Region of interest rotational activity pattern detection

Patent metadata

Field	Value
Publication number	US-10582894-B2
Application number	US-201715404225-A
Country	US
Kind code	B2
Filing date	Jan 12, 2017
Priority date	Jan 14, 2016
Publication date	Mar 10, 2020
Grant date	Mar 10, 2020

Abstract

A method of atrial rotational activity pattern (RAP) source detection is provided which includes detecting, via a plurality of sensors, electro-cardiogram (ECG) signals over time, each ECG signal detected via one of the plurality of sensors and indicating electrical activity of a heart. The method also includes determining, for each of the plurality of ECG signals, one or more local activation times (LATs) each indicating a time of activation of a corresponding ECG signal. The method further includes detecting whether one or more RAP source areas of activation in the heart is indicated based on the detected ECG signals and the one or more local LATs. Mapping information of the detected RAP source areas of activation in the heart is also generated for providing one or more maps.

First claim

What is claimed is:

1. A method comprising:
acquiring, via a plurality of sensors, electro-cardiogram (ECG) signals over time, each ECG signal acquired via one of the plurality of sensors and representing electrical activity of one of a plurality of different areas the heart;
determining, for each of the plurality of sensors, one or more local activation times (LATs) each indicating a time of activation of a corresponding ECG signal;
constructing, for each sensor having a corresponding LAT in a window of time, a simple wave propagating between the sensor and one or two neighboring sensors in which the corresponding ECG signal comprises an LAT in the window of time determined to have valid conduction velocity;
constructing, in the window of time, complex waves from overlapping simple waves; and
detecting one or more atrial rotational activity pattern (RAP) source areas of activation in the heart based on the complex waves,
wherein one or more maps are displayed for visually indicating the one or more RAP source areas of activation in the heart.

2. The method of claim 1 , further comprising:
generating, based on the detected one or more RAP source areas of activation, mapping information of the detected one or more RAP source areas of activation in the heart; and
providing the mapping information for the one or more maps representing at least one of the electrical activity of the heart and the spatio-temporal manifestation of the electrical activity of the heart.

3. The method of claim 2 , further comprising providing RAP score information indicating a likelihood of the detection of the one or more RAP source areas of activation.

4. The method of claim 1 , wherein detecting whether one or more RAP source areas of activation in the heart is indicated further comprises:
selecting a length of the window of time of the LATs, to be equal to an average cycle length of the ECG signals.

5. The method of claim 1 , further comprising filtering and unifying the complex waves.

6. The method of claim 1 , wherein detecting one or more RAP source areas of activation in the heart further comprises:
detecting the one or more RAP source areas from two or more consecutive pansystolic waves which span equal to or greater than a predetermined percentage of a cycle length (CL) that is based on a plurality of activation cycles.

7. The method of claim 1 , wherein detecting one or more RAP source areas of activation in the heart further comprises identifying outer circle to inner circle activation spreads using a circular type catheter.

8. A system comprising:
a plurality of sensors configured to acquire a plurality of electro-cardiogram (ECG) signals each representing electrical activity of one of a plurality of different areas of a heart over time;
a processing device comprising one or more processors configured to:
determine, for each of the plurality of sensors, one or more local activation times (LATs) each indicating a time of activation of a corresponding ECG signal;
construct, for each sensor having a corresponding LAT in a window of time, a simple wave propagating between the sensor and one or two neighboring sensors in which the corresponding ECG signal comprises an LAT in the window of time determined to have valid conduction velocity;
construct, in the window of time, complex waves from overlapping simple waves; and
detect whether one or more atrial rotational activity pattern (RAP) source areas of activation in the heart based on the complex waves,
wherein one or more maps are displayed for visually indicating the one or more RAP source areas of activation in the heart.

9. The system of claim 8 , wherein the one or more processors is further configured to:
generate, based on the detected one or more RAP source areas of activation, mapping information of the detected one or more RAP source areas of activation in the heart; and
provide the mapping information for the one or more maps representing at least one of the electrical activity of the heart and the spatio-temporal manifestation of the electrical activity of the heart.

10. The system of claim 9 , wherein the one or more processors is further configured to provide RAP score information indicating a likelihood of the detection of the one or more RAP source areas of activation.

11. The system of claim 8 , wherein detecting whether one or more RAP source areas of activation in the heart is indicated further comprises:
selecting a length of the window of time of the LATS, to be equal to an average cycle length of the ECG signals.

12. The system of claim 8 , wherein the one or more processors is further configured to filter and unify the complex waves.

13. The system of claim 8 , wherein detecting one or more RAP source areas of activation in the heart further comprises:
detecting the one or more RAP source areas from two or more consecutive pansystolic waves which span equal to or greater than a predetermined percentage of a cycle length (CL) that is based on a plurality of activation cycles.

14. The system of claim 8 , wherein detecting one or more RAP source areas of activation in the heart further comprises identifying outer circle to inner circle activation spreads using a circular type catheter.

15. A non-transitory computer readable medium comprising instructions for causing a computer to execute a method comprising:
detecting, via a plurality of sensors, electro-cardiogram (ECG) signals over time, each ECG signal detected via one of the plurality of sensors and indicating electrical activity of a heart;
acquiring, via a plurality of sensors, electro-cardiogram (ECG) signals over time, each ECG signal acquired via one of the plurality of sensors and representing electrical activity of one of a plurality of different areas the heart;
determining, for each of the plurality of sensors, one or more local activation times (LATs) each indicating a time of activation of a corresponding ECG signal;
constructing, for each sensor having a corresponding LAT in a window of time, a simple wave propagating between the sensor and one or two neighboring sensors in which the corresponding ECG signal comprises an LAT in the window of time determined to have valid conduction velocity;
constructing, in the window of time, complex waves from overlapping simple waves; and
detecting one or more atrial rotational activity pattern (RAP) source areas of activation in the heart based on the complex waves,
wherein one or more maps are displayed for visually indicating the one or more RAP source areas of activation in the heart.

16. The computer readable medium of claim 15 , wherein the instructions further comprise:
generating, based on the detected one or more RAP source areas of activation, mapping information of the detected one or more RAP source areas of activation in the heart; and
providing the mapping information for the one or more maps representing at least one of the electrical activity of the heart and the spatio-temporal manifestation of the electrical activity of the heart.

17. The computer readable medium of claim 15 , wherein detecting whether one or more RAP source areas of activation in the heart is indicated further comprises:
selecting a length of the window of time of the LATs, to be equal to an average cycle length of the ECG signals.

18. The computer readable medium of claim 15 , wherein detecting one or more RAP source areas of activation in the heart is further comprises identifying outer circle to inner circle activation spreads using a circular type catheter.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Ben Zrihem Yaniv
• Zeidan Ziyad
• Urman Roy
• Goldberg Stanislav
• Hayam Gal
• Bar-Tal Meir
• Verma Atul
• Amos Yariv Avraham

Classifications

• A61B18/12

  by passing a current through the tissue to be heated, e.g. high-frequency current · CPC title

• A61B2018/1467

  using more than two electrodes on a single probe · CPC title

• A61B5/6852 Primary

  Catheters · CPC title

• A61B18/14

  Probes or electrodes therefor · CPC title

• A61B5/7235

  Details of waveform analysis (detecting specific parameters of the electrocardiograph cycle A61B5/349) · CPC title