Vector mapping of three-dimensionally reconstructed intrabody organs and method of display

• US 6,301,496 B1
• Filed: 07/22/1999
• Issued: 10/09/2001
• Est. Priority Date: 07/24/1998
• Status: Expired due to Term

• Current Assignee: Biosense, Inc. (Cardinal Health, Inc.)
• Original Assignee: Biosense, Inc. (Cardinal Health, Inc.)
• Inventors: Reisfeld, Daniel
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): LIN, JEOYUH
• Application Number:
  US09/357,559
• Time in Patent Office: 810 Days
• Field of Search: 600/407, 600/416, 600/509, 600/515, 600/518, 600/523, 345/419, 345/423, 364/413.06, 382/128
• US Class Current: 600/407
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: G06T 17/20 Finite element generation, e.g. wire-frame surface description, tesselation

Abstract

A method of diagnosing an abnormal condition in a biological structure, such as the heart, including the steps of measuring a physiological response at at least three sampled points on a surface of the biological structure, calculating a vector function related to the response, displaying a representation of the vector function, and inferring the abnormal condition from the representation. The present invention is particularly useful for diagnosing cardiac arrhythmias, in which case the physiological response is a voltage, from which is inferred a local activation time and the vector function is a gradient of the local activation time, specifically, a conduction velocity.

Claims

1. A method of displaying a condition in a heart, comprising the steps of:

(a) creating a map of a surface of the heart;

(b) measuring a physiological response at at least three sampled points on the surface of the heart;

(c) calculating a vector function related to said response; and

(d) displaying a representation of said vector function on said map.

2. The method of claim 1, wherein said vector function is related to a gradient of said physiological response.

3. The method of claim 2, wherein said physiological response is a function of time.

4. The method of claim 1, wherein said physiological response is a local activation time (LAT) of a physiological signal propagating in the heart.

5. The method of claim 4, wherein said vector function is a velocity of said propagation.

6. The method of claim 5, including treating an area of said heart based on said vector function.

7. The method of claim 1, including treating an area of said heart based on said vector function.

8. The method of claim 1, wherein said representation of said vector function includes an arrow at each of said sampled points.

9. The method of claim 1, including representing said surface of said heart as a grid including a number of grid points, said number of grid points being at least as great as said at least three sampled points.

10. The method of claim 9, wherein each grid point substantially coincides with a corresponding one of said at least three sampled points.

11. The method of claim 9, wherein said grid includes a plurality of polygons defined by a plurality of vertices, each vertex of each said polygon being one of said grid points, and wherein said calculating of said vector function includes the steps of:

(i) interpolating a local activation time (LAT) value at each grid point;

(ii) for each of said polygons, assigning a value of said vector function to said each polygon, based on said interpolated LAT value at said grid points that are vertices of said each polygon; and

(iii) for each of said grid points, determining a value of said vector function for said each grid point, based on said values of said vector function that are assigned to said at least one polygon whereof said each grid point is a vertex.

12. The method of claim 11, wherein said calculating of said vector function further includes the step of:

(iv) smoothing said values of said vector function at said grid points.

13. The method of claim 12, wherein an extent of said smoothing is based on a priori information about the condition.

14. The method of claim 11, wherein said polygons are triangles.

15. The method of claim 11, including treating an area of said heart based on said vector function.

16. The method of claim 8, wherein said arrow indicates a direction of said vector function at each sampled point.

17. The method of claim 16, wherein said arrow has a length which indicates a magnitude of said vector function at each sampled point.

18. The method of claim 16, wherein said arrow is depicted according to a gray scale which indicates a magnitude of said vector function at each sampled point.

19. The method of claim 16, wherein said arrow is depicted according to a color scheme which indicates a magnitude of said vector function at each sampled point.