An Adaptive Respiratory Motion Compensation Algorithm with Singular Value Decomposition for Intracardiac Catheter Tracking.

Abstract

During radiofrequency catheterization for atrial fibrillation, how to accurately obtain non-X-ray intracardiac catheter position is crucial to successful endocardial mapping and ablation treatment. The major limitation of the cost-effective intracardiac catheter tracking with transthoracic electrical-fields is that the distribution of electrical conductivity within the volume torso remains dynamics and nonlinear and changes with the patient's respiratory motion. Studies have shown respiratory motion-induced catheter localization error over 20 mm. In this study, we present a novel adaptive respiratory motion compensation algorithm with singular value decomposition for reducing the interference of respiration to ensure the accuracy of intracardiac catheter localization. Animal experiments in swine were carried out for assessing the performance of the propose method through a comparison with a traditional filtering method. The obtained results demonstrate that the proposed adaptive filter based on the SVD performed well to track the original information of catheter position by accurately and timely removing the respiratory interference in case of either a fast- or slow- moving catheter operation. Future applications of this algorithm would be potentially useful for intracardiac catheter localization and real-time tracking.