An efficient end-to-end computational framework for the generation of ECG calibrated volumetric models of human atrial electrophysiology

Fuente: arXiv
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Autores principales: Zappon, Elena, Azzolin, Luca, Gsell, Matthias A. F., Thaler, Franz, Prassl, Anton J., Arnold, Robert, Gillette, Karli, Kariman, Mohammadreza, Manninger-Wünscher, Martin, Scherr, Daniel, Neic, Aurel, Urschler, Martin, Augustin, Christoph M., Vigmond, Edward J., Plank, Gernot
Formato: Preprint
Publicado: 2025
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author Zappon, Elena
Azzolin, Luca
Gsell, Matthias A. F.
Thaler, Franz
Prassl, Anton J.
Arnold, Robert
Gillette, Karli
Kariman, Mohammadreza
Manninger-Wünscher, Martin
Scherr, Daniel
Neic, Aurel
Urschler, Martin
Augustin, Christoph M.
Vigmond, Edward J.
Plank, Gernot
author_facet Zappon, Elena
Azzolin, Luca
Gsell, Matthias A. F.
Thaler, Franz
Prassl, Anton J.
Arnold, Robert
Gillette, Karli
Kariman, Mohammadreza
Manninger-Wünscher, Martin
Scherr, Daniel
Neic, Aurel
Urschler, Martin
Augustin, Christoph M.
Vigmond, Edward J.
Plank, Gernot
contents Computational models of atrial electrophysiology (EP) are increasingly utilized for applications such as the development of advanced mapping systems, personalized clinical therapy planning, and the generation of virtual cohorts and digital twins. These models have the potential to establish robust causal links between simulated in silico behaviors and observed human atrial EP, enabling safer, cost-effective, and comprehensive exploration of atrial dynamics. However, current state-of-the-art approaches lack the fidelity and scalability required for regulatory-grade applications, particularly in creating high-quality virtual cohorts or patient-specific digital twins. Challenges include anatomically accurate model generation, calibration to sparse and uncertain clinical data, and computational efficiency within a streamlined workflow. This study addresses these limitations by introducing novel methodologies integrated into an automated end-to-end workflow for generating high-fidelity digital twin snapshots and virtual cohorts of atrial EP. These innovations include: (i) automated multi-scale generation of volumetric biatrial models with detailed anatomical structures and fiber architecture; (ii) a robust method for defining space-varying atrial parameter fields; (iii) a parametric approach for modeling inter-atrial conduction pathways; and (iv) an efficient forward EP model for high-fidelity electrocardiogram computation. We evaluated this workflow on a cohort of 50 atrial fibrillation patients, producing high-quality meshes suitable for reaction-eikonal and reaction-diffusion models and demonstrating the ability to simulate atrial ECGs under parametrically controlled conditions. These advancements represent a critical step toward scalable, precise, and clinically applicable digital twin models and virtual cohorts, enabling enhanced patient-specific predictions and therapeutic planning.
format Preprint
id arxiv_https___arxiv_org_abs_2502_03322
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle An efficient end-to-end computational framework for the generation of ECG calibrated volumetric models of human atrial electrophysiology
Zappon, Elena
Azzolin, Luca
Gsell, Matthias A. F.
Thaler, Franz
Prassl, Anton J.
Arnold, Robert
Gillette, Karli
Kariman, Mohammadreza
Manninger-Wünscher, Martin
Scherr, Daniel
Neic, Aurel
Urschler, Martin
Augustin, Christoph M.
Vigmond, Edward J.
Plank, Gernot
Numerical Analysis
Computational Engineering, Finance, and Science
Tissues and Organs
92C50, 92C55, 92C30, 35Q92
G.1.10; I.6.4; I.6.5; J.3
Computational models of atrial electrophysiology (EP) are increasingly utilized for applications such as the development of advanced mapping systems, personalized clinical therapy planning, and the generation of virtual cohorts and digital twins. These models have the potential to establish robust causal links between simulated in silico behaviors and observed human atrial EP, enabling safer, cost-effective, and comprehensive exploration of atrial dynamics. However, current state-of-the-art approaches lack the fidelity and scalability required for regulatory-grade applications, particularly in creating high-quality virtual cohorts or patient-specific digital twins. Challenges include anatomically accurate model generation, calibration to sparse and uncertain clinical data, and computational efficiency within a streamlined workflow. This study addresses these limitations by introducing novel methodologies integrated into an automated end-to-end workflow for generating high-fidelity digital twin snapshots and virtual cohorts of atrial EP. These innovations include: (i) automated multi-scale generation of volumetric biatrial models with detailed anatomical structures and fiber architecture; (ii) a robust method for defining space-varying atrial parameter fields; (iii) a parametric approach for modeling inter-atrial conduction pathways; and (iv) an efficient forward EP model for high-fidelity electrocardiogram computation. We evaluated this workflow on a cohort of 50 atrial fibrillation patients, producing high-quality meshes suitable for reaction-eikonal and reaction-diffusion models and demonstrating the ability to simulate atrial ECGs under parametrically controlled conditions. These advancements represent a critical step toward scalable, precise, and clinically applicable digital twin models and virtual cohorts, enabling enhanced patient-specific predictions and therapeutic planning.
title An efficient end-to-end computational framework for the generation of ECG calibrated volumetric models of human atrial electrophysiology
topic Numerical Analysis
Computational Engineering, Finance, and Science
Tissues and Organs
92C50, 92C55, 92C30, 35Q92
G.1.10; I.6.4; I.6.5; J.3
url https://arxiv.org/abs/2502.03322