Hans Dierckx

Nathan Dermul, Hans Dierckx

Cardiac arrhythmogenesis is governed by complex electromechanical interactions that are not directly observable in vivo, motivating the development of non-invasive computational approaches for reconstructing three-dimensional activation dynamics. We present a physics-informed neural network framework for recovering cardiac activation patterns, active tension propagation, deformation fields, and hydrostatic pressure from measurable deformation data in simplified left ventricular geometries. Our approach integrates nonlinear anisotropic constitutive modeling, heterogeneous fiber orientation, weak formulations of the governing mechanics, and finite-element-based loss functions to embed physical constraints directly into training. We demonstrate that the proposed framework accurately reconstructs spatiotemporal activation dynamics under varying levels of measurement noise and reduced spatial resolution, while preserving global propagation patterns and activation timing. By coupling mechanistic modeling with data-driven inference, this method establishes a pathway toward patient-specific, non-invasive reconstruction of cardiac activation, with potential applications in digital phenotyping and computational support for arrhythmia assessment.

Maarten Volkaerts, Marie Cloet, Hans Dierckx et al.

We present a Bayesian approach to estimate the parameters of mathematical models of cardiac electrophysiology with quantified uncertainty. Such models capture the dynamics of the electrical signal that coordinates the muscle cell contraction in the heart wall and can support cardiac arrhythmia treatment. We consider an illustrative case motivated by a cardiac arrhythmia, namely, by intra-atrial reentrant tachycardia. We estimate a low-dimensional geometrical parameter that describes the boundary of an electrically non-conducting region in the heart tissue from synthetic electrical measurements outside of the tissue. Instead of relying on a deterministic fit for this region, we estimate a posterior distribution on the geometrical parameter using Bayesian inference that captures the uncertainty due to measurement errors. We propose a likelihood based on a set of quantities that characterize the data for improved accuracy. To efficiently approximate the posterior distribution, we propose a compressed likelihood function and an adapted Metropolis-Hastings (MH) algorithm. We obtain an algorithm that strongly decreases the number of samples by using an adaptive proposal strategy. Our algorithm also gives attention to the impact of discretization errors on inference outcomes, as these introduce artificial discontinuities in the posterior if not properly addressed. We account for discretization errors in the likelihood and in the accept-reject step of our adapted MH algorithm to improve the robustness of our estimates and to further increase the sampling efficiency. All of these elements combined give us a method that efficiently estimates the non-conducting parameters with uncertainty. We perform several experiments with different amounts of measurement noise and illustrate how this translates into the posterior distributions.