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Electromechanical
Imaging
Principal
Investigator
Elisa E. Konofagou, Ph.D.
Students / Research
Scientists
Jean Provost, M.S.
Jianwen Luo, Ph.D.
Kana Fujikura, M.D./Ph.D.
Collaborators
Natalia Trayanova, Ph.D., Department of Biomedical Engineering, Johns
Hopkins University
Viatcheslav Gurev, Ph.D., Department of Biomedical Engineering, Johns
Hopkins University
Jie Wang, M.D., Department of Medicine, Columbia University
James Coromilas, M.D.
Summary
The
heart is
an electromechanical pump: for the myocardial cells to
contract, they need to be electrically activated. In the healthy heart,
natural pacemakers in the sino-atrial node generate propagating action
potentials producing a depolarization wave that eventually covers the
whole myocardium. Because the conduction properties of the diseased
heart are different from normal tissue, the timings and patterns of
this wave can be use to localize and characterize the diseased regions.
However, as of today, there is no non-invasive method available
clinically to track this wave.
This project aims at tracking, instead of the electrical activation
itself, the propagation of the resulting early mechanical activation,
whether it is through incremental displacements or strains.
Effectively, when a tissue is electrically activated, it begins to
contract almost immediately; therefore, by using high frame-rate
elastographic techniques, it is possible to reach sufficient temporal
resolution and displacement estimation precision to detect the onset of
such a contraction. By following the resulting wave front, it thus
becomes possible to map what we call the electromechanical wave, which
provides information about both the electrical and mechanical
properties of the heart.
Support
American Heart Association.
Jean Provost is supported in part by the Fonds
Québécois de la Recherche sur la Nature et
les Technologies and the Natural Sciences and Engineering Research
Council of Canada.
Recent Publications
Jean Provost, Viatcheslav Gurev, Jianwen Luo, Natalia Trayanova, Elisa
Konofagou
Characterization of Wave Origins in Electromechanical Wave Imaging,
2008 IEEE International Ultrasonics Symposium, Beijing, China, Nov 2-5,
2008.
Jean Provost, Wei-Ning Lee, Kana Fujikura, Elisa E. Konofagou
Electromechanical Wave Propagation in the Normal and Ischemic Canine
Myocardium In Vivo, Seventh International Conference on the Ultrasonic
Measurement and
Imaging of Tissue Elasticity October 27-30, 2008, Lake Travis, Austin,
Texas, USA.
Wang, S., Lee, W.-N., Provost, J., Luo, J., and Konofagou, E. E.
A composite
high-frame-rate system for clinical cardiovascular imaging
IEEE Trans. Ultrason.
Ferroelectr. Freq. Control, Vol. 55, No. 10, pp.2221-2233, 2008.
Jean Provost, Jianwen Luo, and Elisa E. Konofagou,
Mapping and Characterization of the Electro-Mechanical Wave Propagation
in the Left Ventricle in Vivo, SIAM Conference on the Life Sciences,
August 4-7, 2008 Montreal,
Quebec, Canada.
Pernot M., Fujikura K., Fung-Kee-Fung S.D., and Konofagou E.E.,
ECG-Gated, Mechanical and Electromechanical Wave Imaging of
Cardiovascular Tissues In Vivo, Ultrasound in Medicine and Biology,
33(7): 1075-85, 2007.
Pernot M. and Konofagou E.E.
Electromechanical imaging of the myocardium at normal and pathological
states.
Proceedings of the 2005 IEEE Ultrasonic Symposium, Rotterdam,
Netherlands 2005;2:1091-1094.. |