Sensing zone for spatially relevant electrical information

Patent metadata

Field	Value
Publication number	US-11826148-B2
Application number	US-202117543116-A
Country	US
Kind code	B2
Filing date	Dec 6, 2021
Priority date	Oct 12, 2011
Publication date	Nov 28, 2023
Grant date	Nov 28, 2023

Abstract

Systems and methods are disclosed to determine one or more sensing zones on a body surface for electrocardiographic mapping of a region of interest associated with the heart. The sensing zone can be utilized to facilitate acquisition, processing and mapping of electrical activity for the corresponding region of interest. In other examples, an application-specific arrangement of electrodes can also be provided based on the sensing zone that is determined for the region of interest.

First claim

What is claimed is:

1. One or more non-transitory computer-readable media having instructions stored thereon, the instructions being executable by a processor to perform a method comprising:
determining a contribution that each of a plurality of electrodes on an outer surface of the patient's body has on mapping electrical activity, which is measured by each of the electrodes on the outer surface of the patient's body, to respective nodes distributed across a cardiac envelope of a patient's heart; and
identifying at least one low resolution anatomical spatial region on the patient's heart based on the determined contribution of the electrodes.

2. The media of claim 1 , wherein determining the contribution of the respective electrodes comprises computing coefficients of a transformation matrix representing a contribution that respective sensing channels have on an estimate of electrical activity at the respective nodes, in which each sensing channel corresponds to a respective one of the electrodes, and the at least one low resolution anatomical spatial region is determined based on the computed coefficients.

3. The media of claim 2 , wherein the coefficients of the transformation matrix are computed to identify a set of the sensing channels having a greatest contribution to respective nodes within a selected region of interest of the patient's heart, in which the set of the sensing channels identified as having the greatest contribution to the respective nodes within the selected region of interest define a sensing zone for the selected region of interest.

4. The media of claim 3 , wherein the method performed by the instructions further comprises analyzing the computed coefficients to determine an impact that the set of sensing channels in the sensing zone has on a resolution for the selected region of interest.

5. The media of claim 1 , wherein the method performed by the instructions further comprises:
determining a set of one or more sensing channels, in which each sensing channel corresponds to a respective one of the electrodes, expected to adversely affect the mapping of the electrical activity, which is measured by each of the electrodes on the outer surface of the patient's body, to the respective nodes; and
providing an output to identify one or more bad channels based on the set of sensing channels expected to adversely affect mapping.

6. The media of claim 1 , wherein the method performed by the instructions further comprises generating a graphical map that includes a representation of the low resolution anatomical spatial region superimposed on a graphical representation of the heart.

7. The media of claim 1 , wherein the method performed by the instructions further comprises:
accessing the electrical activity measured by a set of the respective electrodes arranged within a sensing zone on the outer surface of the patient's body, the sensing zone including one or more spatial areas on the outer surface of the patient's body that have been previously spatially and electrically correlated with the predetermined region of interest of the patient's heart so the electrodes within the sensing zone are configured to provide electrical information that is representative of electrical activity for the predetermined region of interest of the patient's heart; and
determining an estimate of electrical activity for the predetermined region of interest of the patient's heart based on the electrical activity measured by the set of the respective electrodes arranged on the outer surface of the patient's body within the sensing zone.

8. The media of claim 7 , wherein the method performed by the instructions further comprises generating a graphical map to display the electrical activity of the predetermined region of interest, the graphical map providing a visualization of the electrical activity for the predetermined region of interest without solving an inverse problem.

9. The media of claim 7 , wherein the set of respective electrodes on the outer surface of the patient's body has a known arrangement and distribution of the respective electrodes defined by a patch having an application-specific arrangement of electrodes.

10. The media of claim 9 , wherein the method performed by the instructions further comprises providing feedback to inform a user to adjust a position of the application-specific arrangement of electrodes on the body surface based on determined contribution of the electrodes with respect to the predetermined region of interest.

Assignees

• Cardioinsight Technologies Inc

Inventors

• Jia Ping
• Ramanathan Charulatha
• Strom Maria
• George Brian P
• Bhetwal Lalita
• Wodlinger Harold
• Small Jonathan D

Classifications

• A61B5/346

  Analysis of electrocardiograms · CPC title

• A61B5/343

  Potential distribution indication · CPC title

• A61B5/283

  Invasive · CPC title

• A61B5/367 Primary

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

• A61B5/316 Primary

  Modalities, i.e. specific diagnostic methods · CPC title