Electrical defibrillation optimization: an automated, iterative parallel finite-element approach

IEEE Trans Biomed Eng. 1997 Apr;44(4):278-89. doi: 10.1109/10.563297.

Abstract

To date, optimization of electrode systems for electrical defibrillation has been limited to hand-selected electrode configurations. In this paper we present an automated approach which combines detailed, three-dimensional (3-D) finite-element torso models with optimization techniques to provide a flexible analysis and design tool for electrical defibrillation optimization. Specifically, a parallel direct search (PDS) optimization technique is used with a representative objective function to find an electrode configuration which corresponds to the satisfaction of a postulated defibrillation criterion with a minimum amount of power and a low possibility of myocardium damage. For adequate representation of the thoracic inhomogeneities, 3-D finite-element torso models are used in the objective function computations. The CPU-intensive finite-element calculations required for the objective function evaluation have been implemented on a message-passing parallel computer in order to complete the optimization calculations in a timely manner. To illustrate the optimization procedure, it has been applied to a representative electrode configuration for transmyocardial defibrillation, namely the subcutaneous patch-right ventricular catheter (SP-RVC) system. Sensitivity of the optimal solutions to various tissue conductivities has been studied. Results for the optimization of defibrillation systems are presented which demonstrate the feasibility of the approach.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Algorithms
  • Animals
  • Anisotropy
  • Dogs
  • Electric Conductivity
  • Electric Countershock / methods*
  • Electric Impedance
  • Electrodes*
  • Heart / physiology
  • Image Processing, Computer-Assisted
  • Models, Cardiovascular
  • Muscle, Skeletal / physiology
  • Radiography, Thoracic
  • Sensitivity and Specificity