Persistent display of nearest beat characteristics during real-time or play-back electrophysiology data visualization

Patent metadata

Field	Value
Publication number	US-9636032-B2
Application number	US-201414270867-A
Country	US
Kind code	B2
Filing date	May 6, 2014
Priority date	May 6, 2013
Publication date	May 2, 2017
Grant date	May 2, 2017

Abstract

A system and method for mapping an anatomical structure includes sensing activation signals of intrinsic physiological activity with a plurality of electrodes disposed in or near the anatomical structure. A most recent intrinsic event at a selected time is determined based on the sensed activation signals and a persistent display of relevant characteristics is generated based on the sensed activation signals of the most recent intrinsic event. The persistent display is updated upon detection of a subsequent intrinsic event.

First claim

We claim:

1. An anatomical mapping system comprising:
a mapping probe, the mapping probe comprising a catheter body and a three-dimensional multiple electrode structure disposed at a distal end of the catheter body, the three-dimensional multiple electrode structure comprising a plurality of mapping electrodes configured to be positioned within an anatomical structure and to detect activation signals of intrinsic events within the anatomical structure, each of the plurality of mapping electrodes having an electrode location; and
a processing system associated with the plurality of mapping electrodes, the processing system configured to record the detected activation signals and associate at least one of the plurality of mapping electrodes with each recorded activation signal, the processing system further configured to:
determine a first intrinsic event associated with a first time;
generate a persistent display of at least one relevant characteristic of the detected activation signals of the first intrinsic event;
determine a second intrinsic event associated with a second time;
update, in a real-time mode, the persistent display with at least one relevant characteristic of the second intrinsic event upon the determination of the second intrinsic event;
display, simultaneously, in a playback mode, a representation of the first intrinsic event and a representation of the second intrinsic event;
determine a similarity metric associated with the first and second intrinsic events, wherein the similarity metric is based on a cross-correlation between a first characteristic pattern and a second characteristic pattern, the first and second characteristic patterns representing the first event and the second intrinsic events, respectively, in at least one of a vector field map and an iso-potential contour map; and
highlight, on a user interface of the persistent display, in the playback mode, and based on the similarity metric, the representations of the first and second intrinsic events to indicate that the first and second intrinsic events are similar intrinsic events.

2. The anatomical system according to claim 1 , wherein the persistent display includes at least one of an activation map, a vector field representing an activation pattern, a voltage propagation map representing voltage propagation pattern, a phase propagation map representing phase propagation pattern, a derivative map representing a pattern in a change of voltage over time, and a reliability map representing a reliability pattern related to onset pick-up times of the activation signals.

3. The anatomical system according to claim 1 , wherein, to determine the second intrinsic event, the processing system is further configured to determine an onset time for the most recent activation signal at each of the plurality of electrodes, and to calculate a median onset time based on an average of the determined onset times.

4. The anatomical system according to claim 1 , wherein, to determine the second intrinsic event, the processing system is further configured to calculate a quadratic mean for the most recent activation signal for each of the plurality of electrodes, and to determine a peak value from a sum of the quadratic means across the plurality of mapping electrodes.

5. The anatomical system according to claim 1 , wherein, to determine the second intrinsic event, the processing system is further configured to determine an onset time for the most recent activation signal at each of the plurality of electrodes, convolve the onset times with a smoothing function, and determine a peak value from a sum of the convolved signals across the plurality of electrodes.

6. The anatomical system according to claim 1 , the processing system being further configured to: determine a morphology for each intrinsic event, compare the morphology of the second intrinsic event with the first intrinsic event, and update the persistent display based on changes in morphology between the second and first intrinsic event.

7. The anatomical system according to claim 1 , wherein the second intrinsic event is an intrinsic event that is detected nearest to the first intrinsic event.

8. The anatomical system according to claim 1 , wherein the persistent display is generated in real-time as the activation signals are detected.

9. The anatomical system according to claim 1 , wherein the persistent display is generated off line after a plurality of activation signals are recorded and the second intrinsic event is before or after the first time.

10. The anatomical system according to claim 1 , wherein the first intrinsic event and the second intrinsic event include at least one of the following: a cardiac contraction, a cardiac beat, a myocardial electrical activity, an electrical signal within a neurological pathway, and a muscular contraction.

11. An anatomical mapping system comprising:
a mapping probe, the mapping probe comprising a catheter body and a three-dimensional multiple electrode structure disposed at a distal end of the catheter body, the three-dimensional multiple electrode structure comprising a plurality of mapping electrodes configured to be positioned within an anatomical structure and to detect activation signals of intrinsic events within the anatomical structure, each of the plurality of mapping electrodes having an electrode location; and
a processing system associated with the plurality of mapping electrodes, the processing system configured to record the detected activation signals and associate at least one of the plurality of mapping electrodes with each recorded activation signal, the processing system further configured to:
determine a first intrinsic event associated with a first time;
generate a persistent display of at least one relevant characteristic of the detected activation signals of the first intrinsic event, the persistent display comprising a vector field map representing an activation pattern;
determine a second intrinsic event associated with a second time;
update the persistent display with at least one relevant characteristic of the second intrinsic event upon the determination of the second intrinsic event;
determine a similarity metric based on a cross-correlation between a first characteristic pattern and a second characteristic pattern, the first and second characteristic patterns representing the first intrinsic event and the second intrinsic event, respectively, in the vector field map; and
highlight, on a user interface of the persistent display and based on the similarity metric, representations of the first and second intrinsic events to indicate that the first and second intrinsic events are similar intrinsic events.

Assignees

• Boston Scient Scimed Inc

Inventors

• Thakur Pramodsingh H
• Arcot-Krishnamurthy Shantha
• Shuros Allan C
• Saha Sunipa
• Shome Shibaji
• Maskara Barun

Classifications

• A61B5/6858

  with a distal basket, e.g. expandable basket · CPC title

• A61B5/339 Primary

  Displays specially adapted therefor · CPC title

• A61B5/044 Primary

  Human Necessities · mapped topic

• A61B5/0422

  Human Necessities · mapped topic

• A61B5/287

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