SYSTEM AND METHOD FOR MAPPING ELECTROPHYSIOLOGY INFORMATION ONTO COMPLEX GEOMETRY

• US 20100274123A1
• Filed: 06/24/2010
• Published: 10/28/2010
• Est. Priority Date: 05/17/2006
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Voth, Eric Jon
• Granted Patent: US 8,364,253 B2
• Time in Patent Office: Days
• US Class Current: 600/424
• CPC Class Codes: A61B 2034/2053 Tracking an applied voltage gradient
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/367 Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping

Abstract

The instant invention relates to an electrophysiology apparatus and method used to measure electrical activity occurring in a portion of tissue of a patient and to visualize the electrical activity and/or information related to the electrical activity. In particular, the instant invention relates to three-dimensional mapping of the electrical activity and/or the information related to the electrical activity.

Claims

1. A method for mapping electrophysiological information on a three-dimensional model comprising:

A) obtaining a three-dimensional model of a portion of an anatomy comprising position information for a plurality of location points on a surface of the portion of the anatomy;

B) obtaining an electrophysiology map comprising position information for a plurality of measurement points and electrophysiology measurements made at each of the plurality of measurement points;

C) choosing a location point from the plurality of location points in the three-dimensional model and determining a pair of closest measurement points from the electrophysiology map;

D) defining an edge between the pair of closest measurement points;

E) repeating steps C) and D) for at least a first subset of the plurality of location points in the three-dimensional model, thereby defining a plurality of edges connecting at least some of the plurality of measurement points within the electrophysiology map;

F) defining a plurality of polygons from the plurality of edges; and

G) identifying one of the plurality of location points from the three-dimensional model, identifying one of the plurality of polygons whose edges surround the identified location point, and assigning an electrophysiology level to the identified location point using electrophysiology measurements measured at one or more vertices of the identified polygon.

2. The method according to claim 1, wherein the step of assigning an electrophysiology level to the identified location point using electrophysiology measurements measured at one or more vertices of the identified polygon comprises assigning an electrophysiology level to the identified location point using barycentric interpolation.

3. The method according to claim 1, wherein the step of assigning an electrophysiology level to the identified location point using electrophysiology measurements measured at one or more vertices of the identified polygon comprises:

identifying a closest edge of the identified polygon to the identified location point; and

assigning an electrophysiology level to the identified location point using linear interpretation.

4. The method according to claim 1, wherein the step of assigning an electrophysiology level to the identified location point using electrophysiology measurements measured at one or more vertices of the identified polygon comprises:

identifying a closest vertex of the identified polygon to the identified location point; and

assigning the identified location point an electrophysiology level equal to an electrophysiology level at the closest vertex.

5. The method according to claim 1, further comprising repeating step G) for at least a second subset of the plurality of location points in the three-dimensional model.

6. The method according to claim 5, further comprising:

assigning a color or grayscale to each location point within the second subset of the plurality of location points based on a relative magnitude of the electrophysiology level assigned to each location point within the second subset of the plurality of location points; and

presenting the three-dimensional model using the colors or grayscales assigned to each location point within the second subset of the plurality of location points.

7. The method according to claim 1, wherein the step of obtaining an electrophysiology map comprises:

inserting an electrode into a patient;

placing the electrode at a plurality of measurement points;

receiving position information for each of the plurality of measurement points;

receiving electrophysiology measurements at each of the plurality of measurement points; and

associating the electrophysiology measurements with the respective measurement points at which the electrophysiology measurements were measured.

8. The method according to claim 1, wherein the step of obtaining a three-dimensional model of a portion of an anatomy comprises:

inserting an electrode into a patient;

placing the electrode at a plurality of location points within the patient;

receiving position information for each of the plurality of location points; and

generating a three-dimensional model of a portion of an anatomy comprising position information for each of the plurality of location points.

9. The method according to claim 1, wherein the step of defining a plurality of polygons from the plurality of edges comprises defining a plurality of triangles from the plurality of edges.

10. The method according to claim 1, wherein the step of obtaining a three-dimensional model of a portion of an anatomy comprises using an electrical-field based localization system to generate the three-dimensional model of the portion of the anatomy.

11. A system for mapping electrophysiological information on a three-dimensional model, the system comprising:

a modeling processor to generate a three-dimensional model of at least a portion of an anatomy comprising position information for a plurality of location points on a surface of the portion of the anatomy;

an electrophysiology measurement device for generating an electrophysiology map comprising position information for a plurality of measurement points and electrophysiology measurements made at the plurality of measurement points, the electrophysiology measurements being associated with the respective measurement points at which they were measured;

an edge processor to process at least a first subset of the plurality of location points on the surface of the anatomy;

to determine, for each location point within the first subset of the plurality of location points, a pair of closest measurement points in the electrophysiology map; and

to define an edge connecting the pair of closest measurement points;

a geometry processor to define a plurality of polygons from a plurality of edges defined by the edge processor; and

a projection processor to assign an electrophysiology level to each location point within a second subset of the plurality of location points based upon electrophysiology measurements measured at one or more vertices of a polygon from the plurality of polygons surrounding each location point within the second subset of the plurality of location points.

12. The system according to claim 11, wherein the projection processor assigns an electrophysiology level to each location point within the second subset of the plurality of location points based upon barycentric interpolation.

13. The system according to claim 11, wherein the projection processor assigns an electrophysiology level to each location point within the second subset of the plurality of location points based upon linear interpolation.

14. The system according to claim 11, wherein the geometry processor defines a plurality of triangles from the plurality of edges defined by the edge processor.