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  4. Influence of heart motion on cardiac output estimation by means of electrical impedance tomography: a case study
 
research article

Influence of heart motion on cardiac output estimation by means of electrical impedance tomography: a case study

Proenca, Martin
•
Braun, Fabian  
•
Rapin, Michael
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2015
Physiological Measurement

Electrical impedance tomography (EIT) is a non-invasive imaging technique that can measure cardiac-related intra-thoracic impedance changes. EIT-based cardiac output estimation relies on the assumption that the amplitude of the impedance change in the ventricular region is representative of stroke volume (SV). However, other factors such as heart motion can significantly affect this ventricular impedance change. In the present case study, a magnetic resonance imaging-based dynamic bio-impedance model fitting the morphology of a single male subject was built. Simulations were performed to evaluate the contribution of heart motion and its influence on EIT-based SV estimation. Myocardial deformation was found to be the main contributor to the ventricular impedance change (56%). However, motion-induced impedance changes showed a strong correlation (r = 0.978) with left ventricular volume. We explained this by the quasi-incompressibility of blood and myocardium. As a result, EIT achieved excellent accuracy in estimating a wide range of simulated SV values (error distribution of 0.57 +/- 2.19 ml (1.02 +/- 2.62%) and correlation of r = 0.996 after a two-point calibration was applied to convert impedance values to millilitres). As the model was based on one single subject, the strong correlation found between motion-induced changes and ventricular volume remains to be verified in larger datasets.

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Type
research article
DOI
10.1088/0967-3334/36/6/1075
Web of Science ID

WOS:000355151800002

Author(s)
Proenca, Martin
Braun, Fabian  
Rapin, Michael
Sola, Josep
Adler, Andy
Grychtol, Bartlomiej
Bohm, Stephan H.
Lemay, Mathieu
Thiran, Jean-Philippe  
Date Issued

2015

Publisher

Iop Publishing Ltd

Published in
Physiological Measurement
Volume

36

Issue

6

Start page

1075

End page

1091

Subjects

electrical impedance tomography

•

EIT

•

stroke volume

•

cardiac output

•

non-invasive

•

continuous monitoring

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LTS5  
Available on Infoscience
September 28, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/119343
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