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  4. An effective algorithm for the generation of patient-specific Purkinje networks in computational electrocardiology
 
research article

An effective algorithm for the generation of patient-specific Purkinje networks in computational electrocardiology

Palamara, Simone
•
Vergara, Christian
•
Faggiano, Elena
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2015
Journal Of Computational Physics

The Purkinje network is responsible for the fast and coordinated distribution of the electrical impulse in the ventricle that triggers its contraction. Therefore, it is necessary to model its presence to obtain an accurate patient-specific model of the ventricular electrical activation. In this paper, we present an efficient algorithm for the generation of a patient-specific Purkinje network, driven by measures of the electrical activation acquired on the endocardium. The proposed method provides a correction of an initial network, generated by means of a fractal law, and it is based on the solution of Eikonal problems both in the muscle and in the Purkinje network. We present several numerical results both in an ideal geometry with synthetic data and in a real geometry with patient-specific clinical measures. These results highlight an improvement of the accuracy provided by the patient-specific Purkinje network with respect to the initial one. In particular, a cross-validation test shows an accuracy increase of 19% when only the 3% of the total points are used to generate the network, whereas an increment of 44% is observed when a random noise equal to 20% of the maximum value of the clinical data is added to the measures. (C) 2014 Elsevier Inc. All rights reserved.

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Type
research article
DOI
10.1016/j.jcp.2014.11.043
Web of Science ID

WOS:000347407300027

Author(s)
Palamara, Simone
Vergara, Christian
Faggiano, Elena
Nobile, Fabio  
Date Issued

2015

Publisher

Elsevier

Published in
Journal Of Computational Physics
Volume

283

Start page

495

End page

517

Subjects

Computational electrocardiology

•

Purkinje fibers

•

Eikonal equation

•

Measures of activation times

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CSQI  
Available on Infoscience
February 20, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/111233
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