System for providing an electrical activity map

Patent metadata

Field	Value
Publication number	US-10548496-B2
Application number	US-201213984313-A
Country	US
Kind code	B2
Filing date	Feb 14, 2012
Priority date	Feb 17, 2011
Publication date	Feb 4, 2020
Grant date	Feb 4, 2020

Abstract

The invention relates to a system for providing an electrical cardiac activity map by means of electrical signals acquired by a plurality of surface electrodes on an outer surface of a living being (6). A cardiac structure position determination unit (12) determines a position of a cardiac structure, in particular, of the epicardial surface, based on provided projection images, wherein an anatomical cardiac model is adapted to the projection images. The projection images may be provided by an x-ray C-arm system (2). An electrical activity map determination unit (13) determines the electrical activity map at the cardiac structure based on the electrical signals, the positions of the plurality of surface electrodes also determined from the projection images, and the determined position of the cardiac structure. This allows determining the electrical activity map at the cardiac structure with high accuracy, without necessarily needing, for instance, an x-ray computed tomography system that would apply a relatively high x-ray radiation dose to the living being. The electrodes may be comprised in a vest (8).

First claim

The invention claimed is:

1. A system for providing an electrical activity map of the heart of a living being by means of electrical signals from the heart acquired by a plurality of surface electrodes on an outer surface of the living being, the system comprising:
a projection images providing unit for providing projection images of the heart and of the plurality of surface electrodes in different directions,
a surface electrodes positions determination unit for determining positions of the plurality of surface electrodes on the outer surface of the living being based on the provided projection images,
a cardiac structure position determination unit for determining a position of a cardiac structure of the living being based on the provided projection images, wherein the cardiac structure position determination unit is configured to adapt an anatomical cardiac model including the cardiac structure to the provided projection images of the heart, in order to determine the position of the cardiac structure, and
an electrical activity map determination unit for determining the electrical activity map at the cardiac structure based on the electrical signals measured on the outer surface of the living being, the determined positions of the plurality of surface electrodes on the outer surface of the living being and the determined position of the cardiac structure.

2. The system of claim 1 , wherein the surface electrodes positions determination unit is configured to provide a model distribution of the surface electrodes, to adapt the model distribution to the provided projection images, and to determine the positions of the plurality of surface electrodes from the adapted model distribution.

3. The system as defined in claim 1 , wherein the cardiac model is a non-specific cardiac model.

4. The system of claim 3 , wherein the non-specific cardiac model is not specific to the heart of the living being.

5. The system as defined in claim 3 , wherein the cardiac structure position determination unit is configured to adapt the anatomical cardiac model including the cardiac structure to the provided projection images of the heart by performing at least one of a translation procedure, a rotation procedure and a scaling procedure.

6. The system as defined in claim 1 , wherein the projection image providing unit is an x-ray C-arm system.

7. The system of claim 5 , wherein the non-specific cardiac model is a segmented heart model comprising an average of a plurality of segmented heart images of a plurality of persons.

8. The system as defined in claim 6 , wherein the x-ray C-arm system is configured to perform a single axis C-arm movement or a dual axes C-arm movement.

9. The system as defined in claim 6 , wherein the x-ray C-arm system is a monoplane projection system or a biplane projection system.

10. The system as defined in claim 1 ,
wherein the anatomical cardiac model is a non-patient specific generalized three-dimensional cardiac model,
wherein the projection images providing unit is a C-arc system for providing several two-dimensional x-ray projection images,
wherein the surface electrodes positions determination unit is configured to determine the positions of the plurality of surface electrodes by performing a three-dimensional position modelling based on the several two-dimensional x-ray projection images,
wherein the cardiac structure position determination unit is configured to match the non-patient specific generalized three-dimensional cardiac model with a cardiac contour in selected two-dimensional x-ray projection images from the several two-dimensional x-ray projection images, and
wherein the electrical activity map determination unit is configured to determine the electrical activity map by performing an electrocardiographic mapping on the surface of the matched generalized three-dimensional cardiac model.

11. The system of claim 1 , wherein the projection images providing unit is a storage unit in which the projection images are stored.

12. The system of claim 1 , wherein the plurality of surface electrodes comprises at least one hundred electrodes, and wherein the electrical activity map determination unit is configured to receive the electrical signals from the at least one hundred electrodes.

13. A method for providing an electrical activity map of the heart of a living being by means of electrical signals from the heart acquired by a plurality of surface electrodes on an outer surface of the living being, the method comprising:
providing projection images of the heart and of the plurality of surface electrodes in different directions by a projection images providing unit,
determining positions of the plurality of surface electrodes on the outer surface of the living being based on the provided projection images,
determining a position of a cardiac structure of the living being based on the provided projection images by adapting an anatomical cardiac model including the cardiac structure to the provided projection images of the heart, in order to determine the position of the cardiac structure,
determining the electrical activity map at the cardiac structure based on the electrical signals measured on the outer surface of the living being, the determined positions of the plurality of electrodes on an outer surface of the living being, and the determined position of the cardiac structure.

14. The method of claim 13 , wherein providing projection images of the heart and of the plurality of surface electrodes in different directions by a projection images providing unit comprises:
emitting an x-ray beam from an x-ray source to traverse the electrodes and the heart; and
detecting with an x-ray detector the x-ray beam after the x-ray beam has traversed the electrodes and the heart.

15. The method of claim 14 , further comprising rotating the x-ray source and x-ray detector around the living being in a single rotational axis to acquire the projection images in the different directions.

16. The method of claim 14 , further comprising rotating the x-ray source and x-ray detector around the living being in two rotational axes to acquire the projection images in the different directions.

17. The method of claim 13 , wherein providing projection images of the heart and of the plurality of surface electrodes in different directions by a projection images providing unit comprises:
emitting a first x-ray beam from a first x-ray source to traverse the electrodes and the heart in a first direction;
detecting with a first x-ray detector the first x-ray beam after the first x-ray beam has traversed the electrodes and the heart in the first direction;
emitting a second x-ray beam from a second x-ray source to traverse the electrodes and the heart in a second direction orthogonal to the first direction; and
detecting with a second x-ray detector the first x-ray beam after the first x-ray beam has traversed the electrodes and the heart in the second direction.

18. The method of claim 13 , wherein determining positions of the plurality of surface electrodes on the outer surface of the living being based on the provided projection images model distribution of the surface electrodes comprises:
adapting a model distribution of the surface electrodes to the provided projection images; and
determining the positions of the plurality of surface electrodes from the adapted model distribution.

19. The method of claim 13 ,
wherein the anatomical cardiac model is a non-patient specific generalized three-dimensional cardiac model,
wherein de

Assignees

• Gijsbers Gerardus Henricus Maria
• Van Den Brink Hendrikus Bernardus
• Slegt Sander
• Nijhof Niels
• Koninklijke Philips Nv

Inventors

• Gijsbers Gerardus Henricus Maria
• Van Den Brink Hendrikus Bernardus
• Slegt Sander
• Nijhof Niels

Classifications

• G16H30/40

  for processing medical images, e.g. editing · CPC title

• A61B6/00

  Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment (instruments measuring radiation intensity for application in the field of nuclear medicine, e.g. in vivo counting, G01T1/161) · CPC title

• A61B8/4254

  using sensors mounted on the probe · CPC title

• A61B5/684

  Indicating the position of the sensor on the body · CPC title

• A61B2576/023

  for the heart · CPC title