Skip to main content
SpringerLink
Log in
Book cover

International Conference on Functional Imaging and Modeling of the Heart

FIMH 2007: Functional Imaging and Modeling of the Heart pp 230–239Cite as

Is There Any Place for Magnetocardiographic Imaging in the Era of Robotic Ablation of Cardiac Arrhythmias?

  • Conference paper

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 4466))

Abstract

This article reviews major problems and difficulties faced by the authors along more than twenty years of clinical application of magnetocardiography (MCG) as a tool to improve the diagnosis of arrhythmogenic mechanism(s), non-invasively. It is also emphasized that an exhaustive understanding of individual electrophysiology is mandatory before any intervention, which can modify the substrate and complicate the treatment of patients in the case of ablation failure. The reasons for scarce acceptance of MCG, compared with the success of recent methods for invasive three-dimensional electroanatomical imaging (3D-EAI), are discussed to provide suggestions for needed changes in R&D strategy. MCG might be a powerful method for non-invasive 3D-EAI, but appropriate tools for its clinical applicability are still lacking and need to be urgently developed, through serious investments and interdisciplinary cooperation.

Partially supported by grants Sigma-Tau research contract DS/2004/CR/#22 and by the National Science Foundation, SBIR phase II award #0349580.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Blomstrom-Lundqvist, C., Scheinman, MM., Aliot, EM., Alpert, JS., Calkins, H., Camm, AJ., et al.: American College of Cardiology; ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias–executive summary. Circulation 108(15), 1871–1909 (2003)

    Article  Google Scholar 

  2. Gepstein, L., Wolf, T., Hayam, G., Ben-Haim, SA.: Accurate linear radiofrequency lesions guided by a Nonfluoroscopic electroanatomical mapping method during atrial fibrillation. Pacing Clin Electrophysiol. 24(24), 1672–1678 (2001)

    Article  Google Scholar 

  3. Wittkampf, FH., Wever, EF., Derksen, R., Ramanna, H., Hauer, RN., de Medina, EO.R.: LocaLisa: new technique for real-time 3-dimensional localization of regular intracardiac electrodes. Circulation 99(10), 1312–1317 (1999)

    Google Scholar 

  4. Gurevitz, OT., Glikson, M., Asirvatham, S., Kester, TA., Grice, SK., Munger, TM., et al.: Use of advanced mapping systems to guide ablation in complex cases: experience with noncontact mapping and electroanatomic mapping systems. Pacing Clin Electrophysiol. 28(4), 316–323 (2005)

    Article  Google Scholar 

  5. Faddis, M.N., Chen, J., Osborn, J., Talcott, M., Cain, M.E., Lindsay, B.D.: Magnetic guidance system for cardiac electrophysiology: a prospective trial of safety and efficacy in humans. J. Am. Coll. Cardiol. 42(11), 1952–1958 (2003)

    Article  Google Scholar 

  6. Corrado, D., Basso, C., Leoni, L., Tokajuk, B., Bauce, B., Frigo, G., et al.: Three-dimensional electroanatomic voltage mapping increases accuracy of diagnosing arrhythmogenic right ventricular cardiomyopathy/dysplasia. Circulation 14,111(23), 3042–3050 (2005)

    Article  Google Scholar 

  7. Ernst, S., Ouyang, F., Linder, C., Hertting, K., Stahl, F., Chun, J. et al.: Initial experience with remote catheter ablation using a novel magnetic navigation system: magnetic remote catheter ablation. Circulation 109(12), 1472–1475 (2004)

    Article  Google Scholar 

  8. Dickfeld, T., Calkins, H., Bradley, D., Solomon, S.: Stereotactic catheter navigation using magnetic resonance image integration in the human heart. Heart Rhythm. 2(4), 413–415 (2005)

    Article  Google Scholar 

  9. Fenici, R., Brisinda, D.: Bridging non-invasive and interventional electroanatomical imaging: role of magnetocardiography. J. Electrocardiol. 40(Suppl 1), 47–52 (2007)

    Article  Google Scholar 

  10. Fenici, R., Brisinda, D., Meloni, AM., Fenici, P.: First 36-channel System for Clinical Magnetocardiography in Unshielded Hospital Laboratory for Cardiac Electrophysiology. Int. J. of Bioelectromagnetism. 1, 80–83 (2003)

    Google Scholar 

  11. Fenici, R., Brisinda, D., Nenonen, J., Fenici, P.: Phantom validation of multichannel magnetocardiography source localization. Pacing Clin Electrophysiol. 26(1, Part II), 426–430 (2003)

    Article  Google Scholar 

  12. Veisterä, H., Fenici, R., Lötjönen, J.: Online heart model creation for magnetocardiographic measurements. In: Halgren, E., Ahlfors, S., Hämäläinen, M., Cohen, D. (eds.) Proceedings of the 14th International Conference on Biomagnetism: vol. 415 (2004)

    Google Scholar 

  13. Nenonen, J.: Magnetocardiography. In: Clark, J., Braginski, A. (eds.) SQUID, Handbook, Berlin, Whiley-VCH, Chichester (2005)

    Google Scholar 

  14. Brisinda, D., Fenici, R.: Non-invasive Classification and Follow-up of WPW patients with unshielded Magnetocardiography and Transesophageal Atrial Pacing. Pacing and Clinical Electrophysiol. 30 [Suppl 1], S151–S155 (2007)

    Google Scholar 

  15. Fenici, R., Brisinda, D., Meloni, AM.: Non-invasive electrophysiologic study with amagnetic transesophageal pacing during unshielded multichannel magnetocardiographic mapping. Neurol Clin Neurophysiol 30(14) (2004)

    Google Scholar 

  16. Fenici, R., Brisinda, D., Meloni, AM.: Clinical application of magnetocardiography. Expert Rev. Mol. Diagn. 5(3), 291–313 (2005)

    Article  Google Scholar 

  17. Fenici, R., Brisinda, D.: Magnetocardiography provides non-invasive three-dimensional electroanatomical imaging of cardiac electrophysiology. Int. J. Cardiovasc Imaging. 22(3-4), 595–597 (2006)

    Article  Google Scholar 

  18. Fenici, R., Melillo, G.: Magnetocardiography: ventricular arrhythmias. Eur. Heart J. 14(Suppl E), 53–60 (1993)

    Google Scholar 

  19. Yamada, S., Tsukada, K., Miyashita, T., Kuga, K., Yamaguchi, I.: Noninvasive, direct visualization of macro-reentrant circuits by using magnetocardiograms: initiation and persistence of atrial flutter. Europace. 5(4), 343–350 (2003)

    Article  Google Scholar 

  20. Nakai, K., Kawazoe, K., Izumoto, H., Tsuboi, J., Oshima, Y., Oka, T. et al.: Construction of a three-dimensional outline of the heart and conduction pathway by means of a 64-channel magnetocardiogram in patients with atrial flutter and fibrillation. Int. J. Cardiovasc Imaging. 21[5], 555–561 (2005)

    Article  Google Scholar 

  21. Fenici, R.R., CNR.: Biomagnetically localizable multipurpose catheter and method for magnetocardiographic guided intracardiac mapping, biopsy and ablation of cardiac arrhythmias. Unites States patent n.5056517, October 15, 1991 (filed July, 24, 1989)

    Google Scholar 

  22. Ben-Haim, S.A.: Apparatus and method for treating cardiac arrhythmias. United States Patent n.5, 391,199; February 21, 1995 (filed July 20 1993)

    Google Scholar 

  23. Haddad, R.: Un Model Numerique Anthropomorphique et Dynamique du Thorax Respirant et du Cœur Battant. Ph. D. These, CREATIS-CNRS UMR 5220, INSERM U630 – Lyon, France (2007)

    Google Scholar 

  24. Nakai, K., Izumoto, H., Kawazoe, K., Tsuboi, J., Fukuhiro, Y., Oka, T., et al.: Three-dimensional recovery time dispersion map by 64-channel magnetocardiography may demonstrate the location of a myocardial injury and heterogeneity of repolarization. Int. J. Cardiovasc Imaging 22[3-4], 573–580 (2006)

    Article  Google Scholar 

  25. Ogata, K., Kandori, A., Miyashita, T., Tsukada, K., Nakatani, S., Shimizu, W. et al.: Visualization of three-dimensional cardiac electrical excitation using standard heart model and anterior and posterior magnetocardiogram. Int. J. Cardiovasc Imaging. 22(3-4), 581–593 (2006)

    Article  Google Scholar 

  26. Berger, T., Fischer, G., Pfeifer, B., Modre, R., Hanser, F., Trieb, T., et al.: Single-beat noninvasive imaging of cardiac electrophysiology of ventricular pre-excitation. J. Am. Coll. Cardiol. 48(10), 2045–2052 (2006)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinical Physiology - Biomagnetism Research Center, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168 Rome, Italy

    Riccardo Fenici & Donatella Brisinda

Authors
  1. Riccardo Fenici
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Donatella Brisinda
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Frank B. Sachse Gunnar Seemann

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer Berlin Heidelberg

About this paper

Cite this paper

Fenici, R., Brisinda, D. (2007). Is There Any Place for Magnetocardiographic Imaging in the Era of Robotic Ablation of Cardiac Arrhythmias?. In: Sachse, F.B., Seemann, G. (eds) Functional Imaging and Modeling of the Heart. FIMH 2007. Lecture Notes in Computer Science, vol 4466. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72907-5_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-72907-5_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-72906-8

  • Online ISBN: 978-3-540-72907-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Search

Navigation