Validation of non-invasive body-surface gastric mapping for detecting gastric slow wave spatiotemporal features by simultaneous serosal mapping in porcine

Gastric disorders are increasingly prevalent, but reliable non-invasive tools to objectively assess gastric function are lacking. Body-surface gastric mapping (BSGM) is a non-invasive method for the detection of gastric electrophysiological features, which have correlated with symptoms in patients with gastroparesis and functional dyspepsia. Previous studies have validated the relationship between serosal and cutaneous recordings from limited number of channels. This study aimed to comprehensively evaluate the basis of BSGM from 64 cutaneous channels and reliably identify spatial biomarkers associated with slow wave dysrhythmias. High-resolution electrode arrays were placed to simultaneously capture slow waves from the gastric serosa (32×6 electrodes at 4 mm spacing) and epigastrium (8×8 at 20 mm spacing) in 14 porcine subjects. BSGM signals were processed based on a combination of wavelet and phase information analyses. A total of 1185 individual cycles of slow waves were assessed, out of which 897 (76%) were classified as normal antegrade waves, occurring in 10 (71%) subjects studied. BSGM accurately detected the underlying slow wave in terms of frequency (r = 0.99, p = 0.43) as well as the direction of propagation (p = 0.41, F-measure: 0.92). In addition, the cycle-by-cycle match between BSGM and transitions of gastric slow waves dysrhythmias was demonstrated. These results validate BSGM as a suitable method for non-invasively and accurately detecting gastric slow wave spatiotemporal profiles from the body-surface.

留言 (0)

沒有登入
gif