Key result
Personalized cardiac computational modeling shows promise for patient-specific therapy guidance despite clinical implementation challenges.
Why the study?
Optimal methods for clinically relevant personalised cardiac electrophysiology models face limitations, including data uncertainty, timeline constraints, and parameter validation.
Answers are grounded in this paper and cite their sources.
This review highlights the techniques, advancements, and limitations in personalizing cardiac computational models using electroanatomical mapping data to improve patient-specific arrhythmia therapy.
Computational models of cardiac electrophysiology have gradually matured during the past few decades and are now being personalised to provide patient-specific therapy guidance for improving suboptimal treatment outcomes. The predictive features of these personalised electrophysiology models hold the promise of providing optimal treatment planning, which is currently limited in the clinic owing to reliance on a population-based or average patient approach. The generation of a personalised electrophysiology model entails a sequence of steps for which a range of activation mapping, calibration methods and therapy simulation pipelines have been suggested. However, the optimal methods that can potentially constitute a clinically relevant in silico treatment are still being investigated and face limitations, such as uncertainty of electroanatomical data recordings, generation and calibration of models within clinical timelines and requirements to validate or benchmark the recovered tissue parameters. This paper is aimed at reporting techniques on the personalisation of cardiac computational models, with a focus on calibrating cardiac tissue conductivity based on electroanatomical mapping data.
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Jaffery et al. (2024) conducted a review in Cardiac electrophysiology. Personalised cardiac computational modelling was evaluated. Personalised cardiac computational modelling using electroanatomical mapping data holds promise for patient-specific therapy guidance, though optimal methods face clinical implementation challenges.
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