A rule‐based method to model myocardial fiber orientation in cardiac biventricular geometries with outflow tracts

Rule‐based methods are often used for assigning fiber orientation to cardiac anatomical models. However, existing methods have been developed using data mostly from the left ventricle. As a consequence, fiber information obtained from rule‐based methods often does not match histological data in othe...

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Veröffentlicht in:International journal for numerical methods in biomedical engineering 2019-04, Vol.35 (4), p.e3185-n/a
Hauptverfasser: Doste, Ruben, Soto‐Iglesias, David, Bernardino, Gabriel, Alcaine, Alejandro, Sebastian, Rafael, Giffard‐Roisin, Sophie, Sermesant, Maxime, Berruezo, Antonio, Sanchez‐Quintana, Damian, Camara, Oscar
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container_title International journal for numerical methods in biomedical engineering
container_volume 35
creator Doste, Ruben
Soto‐Iglesias, David
Bernardino, Gabriel
Alcaine, Alejandro
Sebastian, Rafael
Giffard‐Roisin, Sophie
Sermesant, Maxime
Berruezo, Antonio
Sanchez‐Quintana, Damian
Camara, Oscar
description Rule‐based methods are often used for assigning fiber orientation to cardiac anatomical models. However, existing methods have been developed using data mostly from the left ventricle. As a consequence, fiber information obtained from rule‐based methods often does not match histological data in other areas of the heart such as the right ventricle, having a negative impact in cardiac simulations beyond the left ventricle. In this work, we present a rule‐based method where fiber orientation is separately modeled in each ventricle following observations from histology. This allows to create detailed fiber orientation in specific regions such as the endocardium of the right ventricle, the interventricular septum, and the outflow tracts. We also carried out electrophysiological simulations involving these structures and with different fiber configurations. In particular, we built a modeling pipeline for creating patient‐specific volumetric meshes of biventricular geometries, including the outflow tracts, and subsequently simulate the electrical wavefront propagation in outflow tract ventricular arrhythmias with different origins for the ectopic focus. The resulting simulations with the proposed rule‐based method showed a very good agreement with clinical parameters such as the 10 ms isochrone ratio in a cohort of nine patients suffering from this type of arrhythmia. The developed modeling pipeline confirms its potential for an in silico identification of the site of origin in outflow tract ventricular arrhythmias before clinical intervention. We have developed a rule‐based method (RBM) that includes specific fiber orientation in different cardiac regions such as the right ventricle endocardium, the interventricular septum, and the outflow tracts, following observations from histological data. This adapted RBM allows running in silico simulations aimed to model pathologies where these regions are relevant such as outflow tract ventricular arrhythmias. The resulting simulations with the proposed RBM showed a very good agreement with clinical parameters.
doi_str_mv 10.1002/cnm.3185
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However, existing methods have been developed using data mostly from the left ventricle. As a consequence, fiber information obtained from rule‐based methods often does not match histological data in other areas of the heart such as the right ventricle, having a negative impact in cardiac simulations beyond the left ventricle. In this work, we present a rule‐based method where fiber orientation is separately modeled in each ventricle following observations from histology. This allows to create detailed fiber orientation in specific regions such as the endocardium of the right ventricle, the interventricular septum, and the outflow tracts. We also carried out electrophysiological simulations involving these structures and with different fiber configurations. In particular, we built a modeling pipeline for creating patient‐specific volumetric meshes of biventricular geometries, including the outflow tracts, and subsequently simulate the electrical wavefront propagation in outflow tract ventricular arrhythmias with different origins for the ectopic focus. The resulting simulations with the proposed rule‐based method showed a very good agreement with clinical parameters such as the 10 ms isochrone ratio in a cohort of nine patients suffering from this type of arrhythmia. The developed modeling pipeline confirms its potential for an in silico identification of the site of origin in outflow tract ventricular arrhythmias before clinical intervention. We have developed a rule‐based method (RBM) that includes specific fiber orientation in different cardiac regions such as the right ventricle endocardium, the interventricular septum, and the outflow tracts, following observations from histological data. This adapted RBM allows running in silico simulations aimed to model pathologies where these regions are relevant such as outflow tract ventricular arrhythmias. 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A rule-based method to model myocardial fiber orientation in cardiac biventricular geometries with outflow tracts. 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This adapted RBM allows running in silico simulations aimed to model pathologies where these regions are relevant such as outflow tract ventricular arrhythmias. 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subjects Arrhythmia
Artificial Intelligence
Cardiac arrhythmia
Computer Science
Computer Simulation
Electrophysiological Phenomena
Electrophysiological simulations
Fiber orientation
Heart
Heart Ventricles - anatomy & histology
Heart Ventricles - diagnostic imaging
Histology
Humans
Magnetic Resonance Imaging
Medical Imaging
Methods
Modeling and Simulation
Modelling
Models, Cardiovascular
Myocardium - metabolism
Outflow tract
Outflow tract ventricular arrhythmia
Rule-based method
Septum
Ventricle
Wave propagation
title A rule‐based method to model myocardial fiber orientation in cardiac biventricular geometries with outflow tracts
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