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Chapter 2 Implementation of a patient-specific cardiac model 55




                     0.005 ms, 0.01 ms and 0.05 ms. The tissue sample was stimulated
                     in a cube of size 1.5 × 1.5 × 1.5 mm at one of the corners and the
                     activation times were reported at all the corners, the center of the
                     sample as well as a plane passing through the center. The problem
                     geometry is shown in Fig. 2.13.
                        It was found that despite the simplicity of the problem geom-
                     etry, there was considerable variability among the results, espe-
                     cially at the coarser grid sizes. There was inter-model variability,
                     even if the underlying numerical scheme was the same (i.e., finite-
                     element or finite-difference) due to differences in the nature of
                     interpolations and mass lumping [213].





















                     Figure 2.13. Schematic of the problem geometry from [221]. A tissue sample of size
                     20 mm× 7mm× 3 mm is stimulated in the cube marked S. The activation times are
                     reported at points P1 to P9, as well as on the slice shown in (B). (Source: [221].)

                        Since the authors have made available the detailed results for
                     this benchmark, it could be used to demonstrate the validity of the
                     LBM based approach described here. Fig. 2.14 shows the depolar-
                     ization times along the diagonal P1–P8 of the computational do-
                     main obtained by the different groups who took part in the bench-
                     mark (boxes A-K) along with the LBM-EP results (box L). It can
                     be seen that the depolarization times computed by LBM-EP are
                     consistent with those obtained with existing finite-difference and
                     finite-element based solvers. Interestingly, the results are closest
                     to those obtained with the finite-element solver CHASTE (box A),
                     with the coarsest resolution over-predicting the speed of the depo-
                     larization wave. The other Cartesian-grid based solvers have large
                     errors at the coarsest grid size, significantly underpredicting the
                     speed of the depolarization wave. The differences in depolariza-
                     tion time with changing spatial resolution are much smaller for
                     LBM-EP. For this benchmark problem, LBM-EP demonstrates ac-
                     curacy comparable to the existing state-of-the-art solvers.
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