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The proposed method re-frames traditional inverse problems of electrocardiography into regression problems, constraining the solution space by decomposing signals with multidimensional Gaussian impulse basis functions. Impulse HSPs were generated with single Gaussian basis functions at discrete heart surface locations and projected to corresponding BSPs using a volume conductor torso model. Both BSP (inputs) and HSP (outputs) were mapped to regular 2D surface meshes and used to train a neural network. Predictive capabilities of the network were tested with unseen synthetic and experimental data. A dense full connected single hidden layer neural network was trained to map body surface impulses to heart surface Gaussian basis functions for reconstructing HSP. Synthetic pulses moving across the heart surface were predicted from the neural network with root mean squared error of $9.1\pm1.4$%. Predicted signals were robust to noise up to 20 dB and errors due to displacement and rotation of the heart within the torso were bounded and predictable. A shift of the heart 40 mm toward the spine resulted in a 4\% increase in signal feature localization error. The set of training impulse function data could be reduced and prediction error remained bounded. Recorded HSPs from in-vitro pig hearts were reliably decomposed using space-time Gaussian basis functions. Predicted HSPs for left-ventricular pacing had a mean absolute error of $10.4\pm11.4$ ms. Other pacing scenarios were analyzed with similar success. Conclusion: Impulses from Gaussian basis functions are potentially an effective and robust way to train simple neural network data models for reconstructing HSPs from decomposed BSPs. The HSPs predicted by the neural network can be used to generate activation maps that non-invasively identify features of cardiac electrical dysfunction and can guide subsequent treatment options., Comment: Accepted by IEEE Journal of Biomedical and Health Informatics

The prediction of heart surface potentials using measurements from the body's surface is known as the inverse problem of electrocardiography. It is an ill-posed problem due to the multiple factors that affect the heart signal as it propagates through the body. This report details research performed into a machine learning solution to signal reconstruction as well as an analysis of optimal torso electrode positioning for prediction involving different areas of the heart. The dataset contains simultaneous measurements from a large number of body surface potential (BSP) and heart surface potential (HSP) electrodes, as well as their geometric locations, recorded from an experiment using a human model. Initially, Time Delayed Neural Nets were trained and tested across all BSP to HSP relationships resulting in a slight trend of increased reconstruction correlation with decreased separation of electrodes. However, the TDNNs had overfitted to the data and failed to predict alternate heartbeat pacings. Feed Forward Neural Nets (FFNNs) were tested in a many BSP to many HSP prediction method. Again overfitting occurred. To reduce overfitting, the number of training signals was reduced by analysing the optimal training BSPs for each HSP when using basic perceptrons. This analysis involved repeat sampling and ranking of different BSP combinations, initially, using a Monte Carlo approximation, until being replaced with a meta-heuristic which increased the yield of successful BSP combinations. Successful reconstructions across heartbeat pacings were produced using these optimal BSP combinations for 80 of the 108 HSPs, and future work exists for the testing of this method of prediction using real patient data., Comment: 11 pages, 21 figures

Invasive cardiac catheterisation is a common procedure that is carried out before surgical intervention. Yet, invasive cardiac diagnostics are full of risks, especially for young children. Decades of research has been conducted on the so called inverse problem of electrocardiography, which can be used to reconstruct Heart Surface Potentials (HSPs) from Body Surface Potentials (BSPs), for non-invasive diagnostics. State of the art solutions to the inverse problem are unsatisfactory, since the inverse problem is known to be ill-posed. In this paper we propose a novel approach to reconstructing HSPs from BSPs using a Time-Delay Artificial Neural Network (TDANN). We first design the TDANN architecture, and then develop an iterative search space algorithm to find the parameters of the TDANN, which results in the best overall HSP prediction. We use real-world recorded BSPs and HSPs from individuals suffering from serious cardiac conditions to validate our TDANN. The results are encouraging, in that coefficients obtained by correlating the predicted HSP with the recorded patient' HSP approach ideal values., Comment: 4 pages, 9 Figures, 1 Table

Virtual heart models have been proposed to enhance the safety of implantable cardiac devices through closed loop validation. To communicate with a virtual heart, devices have been driven by cardiac signals at specific sites. As a result, only the action potentials of these sites are sensed. However, the real device implanted in the heart will sense a complex combination of near and far-field extracellular potential signals. Therefore many device functions, such as blanking periods and refractory periods, are designed to handle these unexpected signals. To represent these signals, we develop an intracardiac electrogram (IEGM) model as an interface between the virtual heart and the device. The model can capture not only the local excitation but also far-field signals and pacing afterpotentials. Moreover, the sensing controller can specify unipolar or bipolar electrogram (EGM) sensing configurations and introduce various oversensing and undersensing modes. The simulation results show that the model is able to reproduce clinically observed sensing problems, which significantly extends the capabilities of the virtual heart model in the context of device validation.

The heart is a vital organ that relies on the orchestrated propagation of electrical stimuli to coordinate each heart beat. Abnormalities in the heart's electrical behaviour can be managed with a cardiac pacemaker. Recently, the closed-loop testing of pacemakers with an emulation (real-time simulation) of the heart has been proposed. An emulated heart would provide realistic reactions to the pacemaker as if it were a real heart. This enables developers to interrogate their pacemaker design without having to engage in costly or lengthy clinical trials. Many high-fidelity heart models have been developed, but are too computationally intensive to be simulated in real-time. Heart models, designed specifically for the closed-loop testing of pacemakers, are too abstract to be useful in the testing of physical pacemakers. In the context of pacemaker testing, this paper presents a more computationally efficient heart model that generates realistic continuous-time electrical signals. The heart model is composed of cardiac cells that are connected by paths. Significant improvements were made to an existing cardiac cell model to stabilise its activation behaviour and to an existing path model to capture the behaviour of continuous electrical propagation. We provide simulation results that show our ability to faithfully model complex re-entrant circuits (that cause arrhythmia) that existing heart models can not.

Hybrid systems are discrete controllers that are used for controlling a physical process (plant) exhibiting continuous dynamics. A hybrid automata (HA) is a well known and widely used formal model for the specification of such systems. While many methods exist for simulating hybrid automata, there are no known approaches for the automatic code generation from HA that are semantic preserving. If this were feasible, it would enable the design of a plant-on-a-chip (PoC) system that could be used for the emulation of the plant to validate discrete controllers. Such an approach would need to be mathematically sound and should not rely on numerical solvers. We propose a method of PoC design for plant emulation, not possible before. The approach restricts input/output (I/O) HA models using a set of criteria for well-formedness which are statically verified. Following verification, we use an abstraction based on a synchronous approach to facilitate code generation. This is feasible through a sound transformation to synchronous HA. We compare our method (the developed tool called Piha) to the widely used Simulink R simulation framework and show that our method is superior in both execution time and code size. Our approach to the PoC problem paves the way for the emulation of physical plants in diverse domains such as robotics, automation, medical devices, and intelligent transportation systems., Comment: 18 pages