upper frequency cutoff of 250Hz in the current guideline does not meet the goal of amplitude errors <25 μV in >95% of the cases in this data set. The clinical significance of high frequency components in pediatric ECGs is currently unclear.
已知新生儿心电图比成人心电图具有更高的频率含量。该研究的目的是确定使用不同滤波器带宽对新生儿心电图的影响,最初以每秒8000个样本的速率采样(允许使用远高于150 Hz的信号带宽),并考虑对常规心电图记录的影响在格拉斯哥皇家公主妇产医院用Burdick 8500心电图仪记录新生儿的心电图(出生后0-48小时)。仔细检查了机器的频率响应。在所有8个独立导联上测量10秒记录的平均拍频的峰对峰QRS幅度,并以心电机全带宽下的结果为参考。8500的全带宽被验证为0.05 - 540Hz。研究发现,在本数据集中95%的情况下,现行指南中推荐的上频率截止为250Hz并不能满足幅度误差的目标。高频成分在儿童心电图中的临床意义目前尚不清楚。
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引用次数: 0
Non-Invasive Characterization of Atrial Arrhythmic Driving Mechanisms in Computer Models 计算机模型中心房心律失常驱动机制的无创表征
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005867
Victor Gonçalves Marques, M. Rodrigo, M. Guillem, J. Salinet
Atrial tachycardia (AT), atrial flutter (AFL) and atrial fibrillation (AF) are among the most common cardiac arrhythmias and are driven by localized sources (ectopic focus in AT, macro-reentrant circuit in AFL and rotors in AF) that can be targeted for ablation. We aimed to characterize such mechanisms from the non-invasive perspective of body surface potential mapping (BSPM), using realistic computer models. Dominant frequency (DF) maps were studied to estimate the frequency of the driving mechanism and to analyze its spatio-temporal distribution of this frequency. Singularity points (SPs) were detected in phase maps and their distribution and rotational patterns were compared between arrhythmias. The driver frequencies were more expressed on the anterior portion of the torso for the right atrium and on the posterior portion for the left atrium. Rotational activity was detected in all arrhythmias, with increasing levels of spatial-temporal stability (AF, AT and AFL, respectively). These results can be used to identify the driving mechanisms and, in the future, to locate them in the atria.
心房心动过速(AT)、心房扑动(AFL)和心房颤动(AF)是最常见的心律失常,由局部源(AT的异位病灶、AFL的宏观重入回路和AF的转子)驱动,可以靶向消融。我们的目的是利用真实的计算机模型,从体表电位映射(BSPM)的非侵入性角度来表征这种机制。研究了主导频率(DF)图,估计了驱动机制的频率,并分析了该频率的时空分布。在相图中检测奇异点(SPs),并比较其在心律失常间的分布和旋转模式。驱动频率更多地表达在躯干前部的右心房和后部的左心房。所有心律失常均检测到旋转活动,且时空稳定性水平增加(分别为AF、AT和AFL)。这些结果可用于识别驱动机制,并在未来定位它们在心房中的位置。
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引用次数: 0
Visualization of the Multichannel Seismocardiogram 多通道地震心动图的可视化
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005739
Kim Munck, J. Struijk, Kasper Sørensen, S. Schmidt
The multichannel seismocardiography (mchSCG) project aims to develop the technology and knowledge-base to understand the distribution of vibration waves on the chest wall caused by cardio-mechanic events. This study focuses on the developing visualization methods for the vibration waves based on the multi-dimensional map obtained with the mchSCG equipment. We investigated four visualization methods. Vibration signals were collected in a four by four grid with 16 three-axis accelerometers placed on the chest of 11 healthy males. The visualization methods were investigated for their abilities to show temporal, spatial, and directional information. Of the four methods the SCG chart shows best temporal and small amplitude sensitivity information. Color plots provides an improved spatial overview. Tracking maps provide good directionality. The seismic mesh method is good at showing spatial and directionality information. Dependent on which signal aspects are of interest, the four visualization methods have their specific suited purposes. These visualization methods can assist further investigation of the vibration waves behavior and its relation to cardio-mechanic events.
多通道地震心动图(mchSCG)项目旨在开发技术和知识基础,以了解由心脏力学事件引起的胸壁振动波的分布。本研究的重点是开发基于mchSCG设备获得的多维图的振动波可视化方法。我们研究了四种可视化方法。研究人员在11名健康男性的胸部放置了16个三轴加速度计,并将振动信号收集在一个4乘4的网格中。研究了可视化方法显示时间、空间和方向信息的能力。在四种方法中,SCG图显示了最好的时间和小振幅灵敏度信息。颜色图提供了一个改进的空间概览。跟踪地图提供了很好的方向性。地震网格法在显示空间信息和方向性信息方面表现良好。根据感兴趣的信号方面,这四种可视化方法有其特定的适合目的。这些可视化方法有助于进一步研究振动波的行为及其与心脏力学事件的关系。
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引用次数: 0
Mechanism of Sinus Bradycardia in Carriers of the A414G Mutation in the HCN4 Gene HCN4基因A414G突变携带者的窦性心动过缓机制
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005928
A. Verkerk, R. Wilders
Heterozygous carriers of the A414G mutation in the HCN4 gene, which encodes the HCN4 protein, show moderate to severe sinus bradycardia. Tetramers of HCN4 subunits constitute the ion channels that conduct the cardiac hyperpolarization-activated ‘funny current’ (If), which plays an important modulating role in the pacemaker activity of sinus node cells.We assessed the mechanism by which the A414G mutation in HCN4 causes sinus bradycardia. We carried out voltage clamp experiments on HCN4 channels expressed in Chinese hamster ovary (CHO) cells and incorporated the experimentally observed mutation-induced changes in If into the Fabbri-Severi model of a single human sinus node cell.In the Fabbri-Severi model, the experimentally observed effects on If increased the cycle length from 813 to 1004 ms, corresponding with a 19% decrease in beating rate from 74 to 60 beats/min. These mutation effects became more prominent at 10 nM ACh (vagal tone) and in the presence of a hyperpolarizing atrial load.We conclude that the experimentally identified mutation-induced changes in If can explain the clinically observed sinus bradycardia in carriers of the A414G mutation in the HCN4 gene.
编码HCN4蛋白的HCN4基因A414G突变的杂合携带者表现为中度至重度窦性心动过缓。HCN4亚基的四聚体构成传导心脏超极化激活的“滑稽电流”(If)的离子通道,If在窦结细胞的起搏器活性中起着重要的调节作用。我们评估了HCN4中A414G突变导致窦性心动过缓的机制。我们对中国仓鼠卵巢(CHO)细胞中表达的HCN4通道进行了电压箝位实验,并将实验观察到的突变诱导的If变化纳入到单个人窦结细胞的fabri - severi模型中。在fabri - severi模型中,实验观察到If的作用将周期长度从813 ms增加到1004 ms,相应的,心跳速率从74次/min降低到60次/min,降低了19%。这些突变效应在10 nM ACh(迷走神经张力)和存在超极化心房负荷时变得更加突出。我们得出结论,实验鉴定的突变诱导的If变化可以解释临床上观察到的HCN4基因A414G突变携带者的窦性心动过缓。
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引用次数: 1
Sleep RR-Interval U-Patterns and Their Correlation to Movement Events 睡眠rr -间隔u型模式及其与运动事件的相关性
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005854
Sasan Yazdani, Alexandre Cherqui, N. Bourdillon, G. Millet, J. Vesin
The aim of this work is to investigate the relation between a phenomenon called "U-patterns" and their possible correlation to movement events in the context of sleep deprivation. U-patterns take place in the RR-interval time series during sleep. As their name suggests, these patterns present a U-shaped decrease-increase in RR-intervals, with a duration lasting from 20 to 40 seconds together with a minimum decrease of 15% in the local RR mean value.Over a span of 17 days, 15 healthy subjects (7males, 22.1 ± 1.7 yrs.) participated in a study of three subsequent stages. First, a baseline phase of seven days, during which the subjects slept normally. Immediately after, a sleep deprivation phase with a duration of three days, during which participants slept only three hours per night. Finally, in a 7-day recovery phase subjects went back to their normal baseline sleeping routine. Subjects underwent polysomnography (PSG) data acquisition while sleeping. U-patterns were extracted from RR-intervals while movement events were extracted from different PSG channels. Their relative temporal layout was studied to determine whether U-patterns are caused due to subject movement during sleep or vice versa. Results show that U-pattern/movement events are correlated, always initiated by U-patterns with movement events terminating before the termination of their respective U-patterns.
这项工作的目的是调查一种被称为“u型模式”的现象之间的关系,以及它们在睡眠剥夺的背景下与运动事件的可能相关性。u型模式发生在睡眠期间的rr间隔时间序列中。顾名思义,这些模式在RR间隔中呈现出u形的减少-增加,持续时间为20至40秒,同时局部RR平均值最小减少15%。在17天的时间里,15名健康受试者(7名男性,22.1±1.7岁)参加了后续三个阶段的研究。首先是七天的基线阶段,在此期间受试者正常睡眠。紧接着是为期三天的睡眠剥夺阶段,在此期间参与者每晚只睡三个小时。最后,在7天的恢复阶段,受试者回到正常的基线睡眠习惯。受试者在睡眠时进行多导睡眠图(PSG)数据采集。u型模式提取自rr区间,运动事件提取自不同的PSG通道。研究人员研究了它们的相对时间布局,以确定u型模式是由于受试者在睡眠期间的运动引起的,还是相反。结果表明,u型模式与运动事件是相关的,总是由u型模式引发,运动事件在各自的u型模式终止之前终止。
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引用次数: 3
Validation of Intramural Wavefront Reconstruction and Estimation of 3D Conduction Velocity 校内波前重建验证及三维传导速度估算
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005884
W. Good, K. Gillette, J. Bergquist, B. Zenger, J. Tate, Lindsay C. Rupp, Devan Anderson, G. Plank, R. Macleod
Introduction: Changes in conduction velocity are indicative of a wide variety of cardiac abnormalities yet measuring conduction velocity is challenging, especially within the myocardial volume. In this study we investigated a novel technique to reconstruct activation fronts and estimate three-dimensional (3D) conduction velocity (CV) from experimental intramural recordings.Methods: From the intermittently sampled electrograms we both reconstruct the activation profile and compute the reciprocal of the gradient of activation times and a series of streamlines that allows for the CV estimation. Results: The reconstructed activation times agreed closely with simulated values, with 50% to 70% of the nodes ≤ 1ms of absolute error. We found close agreement between the CVs calculated using reconstructed versus simulated activation times. Across the reconstructed stimulation sites we saw that the reconstructed CV was on average 3.8% different than the ground truth CV. Discussion: This study used simulated datasets to validate our methods for reconstructing 3D activation fronts and estimating conduction velocities. Our results indicate that our method allows accurate reconstructions from sparse measurements, thus allowing us to examine changes in activation induced by experimental interventions such as acute ischemia, ectopic pacing, or drugs.
导读:传导速度的变化是各种心脏异常的指示,但测量传导速度是具有挑战性的,特别是在心肌体积内。在这项研究中,我们研究了一种新的技术来重建激活前沿和估计三维(3D)传导速度(CV)从实验内部记录。方法:从间歇性采样的电图中,我们都重建了激活剖面,并计算了激活时间梯度的倒数和一系列允许CV估计的流线。结果:重建的激活次数与模拟值吻合较好,50% ~ 70%的节点绝对误差≤1ms。我们发现重建激活时间和模拟激活时间计算的cv之间非常一致。在重建的刺激点,我们看到重建的CV与真实CV平均相差3.8%。讨论:本研究使用模拟数据集来验证我们重建三维激活前沿和估计传导速度的方法。我们的研究结果表明,我们的方法可以从稀疏测量中精确重建,从而允许我们检查由实验干预(如急性缺血,异位起搏或药物)引起的激活变化。
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引用次数: 2
Weakly Supervised Deformation Network for 3D Echocardiography Segmentation on Left Ventricle 弱监督变形网络用于左心室三维超声心动图分割
Pub Date : 2019-09-01 DOI: 10.23919/CinC49843.2019.9005792
Suyu Dong, Gongning Luo, Naren Wulan, Shaodong Cao, Kuanquan Wang, Henggui Zhang
The automated 3D echocardiography segmentation on left ventricle (LV) is very important for clinical evaluation of LV function. However, the segmentation is difficult due to the 3D echocardiography’s challenges, such as the low signal-to-noise ratio, indistinguishable boundaries between LV and other heart substructures, and limited annotation data. This paper aims to propose a novel method to achieve accurate 3D echocardiography segmentation on LV, based on a weakly supervised deformable network. The deformation network was optimized by generative adversarial constraint and volume similarity constraint. The proposed framework was trained and validated on 3D echocardiography datasets which including 70 patients (35 train patients and 35 test patients). The results demonstrated the proposed method is relatively accurate and has potential for further research and application.
左心室三维超声心动图自动分割对临床评价左心室功能具有重要意义。然而,由于三维超声心动图的挑战,如低信噪比、左室和其他心脏亚结构之间难以区分的边界以及有限的注释数据,分割是困难的。本文旨在提出一种基于弱监督可变形网络的三维超声心动图LV精确分割的新方法。采用生成对抗约束和体积相似约束对变形网络进行优化。所提出的框架在包括70例患者(35例训练患者和35例测试患者)的3D超声心动图数据集上进行了训练和验证。结果表明,该方法具有较高的精度,具有进一步研究和应用的潜力。
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引用次数: 0
期刊
2019 Computing in Cardiology (CinC)
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