Interpolation of dynamic three-dimensional maps

Patent metadata

Field	Value
Publication number	US-11308668-B2
Application number	US-202117177991-A
Country	US
Kind code	B2
Filing date	Feb 17, 2021
Priority date	Feb 11, 2016
Publication date	Apr 19, 2022
Grant date	Apr 19, 2022

Abstract

A method, including acquiring initial signals from selected positions in a heart, computing respective initial local values of a signal propagation metric at the selected positions, and interpolating the initial local values between the selected positions to compute initial interpolated values of the signal propagation metric at intermediate positions, between the selected positions. The method further includes acquiring subsequent signals from the positions, computing respective subsequent local values of the signal propagation metric at the selected positions, and spatially interpolating the subsequent local values of the signal propagation metric between the selected positions to compute subsequent interpolated values of the signal propagation metric at the intermediate positions. A map of the signal propagation metric is displayed, and when the subsequent interpolated values exceed a bound defined with respect to the initial interpolated values, an indication is provided on the map that the bound has been exceeded.

First claim

The invention claimed is:

1. An electrophysiology method, comprising:
acquiring an initial set of electrical signals from tissue at selected positions in a heart of a subject, the electrical signals being representative of tissue conductivity;
determining, based on the electrical signals in the initial set, respective initial local values of a signal propagation metric at the selected positions for an initial time;
spatially interpolating the initial local values of the signal propagation metric between the selected positions to determine initial interpolated values of the signal propagation metric at intermediate positions, between the selected positions, for the initial time;
acquiring a subsequent set of electrical signals from the tissue at the selected positions;
determining, based on the electrical signals in the subsequent set, respective subsequent local values of the signal propagation metric at the selected positions for a subsequent time;
spatially interpolating the subsequent local values of the signal propagation metric between the selected positions to determine subsequent interpolated values of the signal propagation metric at the intermediate positions, for the subsequent time;
generating an initial static frame based on the initial local values and the initial interpolated values;
generating a subsequent static frame based on the subsequent local values and the subsequent interpolated values;
generating a dynamic frame based on the initial and subsequent static frames in accordance with a rate of static frame generation, wherein the subsequent interpolated values of the subsequent static frames are adjusted according to the initial interpolated values in generating the dynamic frame when the subsequent interpolated values are within a bound; and
energizing an ablation electrode to ablate tissue at a location of the heart to alter the tissue conductivity at the location based on the dynamic frame.

2. The method of claim 1 , wherein the subsequent interpolated values and the initial interpolated values are averaged in generating the dynamic frame when the subsequent interpolated values are within the bound.

3. The method of claim 1 , wherein the subsequent interpolated values and the initial interpolated values are averaged in a weighted manner in generating the dynamic frame when the subsequent interpolated values are within the bound.

4. The method of claim 1 , wherein the bound is defined by the rate of static frame generation.

5. The method of claim 1 , wherein the bound is defined by a refractory period of the tissue.

6. The method of claim 1 , wherein the rate of static frame generation is a rate selected from the group consisting of 1 ms, 5 ms and 10 ms.

7. The method of claim 1 , wherein spatially interpolating includes linear spatial interpolation.

8. The method of claim 1 , wherein spatially interpolating includes assigning conduction velocities at the selected positions and at intermediate positions.

9. The method of claim 1 , wherein the signal propagation metric comprises a local activation time (LAT) of the selected positions.

10. The method of claim 1 , wherein the generating a dynamic frame includes providing a visual indication in the dynamic frame when a subsequent interpolated value exceeds the bound.

11. An electrophysiology apparatus, comprising:
a display screen; and
a controller having a processor, the controller configured to:
acquire an initial set of electrical signals from the tissue at selected positions in a heart of a subject, the electrical signals being representative of tissue conductivity;
determine, based on the electrical signals in the initial set, respective initial local values of a signal propagation metric at the selected positions for an initial time;
spatially interpolate the initial local values of the signal propagation metric between the selected positions to determine initial interpolated values of the signal propagation metric at intermediate positions, between the selected positions, for the initial time;
acquire a subsequent set of electrical signals from the tissue at the selected positions;
determine, based on the electrical signals in the subsequent set, respective subsequent local values of the signal propagation metric at the selected positions for a subsequent time;
spatially interpolate the subsequent local values of the signal propagation metric between the selected positions to determine subsequent interpolated values of the signal propagation metric at the intermediate positions, for the subsequent time;
generate an initial static frame based on the initial local values and the initial interpolated values;
generate a subsequent static frame based on the subsequent local values and the subsequent interpolated values;
generate a dynamic frame based on the initial and subsequent static frames in accordance with a rate of static frame generation, wherein the subsequent interpolated values of the subsequent static frames are adjusted according to the initial interpolated values in generating the dynamic frame when the subsequent interpolated values are within a bound; and
energize an ablation electrode to ablate tissue at a location of the heart to alter the tissue conductivity at the location based on the dynamic frame.

12. The apparatus of claim 11 , wherein the subsequent interpolated values and the initial interpolated values are averaged in generating the dynamic frame when the subsequent interpolated values are within the bound.

13. The apparatus of claim 11 , wherein the subsequent interpolated values and the initial interpolated values are averaged in a weighted manner in generating the dynamic frame when the subsequent interpolated values are within the bound.

14. The apparatus of claim 11 , wherein the bound is defined by the rate of static frame generation.

15. The apparatus of claim 11 , wherein the bound is defined by a refractory period of the tissue.

16. The apparatus of claim 11 , wherein the rate of static frame generation is a rate selected from the group consisting of 1 ms, 5 ms and 10 ms.

17. The apparatus of claim 11 , wherein spatially interpolation includes linear spatial interpolation.

18. The apparatus of claim 11 , wherein spatially interpolation includes assignment of conduction velocities at the selected positions and at intermediate positions.

19. The apparatus of claim 11 , wherein the signal propagation metric comprises a local activation time (LAT) of the selected positions.

20. The apparatus of claim 11 , wherein the dynamic frame includes a visual indication in the dynamic frame when a subsequent interpolated value exceeds the bound.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Urman Roy
• Bar-Tal Meir
• Zriham Yaniv Ben

Classifications

• G06T11/26

  Drawing of charts or graphs · CPC title

• A61B5/349

  Detecting specific parameters of the electrocardiograph cycle · CPC title

• A61B5/339

  Displays specially adapted therefor · CPC title

• A61B5/367 Primary

  Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping · CPC title

• A61B5/287

  Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS] · CPC title