Representation and identification of activity patterns during electro-physiology mapping using vector fields

Patent metadata

Field	Value
Publication number	US-9918649-B2
Application number	US-201414120369-A
Country	US
Kind code	B2
Filing date	May 14, 2014
Priority date	May 14, 2013
Publication date	Mar 20, 2018
Grant date	Mar 20, 2018

Abstract

A method and system for mapping an anatomical structure includes sensing activation signals of intrinsic physiological activity with a plurality of mapping electrodes disposed in or near the anatomical structure, each of the plurality of mapping electrodes having an electrode location. A vector field map which represents a direction of propagation of the activation signals at each electrode location is generated to identify a signature pattern and a location in the vector field map according to at least one vector field template. A target location of the identified signature pattern is identified according to a corresponding electrode location.

First claim

We claim:

1. A catheter system comprising:
a plurality of mapping electrodes configured to detect activation signals of intrinsic cardiac activity, each of the plurality of mapping electrodes having an electrode location;
a mapping processor associated with the plurality of mapping electrodes, the mapping processor configured to record the detected activation signals and associate one of the plurality of mapping electrodes with each recorded activation signal, the mapping processor further configured to generate a vector field map, comprising a plurality of vectors, which represents a direction of propagation of the activation signals at each electrode location, and identify a signature pattern and a target location in the vector field map according to at least one vector field template; and
a display device configured to display the generated vector field map,
wherein the mapping processor is further configured to determine a reliability index for each detected activation signal at an electrode location according to at least one of a contact between the corresponding electrode and an anatomical structure and a level of noise in the detected activation signal, and to modify the physical appearance of each of the plurality of vectors of the vector field map according to the corresponding reliability index to visually represent the reliability.

2. The catheter system according to claim 1 , wherein to generate the vector field map the processing system is further configured to determine a vector of propagation at each electrode which represents a direction of propagation of the detected activation signal with respect to at least one adjacent electrode.

3. The catheter system according to claim 1 , wherein to identify the signature pattern the processing system is further configured to access a template bank which includes a plurality of vector field templates, each vector field template having a unique signature pattern, compare the vector field map with each vector field template of the template bank, and identify the signature pattern most closely matching the generated vector field map according to a similarity index.

4. The catheter system according to claim 3 , wherein each unique signature pattern of the template bank includes at least one of a divergent pattern representing focal activity having a foci location and a curled pattern representing rotor activity having a core location.

5. The catheter system according to claim 3 , wherein to compare the vector field the processing system is further configured to determine a reliability index for each sensed activation signal at an electrode location according to at least one of a contact between the corresponding electrode and an anatomical structure and a level of noise in the detected activation signal, select one or more vectors of the vector field map which meet a preselected threshold based on the determine reliability index, and compare only the one or more selected vectors with the corresponding vectors within each vector field template of the template bank.

6. The catheter system according to claim 1 , wherein the display device is further configured to display:
the identified target location.

Assignees

• Boston Scient Scimed Inc

Inventors

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

Classifications

• G06F2218/00

  Aspects of pattern recognition specially adapted for signal processing · CPC title

• A61B5/367

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

• A61B5/339

  Displays specially adapted therefor · CPC title

• A61B2018/00357

  Endocardium · CPC title

• A61B5/04012

  Human Necessities · mapped topic