Global mapping catheter contact optimization
Cardiac catheterization is carried out by constructing a left atrial model of a heart of a living subject, selecting a global catheter that is dimensioned to conform to the left atrial model, representing the catheter in the left atrial model; extending the length axis of the catheter in the left atrial model to form an intersection with the foramen ovale, and reporting the intersection as a recommended site of transseptal puncture for insertion of the catheter therethrough.
1. A method, comprising the steps of:
constructing a left atrial model of a heart of a living subject, the heart having a left atrium, an interatrial septum and a foramen ovale in the septum, wherein constructing the left atrial model comprises forming a 3-dimensional bounding box centered on a point of the left atrial model that corresponds to a center of mass of the left atrium, the bounding box having borders, a length dimension, a width dimension and a height dimension;
selecting a global catheter that is dimensioned to conform to the left atrial model, the catheter having a length axis, wherein selecting the global catheter comprises referencing a database of global catheters to identify a selected catheter that conforms to the bounding box according to predefined box-conforming criteria;
representing the catheter in the left atrial model, wherein representing the catheter in the left atrial model comprises transforming the catheter into an ellipsoid having a surface and semi axes including a major semi axis and two minor semi-axes, wherein selecting a global catheter further comprises determining that the ellipsoid approximates the bounding box according to the predefined box-conforming criteria;
in the left atrial model extending the length axis of the catheter to form an intersection with the foramen ovale; and
reporting the intersection as a recommended site of transseptal puncture for insertion of the catheter therethrough.
2. The method according to claim 1 , wherein the predefined box-conforming criteria comprises a deviation of the major semi axis of the ellipsoid from the length dimension of the bounding box that is within a first range.
3. The method according to claim 1 , wherein the predefined box-conforming criteria comprises a deviation of a sum of the two minor semi-axes of the ellipsoid from a sum of the height dimension and the width dimension of the bounding box that is within a second range.
4. The method according to claim 1 , wherein extending the length axis of the catheter comprises extending the major semi axis of the ellipsoid, the method further comprising the steps of:
prior to extending the major semi axis of the ellipsoid performing a surface registration of the ellipsoid and the bounding box by adjusting the semi axes of the ellipsoid relative to the length dimension, the width dimension and the height dimension of the bounding box.
5. The method according to claim 4 , wherein adjusting the semi axes of the ellipsoid comprises minimizing a root-mean-square deviation between the surface of the ellipsoid and the borders of the bounding box.