Learning cardiac activation and repolarization times with operator learning

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Authors: Giovanni Ziarelli, Edoardo Centofanti, Nicola Parolini, Simone Scacchi, Marco Verani, Luca F. Pavarino
Cited by: 1
References: 52

Abstract

Solving partial or ordinary differential equation models in cardiac electrophysiology is a computationally demanding task, particularly when high-resolution meshes are required to capture the complex dynamics of the heart. Moreover, in clinical applications, it is essential to employ computational tools that provide only relevant information, ensuring clarity and ease of interpretation. In this work, we exploit two recently proposed operator learning approaches, namely Fourier Neural Operators (FNO) and Kernel Operator Learning (KOL), to learn the operator mapping the applied stimulus in the physical domain into the activation and repolarization time distributions. These data-driven methods are evaluated on synthetic 2D and 3D domains, as well as on a physiologically realistic left ventricle geometry. Notably, while the learned map between the applied current and activation time has its modeling counterpart in the Eikonal model, no equivalent partial differential equation (PDE) model is known for the map between the applied current and repolarization time. Our results demonstrate that both FNO and KOL approaches are robust to hyperparameter choices and computationally efficient compared to traditional PDE-based Monodomain models. These findings highlight the potential use of these surrogate operators to accelerate cardiac simulations and facilitate their clinical integration.

Fields of Study & Subjects

Cardiac electrophysiology and arrhythmias Model Reduction and Neural Networks ECG Monitoring and Analysis

Publication details

Journal / source
PLoS Computational Biology
Publisher
Public Library of Science (PLoS)
Volume
22
Issue
1
Pages
e1013920–e1013920
Publication date
27 January 2026
Language
EN