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150  Chapter 4 Data-driven reduction of cardiac models




                                         tional features for a second model f 2 :[θ,f 1 (θ)] → v dr . Further, we
                                         also consider a variant of the second model, in which components
                                         of v dr are iteratively estimated, and used as additional features for
                                         the regression of the remaining ones. This defines a total of four
                                         methods:
                                         M 1 use only θ as model input;
                                         M 2 use [θ,f 1 ] as model input
                                         M 3 use [θ,v dr (1),···v dr (i)] as model input to predict v dr (i + 1)
                                         M 4 use [θ,f 1 ,v dr (1),···v dr (i)] as model input to predict v dr (i +1)
                                            We evaluate the four methods using both MARS and PPR for
                                                                            pca
                                         model estimatation. The embedding Ω   is generated as the span
                                                                            AP
                                         of 15 PCA components.
                                            We report in Table 4.5 the fitting errors of different quantities
                                         of interest of the action potential profile, when using a model
                                         estimated by PPR using the four different methods. All reported
                                         errors are computed as the difference between the quantity as ex-
                                         tracted from the predicted action potential profile, and the quan-
                                         tity extracted from the ground truth profile; normalized by the
                                         mean value of the same quantity in the training database. Small
                                         errors in MAD and V rest suggest that the profiles estimated by
                                         the model capture correctly the amplitude of the action potential;
                                         small errors in APD suggest that the time pattern is properly re-
                                         constructed; small errors in AUC indicate a global goodness of fit,
                                         with no significant localized discrepancies between the predicted
                                         and ground truth action potential profiles. The results indicate
                                         that using f 1 as additional input parameter for model estimation
                                         reduces the error in APD,butnottheerrorin MAD. Introducing
                                         the iterative estimation of the components of v dr significantly de-
                                         creases the MAD error. Overall, method M 4 produces the most
                                         accurate prediction. An example of the estimated action potential
                                         profiles by PPR with M 4 is shown in Fig. 4.21.
                                            The model estimated with MARS achieved comparable perfor-
                                         mance when using method M 4 , and slightly lower performance
                                         when using the other methods. MARS has a potential advantage
                                         over PPR since it produces faster predictions thanks to a simpler
                                         model structure. This can be relevant for applications requiring
                                         repeated estimation of the action potential profile, such as param-
                                         eter estimation for model personalization.

                                         4.2.2.4 Application in tissue-level EP modeling
                                            We tested the application of the regression cellular model to
                                         the study of the electrical activation of cardiac tissue. Starting from
                                         diagnostic cardiac images, the left atrium and right atrium are au-
                                         tomatically segmented using a machine learning approach [31]
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