Development of a Tri-polar Concentric Ring Electrode for Acquiring Accurate Laplacian Body Surface Potentials
- 272 Downloads
- 34 Citations
Abstract
Potentials recorded on the body surface from the heart are of a spatial and temporal function. The 12-lead electrocardiogram (ECG) provides a useful means of global temporal assessment; however, it yields limited spatial information due to the smoothing effect caused by the volume conductor. In an attempt to circumvent the smoothing problem, researchers have used the five-point method (FPM) to numerically estimate the analytical solution of the Laplacian with an array of monopolar electrodes. Researchers have also developed a bipolar concentric ring electrode system to estimate the analytical Laplacian, and others have used a quasi-bipolar electrode configuration. In a search to find an electrode configuration with a close approximation to the analytical Laplacian, development of a tri-polar concentric ring electrode based on the nine-point method (NPM) was conducted. A comparison of the NPM, FPM, and discrete form of the quasi-bipolar configuration was performed over a 400 × 400 mesh with 1/400 spacing by computer modeling. Different properties of bipolar, quasi-bipolar and tri-polar concentric ring electrodes were evaluated and compared, and verified with tank experiments. One-way analysis of variance (ANOVA) with post hoc t-test and Bonferroni corrections were performed to compare the performance of the various methods and electrode configurations. It was found that the tri-polar electrode has significantly improved accuracy and local sensitivity. This paper also discusses the development of an active sensor using the tri-polar electrode configuration. A 1-cm active Laplacian tri-polar sensor based on the NPM was tested and deemed feasible for acquiring Laplacian cardiac surface potentials.
Keywords
ECG Nine-point method Quasi-bipolar electrode Tri-polar electrode Laplacian Active sensorNotes
ACKNOWLEDGMENTS
The authors thank Louisiana Tech University Center for Entrepreneurship and Information Technology, Louisiana Board of Regents (grant # LEQSF (2003–05)-RD-B-05), and the NCIIA for financial support and our lab associates and Dr. Aijun Besio for their assistance in this research and manuscript.
REFERENCES
- 1.Besio, W., C. C. Lu, and P. P. Tarjan. A feasibility study for body surface cardiac propagation maps of humans from Laplacian moments of activation. Electromagnetics 21:621–632, 2001.CrossRefGoogle Scholar
- 2.Fattorusso, V., and J. Tilmant. Exploration du champ electrique precordial a l’aide de deux electrodes circulaires, concentriques et rapprochees. Arch. Mal du Coeur. 42:452–455, 1949.Google Scholar
- 3.He, B., and D. Wu. Laplacian electrocardiography. Crit. Rev. BME 27(3–5):285–338, 1999.Google Scholar
- 4.He, B., and R. J. Cohen. Body surface Laplacian ECG mapping. IEEE Trans. BME 39(11):1179–1191, 1992.CrossRefGoogle Scholar
- 5.He, B., and R. J. Cohen. Body surface Laplacian mapping in man. IEEE EMBS 13(2):784–786, 1991.Google Scholar
- 6.Huiskamp, G. Difference formulas for the surface Laplacian on a triangulated surface. J. Comput. Phys. 95(2):477–496, 1991.CrossRefGoogle Scholar
- 7.Lapidus, L., and G. F. Pinder. Numerical Solution of Partial Differential Equations in Science and Engineering. New York: John Wiley & Sons, Inc.,1982, 371–372.Google Scholar
- 8.Lian, J., G. Li, J. Cheng, B. Avitall, and B. He. Body surface Laplacian mapping of atrial activation in normal subjects. Med. Biol. Eng. Comput. 40(6):650–659, 2002.PubMedCrossRefGoogle Scholar
- 9.Li, G., J. Lian, P. Salla, J. Cheng, P. Shaw, I. Ramachandra, B. Avitall, and B. He Body surface Laplacian mapping of ventricular depolarization in normal subjects. J. Cardiovasc. Electrophysiol. 14(1):16–27, 2003.PubMedCrossRefGoogle Scholar
- 10.Lu, C. C., and P. P. Tarjan. An ultra high common mode rejection ratio (CMRR) AC instrumentation amplifier for Laplacian electrocardiographic measurements. Biomed. Instr. Tech. 76–93, Jan–Feb, 1999.Google Scholar
- 11.Oosterom, A. V., and J. Strackee. Computing the lead field of electrodes with axial symmetry. Med. Biol. Eng. Comput. 21:473–481, 1983.PubMedCrossRefGoogle Scholar
- 12.Ames, W. F. Numerical Methods for Partial Differential Equations. New York: Barnes & Noble, Inc. 1969, 15–19.Google Scholar