Estimation of heart-surface potentials using regularized multipole sources

IEEE Trans Biomed Eng. 2004 Aug;51(8):1366-73. doi: 10.1109/TBME.2004.827345.

Abstract

Direct inference of heart-surface potentials from body-surface potentials has been the goal of most recent work on electrocardiographic inverse solutions. We developed and tested indirect methods for inferring heart-surface potentials based on estimation of regularized multipole sources. Regularization was done using Tikhonov, constrained-least-squares, and multipole-truncation techniques. These multipole-equivalent methods (MEMs) were compared to the conventional mixed boundary-value method (BVM) in a realistic torso model with up to 20% noise added to body-surface potentials and +/-1 cm error in heart position and size. Optimal regularization was used for all inverse solutions. The relative error of inferred heart-surface potentials of the MEM was significantly less (p < 0.05) than that of the BVM using zeroth-order Tikhonov regularization in 10 of the 12 cases tested. These improvements occurred with a fourth-degree (24 coefficients) or smaller multipole moment. From these multipole coefficients, heart-surface potentials can be found at an unlimited number of heart-surface locations. Our indirect methods for estimating heart-surface potentials based on multipole inference appear to offer significant improvement over the conventional direct approach.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Validation Study

MeSH terms

  • Adult
  • Algorithms*
  • Body Surface Potential Mapping / methods*
  • Computer Simulation
  • Electrocardiography / methods
  • Heart Conduction System / physiology*
  • Humans
  • Male
  • Models, Cardiovascular*
  • Sensitivity and Specificity