arXiv subjects

Simone Pezzuto

Publications and source records attributed to Simone Pezzuto.

29 records · Page 2Linked to original sources

arXiv2023

Boundary Integral Formulation of the Cell-by-Cell Model of Cardiac Electrophysiology

We propose a boundary element method for the accurate solution of the cell-by-cell bidomain model of electrophysiology. The cell-by-cell model, also called Extracellular-Membrane-Intracellular (EMI) model, is a system of reaction-diffusion equations describing the evolution of the electric potential within each domain: intra- and extra-cellular space and the cellular membrane. The system is parabolic but degenerate because the time derivative is only in the membrane domain. In this work, we adopt a boundary-integral formulation for removing the degeneracy in the system and recast it to a parabolic equation on the membrane. The formulation is also numerically advantageous since the number of degrees of freedom is sensibly reduced compared to the original model. Specifically, we prove that the boundary-element discretization of the EMI model is equivalent to a system of ordinary differential equations, and we consider a time discretization based on the multirate explicit stabilized Runge-Kutta method. We numerically show that our scheme convergences exponentially in space for the single-cell case. We finally provide several numerical experiments of biological interest.

math.NA↗

arXiv2022

Smoothness and continuity of cost functionals for ECG mismatch computation

The field of cardiac electrophysiology tries to abstract, describe and finally model the electrical characteristics of a heartbeat. With recent advances in cardiac electrophysiology, models have become more powerful and descriptive as ever. However, to advance to the field of inverse electrophysiological modeling, i.e. creating models from electrical measurements such as the ECG, the less investigated field of smoothness of the simulated ECGs w.r.t. model parameters need to be further explored. The present paper discusses smoothness in terms of the whole pipeline which describes how from physiological parameters, we arrive at the simulated ECG. Employing such a pipeline, we create a test-bench of a simplified idealized left ventricle model and demonstrate the most important factors for efficient inverse modeling through smooth cost functionals. Such knowledge will be important for designing and creating inverse models in future optimization and machine learning methods.

physics.med-ph↗

arXiv2022

Physics-informed neural networks to learn cardiac fiber orientation from multiple electroanatomical maps

We propose FiberNet, a method to estimate \emph{in-vivo} the cardiac fiber architecture of the human atria from multiple catheter recordings of the electrical activation. Cardiac fibers play a central role in the electro-mechanical function of the heart, yet they are difficult to determine in-vivo, and hence rarely truly patient-specific in existing cardiac models. FiberNet learns the fiber arrangement by solving an inverse problem with physics-informed neural networks. The inverse problem amounts to identifying the conduction velocity tensor of a cardiac propagation model from a set of sparse activation maps. The use of multiple maps enables the simultaneous identification of all the components of the conduction velocity tensor, including the local fiber angle. We extensively test FiberNet on synthetic 2-D and 3-D examples, diffusion tensor fibers, and a patient-specific case. We show that 3 maps are sufficient to accurately capture the fibers, also in the presence of noise. With fewer maps, the role of regularization becomes prominent. Moreover, we show that the fitted model can robustly reproduce unseen activation maps. We envision that FiberNet will help the creation of patient-specific models for personalized medicine. The full code is available at http://github.com/fsahli/FiberNet.

eess.IV↗

arXiv2022

Learning cardiac activation maps from 12-lead ECG with multi-fidelity Bayesian optimization on manifolds

We propose a method for identifying an ectopic activation in the heart non-invasively. Ectopic activity in the heart can trigger deadly arrhythmias. The localization of the ectopic foci or earliest activation sites (EASs) is therefore a critical information for cardiologists in deciding the optimal treatment. In this work, we formulate the identification problem as a global optimization problem, by minimizing the mismatch between the ECG predicted by a cardiac model, when paced at a given EAS, and the observed ECG during the ectopic activity. Our cardiac model amounts at solving an anisotropic eikonal equation for cardiac activation and the forward bidomain model in the torso with the lead field approach for computing the ECG. We build a Gaussian process surrogate model of the loss function on the heart surface to perform Bayesian optimization. In this procedure, we iteratively evaluate the loss function following the lower confidence bound criterion, which combines exploring the surface with exploitation of the minimum region. We also extend this framework to incorporate multiple levels of fidelity of the model. We show that our procedure converges to the minimum only after $11.7\pm10.4$ iterations (20 independent runs) for the single-fidelity case and $3.5\pm1.7$ iterations for the multi-fidelity case. We envision that this tool could be applied in real time in a clinical setting to identify potentially dangerous EASs.

eess.SP↗

arXiv2021

Fast characterization of inducible regions of atrial fibrillation models with multi-fidelity Gaussian process classification

Computational models of atrial fibrillation have successfully been used to predict optimal ablation sites. A critical step to assess the effect of an ablation pattern is to pace the model from different, potentially random, locations to determine whether arrhythmias can be induced in the atria. In this work, we propose to use multi-fidelity Gaussian process classification on Riemannian manifolds to efficiently determine the regions in the atria where arrhythmias are inducible. We build a probabilistic classifier that operates directly on the atrial surface. We take advantage of lower resolution models to explore the atrial surface and combine seamlessly with high-resolution models to identify regions of inducibility. When trained with 40 samples, our multi-fidelity classifier shows a balanced accuracy that is 10% higher than a nearest neighbor classifier used as a baseline atrial fibrillation model, and 9% higher in presence of atrial fibrillation with ablations. We hope that this new technique will allow faster and more precise clinical applications of computational models for atrial fibrillation.

cs.LG↗

arXiv2021

GEASI: Geodesic-based Earliest Activation Sites Identification in cardiac models

The identification of the initial ventricular activation sequence is a critical step for the correct personalization of patient-specific cardiac models. In healthy conditions, the Purkinje network is the main source of the electrical activation, but under pathological conditions the so-called earliest activation sites (EASs) are possibly sparser and more localized. Yet, their number, location and timing may not be easily inferred from remote recordings, such as the epicardial activation or the 12-lead electrocardiogram (ECG), due to the underlying complexity of the model. In this work, we introduce GEASI (Geodesic-based Earliest Activation Sites Identification) as a novel approach to simultaneously identify all EASs. To this end, we start from the anisotropic eikonal equation modeling cardiac electrical activation and exploit its Hamilton--Jacobi formulation to minimize a given objective function, e.g. the quadratic mismatch to given activation measurements. This versatile approach can be extended to estimate the number of activation sites by means of the topological gradient, or fitting a given ECG. We conducted various experiments in 2D and 3D for in-silico models and an in-vivo intracardiac recording collected from a patient undergoing cardiac resynchronization therapy. The results demonstrate the clinical applicability of GEASI for potential future personalized models and clinical intervention.

math.OC↗

arXiv2021

Space-time shape uncertainties in the forward and inverse problem of electrocardiography

In electrocardiography, the "classic" inverse problem is the reconstruction of electric potentials at a surface enclosing the heart from remote recordings at the body surface and an accurate description of the anatomy. The latter being affected by noise and obtained with limited resolution due to clinical constraints, a possibly large uncertainty may be perpetuated in the inverse reconstruction. The purpose of this work is to study the effect of shape uncertainty on the forward and the inverse problem of electrocardiography. To this aim, the problem is first recast into a boundary integral formulation and then discretised with a collocation method to achieve high convergence rates and a fast time to solution. The shape uncertainty of the domain is represented by a random deformation field defined on a reference configuration. We propose a periodic-in-time covariance kernel for the random field and approximate the Karhunen-Loève expansion using low-rank techniques for fast sampling. The space-time uncertainty in the expected potential and its variance is evaluated with an anisotropic sparse quadrature approach and validated by a quasi-Monte Carlo method. We present several numerical experiments on a simplified but physiologically grounded 2-dimensional geometry to illustrate the validity of the approach. The tested parametric dimension ranged from 100 up to 600. For the forward problem the sparse quadrature is very effective. In the inverse problem, the sparse quadrature and the quasi-Monte Carlo method perform as expected, except for the total variation regularisation, where convergence is limited by lack of regularity. We finally investigate an $H^{1/2}$ regularisation, which naturally stems from the boundary integral formulation, and compare it to more classical approaches.

math.NA↗

arXiv2021

Learning atrial fiber orientations and conductivity tensors from intracardiac maps using physics-informed neural networks

Electroanatomical maps are a key tool in the diagnosis and treatment of atrial fibrillation. Current approaches focus on the activation times recorded. However, more information can be extracted from the available data. The fibers in cardiac tissue conduct the electrical wave faster, and their direction could be inferred from activation times. In this work, we employ a recently developed approach, called physics informed neural networks, to learn the fiber orientations from electroanatomical maps, taking into account the physics of the electrical wave propagation. In particular, we train the neural network to weakly satisfy the anisotropic eikonal equation and to predict the measured activation times. We use a local basis for the anisotropic conductivity tensor, which encodes the fiber orientation. The methodology is tested both in a synthetic example and for patient data. Our approach shows good agreement in both cases, with an RMSE of 2.2ms on the in-silico data and outperforming a state of the art method on the patient data. The results show a first step towards learning the fiber orientations from electroanatomical maps with physics-informed neural networks.

cs.LG↗

arXiv2021

Fast and Accurate Uncertainty Quantification for the ECG with Random Electrodes Location

The standard electrocardiogram (ECG) is a point-wise evaluation of the body potential at certain given locations. These locations are subject to uncertainty and may vary from patient to patient or even for a single patient. In this work, we estimate the uncertainty in the ECG induced by uncertain electrode positions when the ECG is derived from the forward bidomain model. In order to avoid the high computational cost associated to the solution of the bidomain model in the entire torso, we propose a low-rank approach to solve the uncertainty quantification (UQ) problem. More precisely, we exploit the sparsity of the ECG and the lead field theory to translate it into a set of deterministic, time-independent problems, whose solution is eventually used to evaluate expectation and covariance of the ECG. We assess the approach with numerical experiments in a simple geometry.

math.NA↗

arXiv2020

PIEMAP: Personalized Inverse Eikonal Model from cardiac Electro-Anatomical Maps

Electroanatomical mapping, a keystone diagnostic tool in cardiac electrophysiology studies, can provide high-density maps of the local electric properties of the tissue. It is therefore tempting to use such data to better individualize current patient-specific models of the heart through a data assimilation procedure and to extract potentially insightful information such as conduction properties. Parameter identification for state-of-the-art cardiac models is however a challenging task. In this work, we introduce a novel inverse problem for inferring the anisotropic structure of the conductivity tensor, that is fiber orientation and conduction velocity along and across fibers, of an eikonal model for cardiac activation. The proposed method, named PIEMAP, performed robustly with synthetic data and showed promising results with clinical data. These results suggest that PIEMAP could be a useful supplement in future clinical workflows of personalized therapies.

math.OC↗

arXiv2019

High-dimensional and higher-order multifidelity Monte Carlo estimators

Multifidelity Monte Carlo methods rely on a hierarchy of possibly less accurate but statistically correlated simplified or reduced models, in order to accelerate the estimation of statistics of high-fidelity models without compromising the accuracy of the estimates. This approach has recently gained widespread attention in uncertainty quantification. This is partly due to the availability of optimal strategies for the estimation of the expectation of scalar quantities-of-interest. In practice, the optimal strategy for the expectation is also used for the estimation of variance and sensitivity indices. However, a general strategy is still lacking for vector-valued problems, nonlinearly statistically-dependent models, and estimators for which a closed-form expression of the error is unavailable. The focus of the present work is to generalize the standard multifidelity estimators to the above cases. The proposed generalized estimators lead to an optimization problem that can be solved analytically and whose coefficients can be estimated numerically with few runs of the high- and low-fidelity models. We analyze the performance of the proposed approach on a selected number of experiments, with a particular focus on cardiac electrophysiology, where a hierarchy of physics-based low-fidelity models is readily available.

math.NA↗