Mapping of activation wavefronts

Patent metadata

Field	Value
Publication number	US-10786166-B2
Application number	US-201816160062-A
Country	US
Kind code	B2
Filing date	Oct 15, 2018
Priority date	Oct 15, 2018
Publication date	Sep 29, 2020
Grant date	Sep 29, 2020

Abstract

In one embodiment, a cardiac mapping system includes a medical examination device to capture data over time at multiple sample locations over a surface of at least one chamber of a heart, a display screen, and processing circuitry to process the captured data to determine a description of a propagation of activation wavefronts associated with activation times over the surface of the at least one chamber of the heart, calculate activation wavefront propagation path traces wherein each path trace describes a point on one activation wavefront being propagated over the surface of the at least one chamber of the heart according to an advancement of the activation wavefront such that the path traces describe the propagation of different points according to corresponding activation wavefronts, prepare a visualization showing the path traces on a representation of the at least one chamber, and render the visualization to the display screen.

First claim

What is claimed is:

1. A cardiac mapping system comprising:
a medical examination device to capture data over time at multiple sample locations over a surface of at least one chamber of a heart;
a display screen; and
processing circuitry configured to:
process the captured data to determine a description of a propagation of activation wavefronts associated with a plurality of activation times over the surface of the at least one chamber of the heart;
calculate a plurality of activation wavefront propagation path traces wherein each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces describes a point on one activation wavefront of the activation wavefronts being propagated over the surface of the at least one chamber of the heart according to an advancement of the one activation wavefront such that the plurality of activation wavefront propagation path traces describe the propagation of a plurality of different points according to corresponding ones of the activation wavefronts;
prepare a visualization showing the plurality of activation wavefront propagation path traces on a representation of the at least one chamber of the heart, wherein the visualization is an animated visualization;
prepare the animation showing a growth of the plurality of activation wavefront propagation path traces on the representation of the at least one chamber of the heart according to the advancement of the activation wavefronts over the surface;
select, in a random or a pseudo-random manner, a plurality of start locations on the representation of the at least one chamber of the heart;
assign the plurality of start locations as start positions of the plurality of activation wavefront propagation path traces from which to commence the respective activation wavefront propagation path traces, the one activation wavefront propagation path trace being assigned one start position of the start positions;
animate the growth of each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces from the one start position to an end position; and
render the visualization to the display screen.

2. The system according to claim 1 , wherein the processing circuitry is configured to animate the growth of the one activation wavefront propagation path trace in the animated visualization by moving the point of the one activation wavefront propagation path trace according to a direction of movement of the one activation wavefront at a current location of the point.

3. The system according to claim 1 , wherein the processing circuitry is configured to calculate a speed of the growth of the one activation wavefront propagation path trace as a function of a speed of movement of the one activation wavefront at the current location of the point.

4. The system according to claim 1 , wherein the processing circuitry is configured to commence the animation of the growth of the plurality of activation wavefront propagation path traces from the start positions at substantially a same time.

5. The system according to claim 1 , wherein the processing circuitry is configured, for each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces, to animate the one activation wavefront propagation path trace from the one start position to the end position in a cyclical manner.

6. The system according to claim 1 , wherein the processing circuitry is configured to add a head indicator at the front of each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces.

7. The system according to claim 1 , wherein the processing circuitry is configured to add an indicator to one of the plurality of activation wavefront propagation path traces to indicate a non-conductive area of the at least one chamber of the heart.

8. The system according to claim 1 , wherein the medical examination device is a probe configured to capture electrical potentials over time at the multiple sample locations over the surface of the at least one chamber of the heart.

9. The system according to claim 1 , wherein the processing circuitry is configured to:
prepare a vector map including a plurality of velocity vectors describing the propagation of the activation wavefronts;
prepare an animated visualization showing a growth of the plurality of activation wavefront propagation path traces on the representation of the at least one chamber of the heart according to the advancement of the activation wavefronts over the surface; and
animate each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces by moving the point of the one activation wavefront propagation path trace a first plurality of times according to a first direction of a first vector of the plurality of velocity vectors and then continuing moving the point of the one activation wavefront a second plurality of times according to a second direction of a second vector of the plurality of velocity vectors.

10. A cardiac mapping method comprising:
capturing data over time at multiple sample locations over a surface of at least one chamber of a heart;
processing the captured data to determine a description of a propagation of activation wavefronts associated with a plurality of activation times over the surface of the at least one chamber of the heart;
calculating a plurality of activation wavefront propagation path traces wherein each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces describes a point on one activation wavefront of the activation wavefronts being propagated over the surface of the at least one chamber of the heart according to an advancement of the one activation wavefront such that the plurality of activation wavefront propagation path traces describe the propagation of a plurality of different points according to corresponding ones of the activation wavefronts;
preparing a visualization showing the plurality of activation wavefront propagation path traces on a representation of the at least one chamber of the heart, wherein the visualization is an animated visualization;
preparing the animation showing a growth of the plurality of activation wavefront propagation path traces on the representation of the at least one chamber of the heart according to the advancement of the activation wavefronts over the surface;
selecting, in a random or a pseudo-random manner, a plurality of start locations on the representation of the at least one chamber of the heart;
assigning the plurality of start locations as start positions of the plurality of activation wavefront propagation path traces from which to commence the respective activation wavefront propagation path traces, the one activation wavefront propagation path trace being assigned one start position of the start positions;

animating the growth of each one activation wavefront propagation path trace of the plurality of activation wavefront propagation path traces from the one start position to an end position; and
rendering the visualization to a display screen.

11. The method according to claim 10 , wherein the preparing the animated visualization includes moving the point of the one activation wavefront propagation path trace according to a direction of movement of the one activation wavefront at a current location of the point.

12. The method according to claim 10 , further comprising calculating a speed of the growth of the one activation wavefront propagation path trace as a function of a sp

Assignees

• Biosense Webster Israel Ltd

Inventors

• Cohen Assaf
• Bar-Tal Meir
• Nakar Elad
• Ilan Ido

Classifications

• A61B5/743 Primary

  Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots · CPC title

• A61B5/308

  for electrocardiography [ECG] · CPC title

• A61B5/341 Primary

  Vectorcardiography [VCG] · CPC title

• A61B5/339

  Displays specially adapted therefor · CPC title

• A61B5/02028 Primary

  Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction · CPC title