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Validation and Opportunities of Electrocardiographic Imaging: From Technical chievements to Clinical Applications

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Validation and Opportunities of Electrocardiographic Imaging: From Technical chievements to Clinical Applications

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dc.contributor.author Cluitmans, Matthijs es_ES
dc.contributor.author Brooks, D. es_ES
dc.contributor.author MacLeod, Rob S. es_ES
dc.contributor.author Dossel, Olaf es_ES
dc.contributor.author Guillem Sánchez, María Salud es_ES
dc.contributor.author van Dam, P. es_ES
dc.contributor.author Svehlikova, Jana es_ES
dc.contributor.author He, Bin es_ES
dc.contributor.author Sapp, John es_ES
dc.contributor.author Wang, Liwei es_ES
dc.contributor.author Bear, Laura es_ES
dc.date.accessioned 2020-07-08T03:32:15Z
dc.date.available 2020-07-08T03:32:15Z
dc.date.issued 2018-09-20 es_ES
dc.identifier.issn 1664-042X es_ES
dc.identifier.uri http://hdl.handle.net/10251/147627
dc.description.abstract [EN] Electrocardiographic imaging (ECGI) reconstructs the electrical activity of the heart from a dense array of body-surface electrocardiograms and a patient-specific heart-torso geometry. Depending on how it is formulated, ECGI allows the reconstruction of the activation and recovery sequence of the heart, the origin of premature beats or tachycardia, the anchors/hotspots of re-entrant arrhythmias and other electrophysiological quantities of interest. Importantly, these quantities are directly and non-invasively reconstructed in a digitized model of the patient's three-dimensional heart, which has led to clinical interest in ECGI's ability to personalize diagnosis and guide therapy. Despite considerable development over the last decades, validation of ECGI is challenging. Firstly, results depend considerably on implementation choices, which are necessary to deal with ECGI's ill-posed character. Secondly, it is challenging to obtain (invasive) ground truth data of high quality. In this review, we discuss the current status of ECGI validation as well as the major challenges remaining for complete adoption of ECGI in clinical practice. Specifically, showing clinical benefit is essential for the adoption of ECGI. Such benefit may lie in patient outcome improvement, workflow improvement, or cost reduction. Future studies should focus on these aspects to achieve broad adoption of ECGI, but only after the technical challenges have been solved for that specific application/pathology. We propose 'best' practices for technical validation and highlight collaborative efforts recently organized in this field. Continued interaction between engineers, basic scientists, and physicians remains essential to find a hybrid between technical achievements, pathological mechanisms insights, and clinical benefit, to evolve this powerful technique toward a useful role in clinical practice. es_ES
dc.description.sponsorship This study received financial support from the Hein Wellens Fonds, the Cardiovascular Research and Training Institute (CVRTI), the Nora Eccles Treadwell Foundation, the National Institute of General Medical Sciences of the National Institutes of Health (P41GM103545), the National Institutes of Health (NIH HL080093), the French government as part of the Investments of the Future program managed by the National Research Agency (ANR-10-IAHU-04), from the VEGA Grant Agency in Slovakia (2/0071/16), from the Slovak Research and Development Agency (APVV-14-0875), the Fondo Europeo de Desarrollo Regional (FEDER), the Instituto de Salud Carlos III (PI17/01106) and from Conselleria d'Educacio, Investigacio, Cultura i Esport de la Generalitat Valenciana (AICO/2018/267) and NIH grant (HL125998) and National Science Foundation (ACI-1350374). es_ES
dc.language Inglés es_ES
dc.publisher Frontiers Media SA es_ES
dc.relation.ispartof Frontiers in Physiology es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject ECG imaging es_ES
dc.subject Validation es_ES
dc.subject Electrocardiography es_ES
dc.subject Electrophysiology es_ES
dc.subject Experiment es_ES
dc.subject.classification TECNOLOGIA ELECTRONICA es_ES
dc.title Validation and Opportunities of Electrocardiographic Imaging: From Technical chievements to Clinical Applications es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.3389/fphys.2018.01305 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/NIH//P41GM103545/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/NIH//HL125998/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/NIH//HL080093/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ANR//ANR-10-IAHU-0004/FR/L'Institut de Rythmologie et modélisation Cardiaque/LIRYC/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/NSF//1350374/US/CAREER: Integrating Physical Models into Data-Driven Inference/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//PI17%2F01106/ES/Estratificación y tratamiento de la fibrilación auricular basada en los mecanismos de perpetuación de la arritmia/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//AICO%2F2018%2F267/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Electrónica - Departament d'Enginyeria Electrònica es_ES
dc.description.bibliographicCitation Cluitmans, M.; Brooks, D.; Macleod, RS.; Dossel, O.; Guillem Sánchez, MS.; Van Dam, P.; Svehlikova, J.... (2018). Validation and Opportunities of Electrocardiographic Imaging: From Technical chievements to Clinical Applications. Frontiers in Physiology. 9. https://doi.org/10.3389/fphys.2018.01305 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.3389/fphys.2018.01305 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 9 es_ES
dc.identifier.pmid 30294281 es_ES
dc.identifier.pmcid PMC6158556 es_ES
dc.relation.pasarela S\384752 es_ES
dc.contributor.funder Generalitat Valenciana es_ES
dc.contributor.funder National Institutes of Health, EEUU es_ES
dc.contributor.funder Stichting Hein Wellens Fonds es_ES
dc.contributor.funder Instituto de Salud Carlos III es_ES
dc.contributor.funder Nora Eccles Treadwell Foundation es_ES
dc.contributor.funder National Science Foundation, EEUU es_ES
dc.contributor.funder European Regional Development Fund es_ES
dc.contributor.funder Agence Nationale de la Recherche, Francia es_ES
dc.contributor.funder Cardiovascular Research and Training Institute, EEUU es_ES
dc.contributor.funder National Institute of General Medical Sciences, EEUU es_ES
dc.contributor.funder Scientific Grant Agency, Eslovaquia es_ES
dc.contributor.funder Ministry of Education, Science, Research and Sport, República Eslovaca es_ES
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