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1. ECGI Problem

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(1)

Review of Regularization Techniques in Electrocardiographic Imaging

Matija Milanič, Vojko Jazbinšek, Robert S. MacLeod, Dana H. Brooks, Rok Hren

Jozef Stefan Institute, Ljubljana, Slovenia

Institute of Mathematics, Physics, and Mechanics, Ljubljana, Slovenia

Scientific Computing and Imaging (SCI) Institute, University of Utah, Salt Lake City, UT, USA Department of Electrical and Computer Engineering, Northeastern University, Boston, MA, USA

(2)

1. ECGI Problem

(3)

ECGI = “heart as the potential distribution on the

epicardium”

(4)

ECGI speaks mathematical language: Φ B = A Φ H

Technical prerequisites:

Problem formulation in terms of differential equations

Numerical solution techniques

Boundary element method – BEM

Finite element method – FEM

Regularization of the inverse solution

ECGI is an ill-posed problem

(5)

Motivation: Comparing various regularization techniques using the same volume conductor and cardiac source models

Step 1:

Measuring “cage” potentials at 602 leads

Perfused canine heart; sinus rhythm

1000 Hz sampling rate; 4-7 sec recordings

Step 2:

Computing “body surface”

potentials at 771 nodes

BEM

(6)

Regularization techniques in a nutshell

Tikhonov-based regularizations (Group A)

min { || Φ

B

– AΦ

H

||

2

+ λ

2

|| ΛΦ

H

||

2

}

λ – regularization parameter

Λ – regularization operator (Z=I, F=G, S=L)

Iterative methods (Group B)

Non-quadratic methods (Group C)

min { || Φ

B

– AΦ

H

||

2

+ λ

2

|| ΛΦ

H

||

1

}

ΦH

ΦH

(7)

13 regularization techniques

Group Acronym Short description ZOT Zero-order Tikhonov

A FOT First-order

SOT Second-order

ZTSVD Zero-order truncated singular value decomposition FTSVD First-order

STSVD Second-order

B ZCG Zero-order conjugate gradient FCG First-order

SCG Second-order

ν-method MINRES

C FTV Total variation

STV Total variation with Laplacian

(8)

2. Evaluation

(9)

Key Questions

KQ #1: Group A vs. Group B vs. Group C

KQ #2: Z vs. F vs. S

(10)

KQ #1

(11)

KQ #1

(12)

KQ #1

(13)

KQ #2

(14)

KQ #2

(15)

3. Conclusions

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Key take-aways

Little difference among three main groups of regularization techniques

FTV tends to under-regularize the inverse solution

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Strengths Limitations Future work

Sound physiological model of the heart

Unified simulation framework

Comprehensive evaluation of regularization methodologies

Cage potentials were

recorded at a distance from the epicardium and have therefore somewhat smoothed-out patterns

Body surface potentials were computed (rather than

measured)

Sinus rhythm

Epicardial sock data

Pacing, sites of early activation

Infarcted hearts

Reference

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