Characterization of post-infarct scars in a porcine model - A combined experimental and theoretical study

Mihaela Pop*, Maxime Sermesant, Tommaso Mansi, Eugene Crystal, Jay Detsky, Yuesong Yang, Paul Fefer, Elliot R. McVeigh, Alexander Dick, Nicholas Ayache, Graham A. Wright

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

4 Scopus citations

Abstract

Arrhythmias are often associated with healing infarcts and could arise from the border zone of the scars. The main purpose of this work was to characterize the infarct scars using in vivo electro-anatomic CARTO maps (recorded in sinus rhythm) and high-resolution ex-vivo MR images in a porcine model of chronic infarct. The MR images were segmented into scar, peri-infarct and healthy ventricular tissue, and, in select slices, the results of segmentation were validated against histology. Further, the segmented volumes and associated fiber directions (derived from diffusion-weighted (DW) MRI as well as from synthetic models), were used as input to a simple two-variable mathematical model that calculates the propagation of depolarization waves and isochronal maps; and these isochronal maps were compared to the measured ones. We further correlated the size of the scar measured during the electrophysiology (EP) study with scar dimensions obtained from MRI using ex-vivo DW-MRI methods. Finally, we present preliminary results from a qualitative comparison between the scar delineation from ex vivo and in vivo MR images.

Original languageEnglish
Title of host publicationFunctional Imaging and Modeling of the Heart - 5th International Conference, FIMH 2009, Proceedings
Pages1-10
Number of pages10
DOIs
StatePublished - 2009
Externally publishedYes
Event5th International Conference on Functional Imaging and Modeling of the Heart, FIMH 2009 - Nice, France
Duration: 3 Jun 20095 Jun 2009

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume5528
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference5th International Conference on Functional Imaging and Modeling of the Heart, FIMH 2009
Country/TerritoryFrance
CityNice
Period3/06/095/06/09

Keywords

  • Cardiac MR imaging
  • Computer modeling
  • Electrophysiology

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