Open-source environment for interactive finite element modeling of optimal ICD electrode placement

Abstract

Placement of Implantable Cardiac Defibrillator (ICD) leads in children and some adults is challenging due to anatomical factors. As a result, novel ad hoc non-transvenous implant techniques have been employed clinically. We describe an open-source subject-specific, image-based finite element modeling software environment whose long term goal is determining optimal electrode placement in special populations of adults and children Segmented image-based finite element models of two children and one adult were created from CT scans and appropriate tissue conductivities were assigned. The environment incorporates an interactive electrode placement system with a library of clinically-based, user-configurable electrodes. Finite element models are created from the electrode poses within the torsos and the resulting electric fields, current, and voltages computed and visualized. © Springer-Verlag Berlin Heidelberg 2007.