Uncertainty Quantification in Prospective and Predictive Patient Specific Cardiac Models

Lead Research Organisation: University of Sheffield
Department Name: Computer Science

Abstract

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Publications

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Corrado C (2023) Quantifying the impact of shape uncertainty on predicted arrhythmias. in Computers in biology and medicine

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Coveney S (2020) Probabilistic Interpolation of Uncertain Local Activation Times on Human Atrial Manifolds. in IEEE transactions on bio-medical engineering

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Clayton RH (2020) An audit of uncertainty in multi-scale cardiac electrophysiology models. in Philosophical transactions. Series A, Mathematical, physical, and engineering sciences

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Coveney S (2020) Gaussian process manifold interpolation for probabilistic atrial activation maps and uncertain conduction velocity. in Philosophical transactions. Series A, Mathematical, physical, and engineering sciences

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Lei CL (2020) Considering discrepancy when calibrating a mechanistic electrophysiology model. in Philosophical transactions. Series A, Mathematical, physical, and engineering sciences

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Coveney S (2018) Fitting two human atrial cell models to experimental data using Bayesian history matching. in Progress in biophysics and molecular biology

 
Description We have implemented a novel method that enables us to take a small number of noisy measurements of electrical activation in the heart, and use them to interpolate and extrapolate activation times over the surface of the left atrium. This method is novel because there it accounts for uncertainties in the measurement as well as the interpolation and extrapolation, so the output is a best estimate of local activation time with an associated confidence in the estimate. This method has been extended to estimate the speed of the electrical activation wave across the left atrium in the heart, and we have also assessed how uncertainty and variability in the shape of the left atrium affects speed.

We have also undertaken a systematic and detailed analysis of simulation models, so as to identify model parameters that can be identified from routinely available patient data, as well as those that cannot. This work has enabled us to develop a methodology for calibrating personalised models of individual patients, which embeds uncertainties arising from variability and noise in the data, as well as uncertainties that are associated with the methodology.

This method has been evaluated using simulated patient data, and we have shown that it can be used to identify pacing protocols that optimise the information that can be obtained in the clinical setting. We have secured further EPSRC funding (EP/W000091/1) to speed up the processing pipeline so that these methods can be deployed in the clinical setting, where decisions need to be made quickly.
Exploitation Route There are many ways that the outcomes of this award could be taken forward. These include the use of these techniques to guide clinical interventions, as well as direct implementation of our methods in medical equipment. We have secured further EPSRC funding to develop the technology further.
Sectors Digital/Communication/Information Technologies (including Software),Healthcare,Pharmaceuticals and Medical Biotechnology

 
Description In-Procedure Personalized Atrial Digital Twin to Predict Outcome of Atrial Fibrillation Ablation
Amount £1,534,181 (GBP)
Funding ID EP/W000091/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Public
Country United Kingdom
Start 04/2022 
End 03/2025
 
Description The SofTMech Statistical Emulation and Translation Hub
Amount £1,225,134 (GBP)
Funding ID EP/T017899/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Public
Country United Kingdom
Start 03/2021 
End 02/2025
 
Description Atrial UQ 
Organisation King's College London
Department Department of Biomedical Engineering
Country United Kingdom 
Sector Academic/University 
PI Contribution Sheffield is providing expertise on uncertainty quantification.
Collaborator Contribution King's College London is providing patient data and analysis expertise.
Impact No outputs yet.
Start Year 2017
 
Title quaLATi -- Quantifying Uncertainty for Local Activation Time Interpolation 
Description This package is for Quantifying Uncertainty for Local Activation Time Interpolation. It implements Gaussian Process Manifold Interpolation (GPMI) for doing Gaussian process regression on a manifold represented by a triangle mesh. 
Type Of Technology Software 
Year Produced 2020 
Open Source License? Yes  
Impact This software underpins several publications including https://doi.org/10.1098/rsta.2019.0345 
 
Description Invited presentation at the Isaac Newton Institute 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation entitled "Probabilistic Calibration of Personalised Heart Models from Sparse and Noisy Measurements" invited as part of work programme on "The Role of Uncertainty in Mathematical Modelling of Pandemics" at the Isaac Newton Institute in Cambridge.
Year(s) Of Engagement Activity 2022
URL https://gateway.newton.ac.uk/event/tgm110/programme
 
Description Work Programme at the Isaac Newton Institute 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This programme took place over a month, and was based at the Isaac Newton Institute in Cambridge. It brought together a small working group of 33 attendees, who were present in Cambridge for between one week and four weeks. During the final week, there was a workshop attended by 81 participants from all over the world, and an industry day that was attended by a range of industry representatives.
Year(s) Of Engagement Activity 2019
URL https://www.newton.ac.uk/event/fht/