Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1999-10-5
pubmed:abstractText
This study was performed to: (1) evaluate the accuracy of noninvasive magnetocardiographic (MCG) localization of an amagnetic stimulation catheter; (2) validate the feasibility of this multipurpose catheter; and (3) study the characteristics of cardiac evoked fields. A stimulation catheter specially designed to produce no magnetic disturbances was inserted into the heart of five patients after routine electrophysiological studies. The catheter position was documented on biplane cine x-ray images. MCG signals were then recorded in a magnetically shielded room during cardiac pacing. Noninvasive localization of the catheter's tip and stimulated depolarization was computed from measured MCG data using a moving equivalent current-dipole source in patient-specific boundary element torso models. In all five patients, the MCG localizations were anatomically in good agreement with the catheter positions defined from the x-ray images. The mean distance between the position of the tip of the catheter defined from x-ray fluoroscopy and the MCG localization was 11 +/- 4 mm. The mean three-dimensional difference between the MCG localization at the peak stimulus and the MCG localization, during the ventricular evoked response about 3 ms later, was 4 +/- 1 mm calculated from signal-averaged data. The 95% confidence interval of beat-to-beat localization of the tip of the stimulation catheter from ten consecutive beats in the patients was 4 +/- 2 mm. The propagation velocity of the equivalent current dipole between 5 and 10 ms after the peak stimulus was 0.9 +/- 0.2 m/s. The results show that the use of the amagnetic catheter is technically feasible and reliable in clinical studies. The accurate three-dimensional localization of this multipurpose catheter by multichannel MCG suggests that the method could be developed toward a useful clinical tool during electrophysiological studies.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0147-8389
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1210-20
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10461298-Adult, pubmed-meshheading:10461298-Body Surface Potential Mapping, pubmed-meshheading:10461298-Coronary Disease, pubmed-meshheading:10461298-Electric Stimulation, pubmed-meshheading:10461298-Electrocardiography, pubmed-meshheading:10461298-Electrodes, pubmed-meshheading:10461298-Feasibility Studies, pubmed-meshheading:10461298-Female, pubmed-meshheading:10461298-Fluoroscopy, pubmed-meshheading:10461298-Heart Catheterization, pubmed-meshheading:10461298-Heart Rate, pubmed-meshheading:10461298-Humans, pubmed-meshheading:10461298-Image Processing, Computer-Assisted, pubmed-meshheading:10461298-Magnetic Resonance Imaging, pubmed-meshheading:10461298-Magnetics, pubmed-meshheading:10461298-Male, pubmed-meshheading:10461298-Middle Aged, pubmed-meshheading:10461298-Reproducibility of Results
pubmed:year
1999
pubmed:articleTitle
Nonfluoroscopic localization of an amagnetic stimulation catheter by multichannel magnetocardiography.
pubmed:affiliation
Clinical Physiology-Biomagnetism Research Center, Catholic University, Rome, Italy.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't