Performance of the single-signal instantaneous frequency modulation (iFM)/ instantaneous amplitude modulation (iAM) algorithm to detect rotational-footprints in optical movies from sheep with persistent atrial fibrillation.
A, Snapshots from sheep no. 1 (Online Movie V) with a drifting rotor (top row) that eventually leaves the field of view. Then, planar wavefronts are observed. The single-signal algorithm yielded positive results (white +) in the pixels near the pivoting point of the drifting rotor (phase singularity [PS]), but no pixel was tagged positive during planar wavefront intervals. Considering a 1.25 mm tolerance (light blue areas, width equal to the radius of an ablation electrode), both PS and iFM/iAM maps were extremely similar. B, Snapshots from sheep no. 2 (Online Movie VI) displaying an interval with centrifugal activation. C, Snapshots from sheep no. 3 (Online Movie VII) displaying an interval (1690–2595 ms) with breakthrough activations. The signal from the pixel marked with a gray square is shown during the same time interval, when a simultaneous increase in iFM and iAM is present. Therefore, the initial breakthroughs might be the result of a scroll wave with a changing filament approaching the mapped surface. Indeed, this breakthrough activation eventually turned into a drifting figure-of-eight reentry. D, Summary of sensitivity (sens) and specificity (spec) using the optimal parameter combinations for the iFM/iAM algorithm (n=117 optical mapping movies). Data displayed normal distribution (Shapiro-Wilk test) and are shown as mean and SD.