Evidence map›Paper›PMID 34915331›Full record

ArticleComputers in biology and medicine2022

Determining anatomical and electrophysiological detail requirements for computational ventricular models of porcine myocardial infarction.

Caroline Mendonca Costa, Philip Gemmell, Mark K Elliott, John Whitaker, Fernando O Campos, Marina Strocchi, Aurel Neic, Karli Gillette, Edward Vigmond, Gernot Plank and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Computers in biology and medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
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

14 citing papers in PubMed, 23 citations in OpenAlex.

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  9. Stochastic virtual heart model predictions.Nature cardiovascular research · 2025
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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

14 authors at 4 institutions in 3 countries.

Caroline Mendonca CostaDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK. Electronic address: caroline.mendonca_costa@kcl.ac.uk.
Philip GemmellDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Mark K ElliottDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
John WhitakerDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Fernando O CamposDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Marina StrocchiDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Aurel NeicNumeriCor GmbH, Graz, Austria.
Karli GilletteGottfried Schatz Research Center, Biophysics, Medical University of Graz, Austria; Medical University of Graz, Austria and BioTechMed, Graz, Austria.
Edward VigmondInstitut de Rythmologie et de modélisation cardiaque (LIRYC), University of Bordeaux, France.
Gernot PlankMedical University of Graz, Austria and BioTechMed, Graz, Austria.
Reza RazaviDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Mark O'NeillDepartment of Cardiology, Guy's and St Thomas' Hospital, London, UK.
Christopher A RinaldiDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK; Department of Cardiology, Guy's and St Thomas' Hospital, London, UK.
Martin J BishopDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College London, UK.
King's College London · GBMedical University of Graz · ATSt Thomas' Hospital · GBUniversité de Bordeaux · FR

Funding

Medical Research Council MR/N001877/1Medical Research Council MR/N011007/1Wellcome Trust 203148/Z/16/Z
6 · The paper itself

Abstract

backgroundComputational models of the heart built from cardiac MRI and electrophysiology (EP) data have shown promise for predicting the risk of and ablation targets for myocardial infarction (MI) related ventricular tachycardia (VT), as well as to predict paced activation sequences in heart failure patients. However, most recent studies have relied on low resolution imaging data and little or no EP personalisation, which may affect the accuracy of model-based predictions.

objectiveTo investigate the impact of model anatomy, MI scar morphology, and EP personalisation strategies on paced activation sequences and VT inducibility to determine the level of detail required to make accurate model-based predictions.

methodsImaging and EP data were acquired from a cohort of six pigs with experimentally induced MI. Computational models of ventricular anatomy, incorporating MI scar, were constructed including bi-ventricular or left ventricular (LV) only anatomy, and MI scar morphology with varying detail. Tissue conductivities and action potential duration (APD) were fitted to 12-lead ECG data using the QRS duration and the QT interval, respectively, in addition to corresponding literature parameters. Paced activation sequences and VT induction were simulated. Simulated paced activation and VT inducibility were compared between models and against experimental data.

resultsSimulations predict that the level of model anatomical detail has little effect on simulated paced activation, with all model predictions comparing closely with invasive EP measurements. However, detailed scar morphology from high-resolution images, bi-ventricular anatomy, and personalized tissue conductivities are required to predict experimental VT outcome.

conclusionThis study provides clear guidance for model generation based on clinical data. While a representing high level of anatomical and scar detail will require high-resolution image acquisition, EP personalisation based on 12-lead ECG can be readily incorporated into modelling pipelines, as such data is widely available.

Indexed as

Myocardial InfarctionTachycardia, VentricularAnimalsElectrocardiographyHeartHeart VentriclesHumansSwineCardiac electrophysiologyMyocardial infarctionPatient-specific modelsVentricular tachycardia

Identifiers

PMID34915331
PMCPMC8819160
OpenAlexW3217728488

What OpenQuestion holds

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LicenceCC BY
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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.