Evidence map›Paper›PMID 31326854›Full record

ArticleMedical image analysis2019

A rule-based method for predicting the electrical activation of the heart with cardiac resynchronization therapy from non-invasive clinical data.

A W C Lee, U C Nguyen, O Razeghi, J Gould, B S Sidhu, B Sieniewicz, J Behar, M Mafi-Rad, G Plank, F W Prinzen and 3 more

Abstract read
In one paragraph

Article in Medical image analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  5. Review
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  7. A systematic review of cardiacProgress in biomedical engineering (Bristol, England) · 2023
    Review
  8. Comparison of novel ventricular pacing strategies using an electro-mechanical simulation platform.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  9. Article
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  11. Article
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  14. GEASI: Geodesic-based earliest activation sites identification in cardiac models.International journal for numerical methods in biomedical engineering · 2021
    Article
  15. Article
  16. Article
  17. Calibration of ionic and cellular cardiac electrophysiology models.Wiley interdisciplinary reviews. Systems biology and medicine · 2020
    Review
  18. Creation and application of virtual patient cohorts of heart models.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

A W C LeeSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom. Electronic address: angela.lee@kcl.ac.uk.
U C NguyenDepartment of Physiology, Maastricht University Medical Center (MUMC+), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands; Department of Cardiology, Maastricht University Medical Center (MUMC+), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands.
O RazeghiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
J GouldSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
B S SidhuSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
B SieniewiczSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
J BeharSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; Bart's Heart Centre, St. Bartholomew's Hospital, London, United Kingdom.
M Mafi-RadDepartment of Cardiology, Maastricht University Medical Center (MUMC+), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands.
G PlankDepartment of Biophysics, Medical University of Graz, Graz, Austria.
F W PrinzenDepartment of Physiology, Maastricht University Medical Center (MUMC+), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands.
C A RinaldiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
K VernooyDepartment of Cardiology, Maastricht University Medical Center (MUMC+), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands; Department of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.
S NiedererSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.

Funding

British Heart Foundation PG/13/37/30280British Heart Foundation PG/15/91/31812Department of Health II-LB-1116-20001
6 · The paper itself

Abstract

backgroundCardiac Resynchronization Therapy (CRT) is one of the few effective treatments for heart failure patients with ventricular dyssynchrony. The pacing location of the left ventricle is indicated as a determinant of CRT outcome.

objectivePatient specific computational models allow the activation pattern following CRT implant to be predicted and this may be used to optimize CRT lead placement.

methodsIn this study, the effects of heterogeneous cardiac substrate (scar, fast endocardial conduction, slow septal conduction, functional block) on accurately predicting the electrical activation of the LV epicardium were tested to determine the minimal detail required to create a rule based model of cardiac electrophysiology. Non-invasive clinical data (CT or CMR images and 12 lead ECG) from eighteen patients from two centers were used to investigate the models.

resultsValidation with invasive electro-anatomical mapping data identified that computer models with fast endocardial conduction were able to predict the electrical activation with a mean distance errors of 9.2 ± 0.5 mm (CMR data) or (CT data) 7.5 ± 0.7 mm.

conclusionThis study identified a simple rule-based fast endocardial conduction model, built using non-invasive clinical data that can be used to rapidly and robustly predict the electrical activation of the heart. Pre-procedural prediction of the latest electrically activating region to identify the optimal LV pacing site could potentially be a useful clinical planning tool for CRT procedures.

Indexed as

Cardiac Resynchronization TherapyElectrophysiologic Techniques, CardiacMagnetic Resonance Imaging, CineTomography, X-Ray ComputedElectrocardiographyEpicardial MappingHeart Conduction SystemHeart FailureHumansImage Interpretation, Computer-AssistedPredictive Value of TestsCardiac resynchronization therapyComputational modelsElectrophysiologyPatient-specific simulations

Identifiers

PMID31326854
PMCPMC6746621

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.