Wildhaber, Reto
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Wildhaber
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Wildhaber, Reto
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- PublikationToward a novel semi‐invasive activation mapping tool for the diagnosis of supraventricular arrhythmias from the esophagus(Wiley, 2019) Sweda, Romy; Wildhaber, Reto; Mortier, Simone; Bruegger, Dominik; Niederhauser, Thomas; Goette, Josef; Jacomet, Marcel; Tanner, Hildegard; Haeberlin, Andreas [in: Annals of Noninvasive Electrocardiology]Supraventricular arrhythmia diagnosis using the surface electrocardiogram (sECG) is often cumbersome due to limited atrial signal quality. In some instances, use of esophageal electrocardiography (eECG) may facilitate the diagnosis. Here, we present a novel approach to reconstruct cardiac activation maps from eECG recordings.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationEstimation of the cardiac field in the esophagus using a multipolar esophageal catheter(IEEE, 2018) Wildhaber, Reto; Bruegger, Dominik; Zalmai, Nour; Malmberg, Hampus; Goette, Josef; Jacomet, Marcel; Tanner, Hildegard; Haeberlin, Andreas; Loeliger, Hans-Andrea [in: IEEE Transactions on Biomedical Circuits and Systems]The rapid progress of invasive therapeutic options for cardiac arrhythmias increases the need for accurate diagnostics. The surface electrocardiogram (ECG) is still the standard of noninvasive diagnostics but lacks atrial signal resolution. By contrast, esophageal electrocardiography (EECG) yields atrial signals of high amplitude and with a high signal-to-noise ratio. Esophageal electrocardiography has become fast and safe, but the mechanical constraints of esophageal measuring catheters and the “random” motion of the catheter inside the subject's esophagus limit the spatial resolution of EECG signals. In this paper, we propose a method to estimate the electrical field projected onto the esophagus with an increased spatial resolution, using commonly available esophageal catheters. In a first step, we estimate the time-varying catheter position, and in a second step, we estimate the projected electrical field with enhanced spatial resolution. The proposed algorithm comprises several consecutive optimization steps, where each intermediate step produces not just a single point estimate, but a cost function over multiple solutions, which reduces the information loss at each processing step. We conclude with examples from a clinical trial, where the fields of cardiac arrhythmias are presented as two-dimensional contour plots.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationSignal detection and discrimination for medical devices using windowed state space filters(IEEE, 2017) Wildhaber, Reto; Zalmai, Nour; Jacomet, Marcel; Loeliger, Hans-Andrea [in: 2017 13th IASTED International Conference on Biomedical Engineering (BioMed)]We introduce a model-based approach for computationally efficient signal detection and discrimination, which is relevant for biological signals. Due to its low computational complexity and low memory need, this approach is well-suited for low power designs, as required for medical devices and implants. We use linear state space models to gain recursive, efficient computation rules and obtain the model parameters by minimizing the squared error on discrete-time observations. Furthermore we combine multiple models of different time-scales to match superpositions of signals of variable length. To give immediate access to our method, we highlight the use in several practical examples on standard and on esophageal ECG signals. This method was adapted and improved as part of a research and development project for medical devices.04B - Beitrag Konferenzschrift
- PublikationAutonomous state space models for recursive signal estimation beyond least squares(IEEE, 2017) Zalmai, Nour; Wildhaber, Reto; Loeliger, Hans-Andrea [in: 2017 25th European Signal Processing Conference (EUSIPCO)]The paper addresses the problem of fitting, at any given time, a parameterized signal generated by an autonomous linear state space model (LSSM) to discrete-time observations. When the cost function is the squared error, the fitting can be accomplished based on efficient recursions. In this paper, the squared error cost is generalized to more advanced cost functions while preserving recursive computations: first, the standard sample-wise squared error is augmented with a sampledependent polynomial error; second, the sample-wise errors are localized by a window function that is itself described by an autonomous LSSM. It is further demonstrated how such a signal estimation can be extended to handle unknown additive and/or multiplicative interference. All these results rely on two facts: first, the correlation function between a given discrete-time signal and a LSSM signal can be computed by efficient recursions; second, the set of LSSM signals is a ring.04B - Beitrag Konferenzschrift
- PublikationInferring depolarization of cells from 3D-electrode measurements using a bank of linear state space models(IEEE, 2016) Zalmai, Nour; Wildhaber, Reto; Clausen, Desiree; Loeliger, Hans-Andrea [in: 2016 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP)]Cell depolarization runs essentially in a uniform motion along the muscular tissue, which creates transient electrical potential differences measurable by nearby electrodes. Inferring the depolarization speed and direction from measurements is of great interest for physicians. In cardiology, this is part of the inverse ECG problem which often requires a large number of electrodes and intense computational power even if the simple common model of the single equivalent moving dipole (SEMD) is applied. In this paper, we model a depolarization process as a straight-line movement of a SEMD. We provide an efficient algorithm based on linear state space models that infers the SEMD movement using only 3 measurement channels from a tetrahedral electrode and with the presence of interferences. Our algorithm is tested both on simulated and experimental data.04B - Beitrag Konferenzschrift
- PublikationMarkers for silent atrial fibrillation in esophageal long-term electrocardiography(Elsevier, 2016) Haeberlin, Andreas; Lacheta, Lucca; Niederhauser, Thomas; Marisa, Thanks; Wildhaber, Reto; Goette, Josef; Jacomet, Marcel; Seiler, Jens; Fuhrer, Juerg; Roten, Laurent; Tanner, Hildegard; Vogel, Rolf [in: Journal of Electrocardiology]Purpose Paroxysmal atrial fibrillation (PAF) often remains undiagnosed. Long-term surface ECG is used for screening, but has limitations. Esophageal ECG (eECG) allows recording high quality atrial signals, which were used to identify markers for PAF.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationA baseline wander tracking system for artifact rejection in long-term electrocardiography(IEEE, 2016) Niederhauser, Thomas; Marisa, Thanks; Kohler, Lukas; Haeberlin, Andreas; Wildhaber, Reto; Abächerli, Roger; Goette, Josef; Jacomet, Marcel; Vogel, Rolf [in: IEEE Transactions on Biomedical Circuits and Systems]Long-term electrocardiogram (ECG) signals might suffer from relevant baseline disturbances during physical activity. Motion artifacts in particular are more pronounced with dry surface or esophageal electrodes which are dedicated to prolonged ECG recording. In this paper we present a method called baseline wander tracking (BWT) that tracks and rejects strong baseline disturbances and avoids concurrent saturation of the analog front-end. The proposed algorithm shifts the baseline level of the ECG signal to the middle of the dynamic input range. Due to the fast offset shifts, that produce much steeper signal portions than the normal ECG waves, the true ECG signal can be reconstructed offline and filtered using computationally intensive algorithms. Based on Monte Carlo simulations we observed reconstruction errors mainly caused by the non-linearity inaccuracies of the DAC. However, the signal to error ratio of the BWT is higher compared to an analog front-end featuring a dynamic input ranges above 15 mV if a synthetic ECG signal was used. The BWT is additionally able to suppress (electrode) offset potentials without introducing long transients. Due to its structural simplicity, memory efficiency and the DC coupling capability, the BWT is dedicated to high integration required in long-term and low-power ECG recording systems.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationGraphics-processor-unit-based parallelization of optimized baseline wander filtering algorithms for long-term electrocardiography(IEEE, 2015) Niederhauser, Thomas; Wyss-Balmer, Thomas; Haeberlin, Andreas; Marisa, Thanks; Wildhaber, Reto; Goette, Josef; Jacomet, Marcel; Vogel, Rolf [in: IEEE Transactions on Biomedical Engineering]Long-term electrocardiogram (ECG) often suffers from relevant noise. Baseline wander in particular is pronounced in ECG recordings using dry or esophageal electrodes, which are dedicated for prolonged registration. While analog high-pass filters introduce phase distortions, reliable offline filtering of the baseline wander implies a computational burden that has to be put in relation to the increase in signal-to-baseline ratio (SBR). Here, we present a graphics processor unit (GPU)-based parallelization method to speed up offline baseline wander filter algorithms, namely the wavelet, finite, and infinite impulse response, moving mean, and moving median filter. Individual filter parameters were optimized with respect to the SBR increase based on ECGs from the Physionet database superimposed to autoregressive modeled, real baseline wander. A Monte-Carlo simulation showed that for low input SBR the moving median filter outperforms any other method but negatively affects ECG wave detection. In contrast, the infinite impulse response filter is preferred in case of high input SBR. However, the parallelized wavelet filter is processed 500 and four times faster than these two algorithms on the GPU, respectively, and offers superior baseline wander suppression in low SBR situations. Using a signal segment of 64 mega samples that is filtered as entire unit, wavelet filtering of a seven-day high-resolution ECG is computed within less than 3 s. Taking the high filtering speed into account, the GPU wavelet filter is the most efficient method to remove baseline wander present in long-term ECGs, with which computational burden can be strongly reduced.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationA graphical simulation software for instruction in cardiovascular mechanics physiology(2011) Wildhaber, Reto; Verrey, François; Wenger, Roland H [in: BioMedical Engineering OnLine]Background Computer supported, interactive e-learning systems are widely used in the teaching of physiology. However, the currently available complimentary software tools in the field of the physiology of cardiovascular mechanics have not yet been adapted to the latest systems software. Therefore, a simple-to-use replacement for undergraduate and graduate students' education was needed, including an up-to-date graphical software that is validated and field-tested.01A - Beitrag in wissenschaftlicher Zeitschrift