ArticleEuropean heart journal open2026
Accurate estimation of lesion metrics in radiofrequency ablation using machine learning model.
Article in European heart journal open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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16 authors.
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Abstract
Aims: Conventional parameters for estimating lesions in radiofrequency (RF) catheter ablation (RFCA), such as ablation energy (AE), contact force (CF), and impedance variation, often yield suboptimal results. This study aimed to develop a machine learning (ML) model to improve the accuracy of lesion metric estimation in RFCA. Methods and results: RF energies (30-50W) were applied to excised ventricular myocardium using RFCA with CFs of 10 or 20 g for durations between 10 and 180 s, with various orientations. Correlations between total AE, force-time integral, impedance-drop, and lesion metrics were evaluated and compared to ML model predictions, using eXtreme Gradient Boosting (XGBoost). The dataset was split for training (75%) and validation (25%). Feature importance for each lesion metric was also assessed. A total of 1142 ablations were analysed. Total AE had the strongest correlation with max depth, max length, and volume ( Conclusion: ML using multiple RFCA parameters improves lesion metric predictions, enhancing lesion estimation beyond conventional metrics, potentially improving procedural guidance and safety.
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