Learned Finite Element-based Regularization of the Inverse Problem in Electrocardiographic Imaging

πŸ“… 2026-02-07
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This work addresses the highly ill-posed inverse problem of electrocardiographic imaging (ECGI), which requires strong regularization to noninvasively reconstruct cardiac electrical activity from body-surface potentials. The authors propose a novel spatiotemporal joint regularization framework that, for the first time, integrates a learned temporal Fields-of-Experts (FoE) prior with finite-element-based spatial discretization on unstructured epicardial meshes to model complex spatiotemporal activation patterns. A scalable optimization algorithm is designed for efficient solution of the resulting inverse problem. By explicitly leveraging the physiological temporal structure inherent in cardiac electrophysiology, the method significantly outperforms conventional handcrafted spatiotemporal regularization approaches, demonstrating superior noise robustness, higher reconstruction accuracy, and improved physiological plausibility on synthetic epicardial data.

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πŸ“ Abstract
Electrocardiographic imaging (ECGI) seeks to reconstruct cardiac electrical activity from body-surface potentials noninvasively. However, the associated inverse problem is severely ill-posed and requires robust regularization. While classical approaches primarily employ spatial smoothing, the temporal structure of cardiac dynamics remains underexploited despite its physiological relevance. We introduce a space-time regularization framework that couples spatial regularization with a learned temporal Fields-of-Experts (FoE) prior to capture complex spatiotemporal activation patterns. We derive a finite element discretization on unstructured cardiac surface meshes, prove Mosco-convergence, and develop a scalable optimization algorithm capable of handling the FoE term. Numerical experiments on synthetic epicardial data demonstrate improved denoising and inverse reconstructions compared to handcrafted spatiotemporal methods, yielding solutions that are both robust to noise and physiologically plausible.
Problem

Research questions and friction points this paper is trying to address.

Electrocardiographic imaging
inverse problem
regularization
spatiotemporal dynamics
ill-posedness
Innovation

Methods, ideas, or system contributions that make the work stand out.

spatiotemporal regularization
learned FoE prior
finite element discretization
inverse problem
electrocardiographic imaging
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