How accurately can cardiac conductivity values be determined from heart potential measurements?

Although realistic cardiac electrophysiological simulations require accurate model parameters, no fully experimentally determined sets of six cardiac conductivity values exist. The present authors have recently proposed a method to determine the six bidomain conductivity values, for the extra- and intracellular domains in the longitudinal, transverse and normal directions, from measurements of potential made in cardiac tissue in vivo. The method uses a 3D mathematical model, a microelectrode measuring array and a novel inversion technique, which retrieves the conductivities and the fibre rotation angle from the potential measurements. In this work, a number of different data analysis methods are compared for realistically large sets of these simulated potential measurements and the best method is identified. Using synthetic data it is found that the three extracellular conductivities can be retrieved extremely accurately, with relative errors of less than 5%, even with noise of up to 40% added to the potential measurements. In addition, the intracellular longitudinal conductivity and the fibre rotation can be retrieved with relative errors at worst around the added noise. The intracellular transverse and normal conductivities are often more difficult to retrieve, with relative errors of around four times the added noise.

[1]  Barbara M. Johnston,et al.  Analysis of Electrode Configurations for Measuring Cardiac Tissue Conductivities and Fibre Rotation , 2006, Annals of Biomedical Engineering.

[2]  Barbara M. Johnston,et al.  A multi-electrode array and inversion technique for retrieving six conductivities from heart potential measurements , 2013, Medical & Biological Engineering & Computing.

[3]  A. M. Scher,et al.  Influence of Cardiac Fiber Orientation on Wavefront Voltage, Conduction Velocity, and Tissue Resistivity in the Dog , 1979, Circulation research.

[4]  Barbara M. Johnston,et al.  A new approach to the determination of cardiac potential distributions: application to the analysis of electrode configurations. , 2006, Mathematical biosciences.

[5]  Bruce H Smaill,et al.  Laminar Arrangement of Ventricular Myocytes Influences Electrical Behavior of the Heart , 2007, Circulation research.

[6]  L. Clerc Directional differences of impulse spread in trabecular muscle from mammalian heart. , 1976, The Journal of physiology.

[7]  Darren A Hooks,et al.  Myocardial segment-specific model generation for simulating the electrical action of the heart , 2007, Biomedical engineering online.

[8]  Barbara M. Johnston,et al.  Exploiting GPUs to investigate an inversion method that retrieves cardiac conductivities from potential measurements , 2014 .

[9]  R. M. Arthur,et al.  Effect of inhomogeneities on the apparent location and magnitude of a cardiac current dipole source. , 1970, IEEE transactions on bio-medical engineering.

[10]  Mark L. Trew,et al.  Construction and Validation of a Plunge Electrode Array for Three-Dimensional Determination of Conductivity in the Heart , 2008, IEEE Transactions on Biomedical Engineering.

[11]  A. M. Scher,et al.  Effect of Tissue Anisotropy on Extracellular Potential Fields in Canine Myocardium in Situ , 1982, Circulation research.

[12]  Joakim Sundnes,et al.  Simulation of ST segment changes during subendocardial ischemia using a realistic 3-D cardiac geometry , 2005, IEEE Transactions on Biomedical Engineering.

[13]  Roger C Barr,et al.  A biophysical model for cardiac microimpedance measurements. , 2010, American journal of physiology. Heart and circulatory physiology.

[14]  Peter R. Johnston,et al.  The effect of conductivity values on ST segment shift in subendocardial ischaemia , 2003, IEEE Transactions on Biomedical Engineering.

[15]  B. Roth Electrical conductivity values used with the bidomain model of cardiac tissue , 1997, IEEE Transactions on Biomedical Engineering.

[16]  H Zhang,et al.  Models of cardiac tissue electrophysiology: progress, challenges and open questions. , 2011, Progress in biophysics and molecular biology.