Method and apparatus for imaging electrical activity in a biological system

• US 5,146,926 A
• Filed: 10/26/1990
• Issued: 09/15/1992
• Est. Priority Date: 10/26/1990
• Status: Expired due to Term

• Current Assignee: Massachusetts Institute of Technology
• Original Assignee: Massachusetts Institute of Technology
• Inventors: Cohen, Richard J.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US07/604,142
• Time in Patent Office: 690 Days
• Field of Search: 128/196, 128/710, 128/712, 128/731, 128/732, 128/733, 128/739, 128/740, 128/743, 128/784, 128/786
• US Class Current: 600/523
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: G06F 2218/22 Source localisation; Inverse modelling

Abstract

An array of electrodes is applied to an internal or external surface of a biological system such as a human being. The electrodes generate signals which are processed to compute a surface differential of the surface potential at a multiplicity of spatial locations within a given time epoch. The signal processing is repeated for multiple sequential time epochs and an image is constructed from the surface differential of the surface potential for each time epoch. Thereafter, the sequential images corresponding to sequential time epochs are displayed. The two-dimensional image changes as the distribution of bioelectric sources evolves so as to provide a motion picture of electrical activity.

Claims

1. Method for imaging electrical activity in a biological system comprising:

applying an array of electrodes to a surface of the biological system to generate signals;

processing the signals from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations within a given time epoch;

repeating the processing for multiple sequential time epochs;

constructing a two-dimensional projection image of the electrical activity from the surface differential of the surface potential for sequential time epochs; and

displaying sequential images corresponding to sequential time epochs.

2. The method of claim 1 wherein the surface differential of the surface potential is a two-dimensional Laplacian of the surface potential.

3. The method of claim 2 wherein the electrodes in the array of electrodes in the applying step are bipolar having an outer ring conductor and a separate central conductor, whereby the two-dimensional Laplacian of the surface potential is obtained.

4. The method of claim 1 or 3 wherein the electrical activity imaged in the constructing step originates in the heart.

5. The method of claim 1 wherein the electrical activity imaged in the constructing step originates in the brain.

6. The method of claim 1 wherein the electrical activity imaged in the constructing step originates in skeletal muscle.

7. The method of claim 4 wherein cardiac electrical activity is imaged by applying the electrode array in the applying step to the anterior chest wall overlying the heart.

8. The method of claim 1 wherein cardiac electrical activity is imaged by applying the electrode array in the applying step to the posterior chest wall overlying the heart.

9. The method of claim 4 wherein the cardiac electrical activity is imaged by applying the electrode array in the applying step to the lateral chest wall overlying the heart.

10. The method of claim 4 wherein cardiac electrical activity is imaged by applying the electrode array in the applying step to the epicardial surface of the heart.

11. The method of claim 4 wherein cardiac electrical activity is imaged by applying the electrode array in the applying step to the endocardial surface of the heart.

12. The method of claim 5 wherein brain electrical activity is imaged by applying the electrode array in the applying step to the surface of the head.

13. The method of claim 5 wherein brain electrical activity is imaged by applying the electrode array in the applying step to the surface of the brain.

14. The method of claim 1 wherein the image is displayed in the displaying step on an array of pixels wherein the magnitude of the surface differential of the surface potential is encoded on a gray scale.

15. The method of claim 1 wherein the image is displayed in the displaying step on an array of pixels wherein the magnitude of the surface differential of the surface potential is encoded on a color scale.

16. The method of claim 1 wherein the processing step further includes application of a smoothing and interpolation algorithm applied to smooth contours of the image and to reduce pixel size.

17. The method of claim 6 wherein skeletal muscle electrical activity is imaged in the constructing step by applying an electrode array on the skin overlying the muscle.

18. The method of claim 1 wherein the signals recorded from the electrodes are digitized and stored.

19. The method of claim 1 wherein the images are displayed in the displaying step in real time by displaying 8 to 32 frames per second.

20. The method of claim 1 wherein the images are displayed in the displaying step off-line at a rate slower than real time.

50. The method of claim 1 wherein the displaying step of the sequential images creates a motion picture.

51. The method of claim 1 wherein the sequential images in the displaying step are displayed one at a time.

59. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further comprising the step of identifying reentrant loops of activity.

60. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further comprising the step of localizing sites of abnormal impulse initiation.

61. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further comprising the step of diagnosing localized areas of ischemia.

62. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further including the step of diagnosing localized areas of infarction.

63. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further including the step of using the image to guide the placement of an artificial pacemaker.

64. The method of claim 1 or 4 or 41 or 46 or 54 or 56 comprising the further step of assessing the functioning of artificial pacemakers.

65. The method of claim 1 or 4 or 41 or 46 or 54 or 56 comprising the further step of diagnosing abnormalities in cardiac conduction processes.

66. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further comprising the step of noninvasively monitoring abnormalities in cardiac conduction processes.

67. The method of claim 1 or 4 or 41 or 46 or 54 or 56 further comprising the step of treating abnormalities in cardiac conduction processes.

21. Apparatus for imaging electrical activity in a biological system comprising:

an array of electrodes adapted to be applied to a surface of the biological system;

apparatus for processing the signals from the electrodes to compute a surface differential of the surface potential at a multipicity of spatial locations within a given time epoch and repeating this processing for multiple sequential time epochs, the apparatus further adapted to construct a two-dimensional projection image of the electrical activity from the surface differential of the surface potential for sequential time epochs; and

display apparatus for displaying sequential images corresponding to sequential time epochs.

22. The apparatus of claim 21 wherein the surface differential of the surface potentials is a two-dimensional Laplacian of the surface potential.

23. The apparatus of claim 22 wherein the electrodes in the array are bipolar having an outer ring conductor and a separate central conductor.

24. The apparatus of claim 21 or 23 wherein the electrical activity imaged originates in the heart.

25. The apparatus of claim 21 wherein the electrical activity imaged originates in the brain.

26. The apparatus of claim 21 wherein the electrical activity imaged originates in skeletal muscle.

27. The apparatus of claim 24 wherein cardiac electrical activity is imaged by applying the electrode array to the anterior chest wall overlying the heart.

28. The apparatus of claim 24 wherein cardiac electrical activity is imaged by applying the electrode array to the posterior chest wall overlying the heart.

29. The apparatus of claim 24 wherein cardiac electrical activity is imaged by applying the electrode array to the lateral chest wall overlying the heart.

30. The apparatus of claim 24 wherein cardiac electrical activity is imaged by applying the electrode array to the epicardial surface of the heart.

31. The apparatus of claim 24 wherein cardiac electrical activity is imaged by applying the electrode array to the endocardial surface of the heart.

32. The apparatus of claim 25 wherein brain electrical activity is imaged by applying the electrode array to the surface of the head.

33. The apparatus of claim 25 wherein brain electrical activity is imaged by applying the electrode array to the surface of the brain.

34. The apparatus of claim 21 wherein the image is displayed on an array of pixels wherein the magnitude of the surface differential of the surface potential is encoded on a gray scale.

35. The apparatus of claim 21 wherein the image is displayed on an array of pixels wherein the magnitude of the differential of the surface potential is encoded on a color scale.

36. The apparatus of claim 21 wherein a smoothing and interpolation algorithm is applied to smooth the contours of the image.

37. The apparatus of claim 21 wherein skeletal muscle electrical activity is imaged by applying the electrode array to skin overlying the muscle.

38. The apparatus of claim 21 wherein the digitized signals are stored in a storage medium.

39. The apparatus of claim 21 wherein the image is displayed in real time by displaying 8 to 32 frames per second.

40. The apparatus of claim 21 wherein the images are displayed off-line from a storage medium at a rate slower than real time.

52. The apparatus of claim 21 wherein sequential images in the displaying step may be displayed to create a motion picture.

53. The apparatus of claim 21 wherein sequential images in the displaying step may be displayed one at a time.

41. Method for imaging electrical activity in a biological system comprising:

applying an array of electrodes to an external surface of the biological system;

processing the signals recorded from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations substantially simultaneously; and

constructing a two-dimensional projection image of the electrical activity from the surface differential of the surface potential.

42. The method of claim 41 wherein the electrical activity imaged in the constructing step originates in the heart.

43. The method of claim 41 wherein the electrical activity imaged in the constructing step originates in the brain.

44. The method of claim 41 wherein the electrical activity imaged in the constructing step originates in skeletal muscle.

45. The method of claim 41 or 42 wherein the surface differential of the surface potential is a two-dimensional Laplacian of the surface potential.

46. The method of claim 45 wherein the electrodes in the array of electrodes in the applying step are bipolar having an outer ring conductor and a separate central conductor whereby the two-dimensional Laplacian of the surface potential is obtained.

47. Apparatus for imaging electrical activity in a biological system comprising:

an array of electrodes for application to an external surface of the biological system;

apparatus for processing the signals from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations substantially simultaneously; and

apparatus for constructing an image from the surface differential of the surface potential.

48. The apparatus of claim 47 wherein the surface differential of the surface potential is a two-dimensional Laplacian of the surface potential.

49. The apparatus of claim 48 wherein the electrodes in the array are bipolar having an outer ring conductor and a separate central conductor.

54. Method for imaging electrical activity originating in a heart comprising:

applying an array of electrodes to a surface for receiving electrical signals from the heart;

processing the signals from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations within a given time epoch;

repeating the processing for multiple sequential time epochs;

constructing an image from the surface differential of the surface potential for sequential time epochs; and

displaying the sequential images corresponding to sequential time epochs.

55. Apparatus for imaging electrical activity originating in a heart comprising:

an array of electrodes adapted to be applied to a surface for receiving electrical signals from the heart;

apparatus for processing the signals from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations within a time epoch and repeating this processing for multiple sequential time epochs, the apparatus further adapted to construct an image from the surface differential of the surface potential for sequential time epochs; and

display apparatus for displaying sequential images corresponding to sequential time epochs.

56. Method for imaging electrical activity originating in a heart comprising:

applying an array of electrodes to an external surface;

processing the signals recorded from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations substantially simultaneously; and

constructing an image from the surface differential of the surface potential.

57. Apparatus for imaging electrical activity originating in a heart comprising;

an array of electrodes adapted to be applied to an external surface;

apparatus for processing the signals from the electrodes to compute a surface differential of the surface potential at a multiplicity of spatial locations substantially simultaneously; and

apparatus for constructing an image from the surface differential of the surface potential.

58. Method for recording electrical activity on a surface comprising:

applying an array of bipolar electrodes to a surface, the electrodes having an outer ring conductor and a separate central conductor whereby the two-dimensional Laplacian of the surface potential is obtained.