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April 16, 2015BioMedical Engineering OnLine149 citationsOpen Access

Three-dimensional cardiac computational modelling: methods, features and applications

ALAlejandro Lopez-PerezUniversitat Politècnica de ValènciaRSRafael SebastiánElectrophysiologyJFJ.M. FerreroUniversitat Politècnica de València

Key Result

Three-dimensional cardiac computational modelling has evolved to incorporate patient-specific anatomical and electrophysiological data, aiding in the diagnosis and treatment of cardiac diseases.

Structured PICO

P
Population
60 representative 3D cardiac computational models developed and published during the last fifty years
I
Intervention
Three-dimensional (3D) cardiac computational modelling

This review highlights the methods, features, and applications of 3D cardiac computational modeling, emphasizing its potential clinical utility in the prevention, diagnosis, and treatment of cardiac diseases, particularly arrhythmias.

Limitations

  • It remains unclear to what extent an ex-vivo derived geometry is relevant to the in-vivo function of the heart.
  • Currently there is no in-vivo technique capable of providing the full patient-specific fibre orientation of the whole heart.

Abstract

The combination of computational models and biophysical simulations can help to interpret an array of experimental data and contribute to the understanding, diagnosis and treatment of complex diseases such as cardiac arrhythmias. For this reason, three-dimensional (3D) cardiac computational modelling is currently a rising field of research. The advance of medical imaging technology over the last decades has allowed the evolution from generic to patient-specific 3D cardiac models that faithfully represent the anatomy and different cardiac features of a given alive subject. Here we analyse sixty representative 3D cardiac computational models developed and published during the last fifty years, describing their information sources, features, development methods and online availability. This paper also reviews the necessary components to build a 3D computational model of the heart aimed at biophysical simulation, paying especial attention to cardiac electrophysiology (EP), and the existing approaches to incorporate those components. We assess the challenges associated to the different steps of the building process, from the processing of raw clinical or biological data to the final application, including image segmentation, inclusion of substructures and meshing among others. We briefly outline the personalisation approaches that are currently available in 3D cardiac computational modelling. Finally, we present examples of several specific applications, mainly related to cardiac EP simulation and model-based image analysis, showing the potential usefulness of 3D cardiac computational modelling into clinical environments as a tool to aid in the prevention, diagnosis and treatment of cardiac diseases.

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Cite This Study

Lopez-Perez et al. (2015) conducted a review in Cardiac diseases. Three-dimensional cardiac computational modelling was evaluated. Three-dimensional cardiac computational modelling has evolved to incorporate patient-specific anatomical and electrophysiological data, aiding in the diagnosis and treatment of cardiac diseases.

synapsesocial.com/papers/6a20bcfbe816e649466f3e0ahttps://doi.org/10.1186/s12938-015-0033-5
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