Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology

Abstract The electrophysiological signals recorded by cutaneous electrodes, known as body surface potentials (BSPs), are widely employed biomarkers in medical diagnosis. Despite their widespread application and success in detecting various conditions, the poor spatial resolution of traditional BSP m...

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Main Authors: Ruben Ruiz‐Mateos Serrano, Dario Farina, George G. Malliaras
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202411087
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author Ruben Ruiz‐Mateos Serrano
Dario Farina
George G. Malliaras
author_facet Ruben Ruiz‐Mateos Serrano
Dario Farina
George G. Malliaras
author_sort Ruben Ruiz‐Mateos Serrano
collection DOAJ
description Abstract The electrophysiological signals recorded by cutaneous electrodes, known as body surface potentials (BSPs), are widely employed biomarkers in medical diagnosis. Despite their widespread application and success in detecting various conditions, the poor spatial resolution of traditional BSP measurements poses a limit to their diagnostic potential. Advancements in the field of bioelectronics have facilitated the creation of compact, high‐quality, high‐density recording arrays for cutaneous electrophysiology, allowing detailed spatial information acquisition as BSP maps (BSPMs). Currently, the design of electrode arrays for BSP mapping lacks a standardized framework, leading to customizations for each clinical study, limiting comparability, reproducibility, and transferability. This perspective proposes preliminary design guidelines, drawn from existing literature, rooted solely in the physical properties of electrophysiological signals and mathematical principles of signal processing. These guidelines aim to simplify and generalize the optimization process for electrode array design, fostering more effective and applicable clinical research. Moreover, the increased spatial information obtained from BSPMs introduces interpretation challenges. To mitigate this, two strategies are outlined: observational transformations that reconstruct signal sources for intuitive comprehension, and machine learning‐driven diagnostics. BSP mapping offers significant advantages in cutaneous electrophysiology with respect to classic electrophysiological recordings and is expected to expand into broader clinical domains in the future.
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spelling doaj-art-42b6e53860c34afcaac30074cee765e62025-01-29T09:50:18ZengWileyAdvanced Science2198-38442025-01-01124n/an/a10.1002/advs.202411087Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous ElectrophysiologyRuben Ruiz‐Mateos Serrano0Dario Farina1George G. Malliaras2Electrical Engineering Division, Department of EngineeringUniversity of CambridgeCambridge CB3 0FA UKDepartment of BioengineeringFaculty of Engineering, Imperial College LondonLondonW12 7TAUKElectrical Engineering Division, Department of EngineeringUniversity of CambridgeCambridge CB3 0FA UKAbstract The electrophysiological signals recorded by cutaneous electrodes, known as body surface potentials (BSPs), are widely employed biomarkers in medical diagnosis. Despite their widespread application and success in detecting various conditions, the poor spatial resolution of traditional BSP measurements poses a limit to their diagnostic potential. Advancements in the field of bioelectronics have facilitated the creation of compact, high‐quality, high‐density recording arrays for cutaneous electrophysiology, allowing detailed spatial information acquisition as BSP maps (BSPMs). Currently, the design of electrode arrays for BSP mapping lacks a standardized framework, leading to customizations for each clinical study, limiting comparability, reproducibility, and transferability. This perspective proposes preliminary design guidelines, drawn from existing literature, rooted solely in the physical properties of electrophysiological signals and mathematical principles of signal processing. These guidelines aim to simplify and generalize the optimization process for electrode array design, fostering more effective and applicable clinical research. Moreover, the increased spatial information obtained from BSPMs introduces interpretation challenges. To mitigate this, two strategies are outlined: observational transformations that reconstruct signal sources for intuitive comprehension, and machine learning‐driven diagnostics. BSP mapping offers significant advantages in cutaneous electrophysiology with respect to classic electrophysiological recordings and is expected to expand into broader clinical domains in the future.https://doi.org/10.1002/advs.202411087BSPMelectrophysiologyhigh‐densitymappingwearables
spellingShingle Ruben Ruiz‐Mateos Serrano
Dario Farina
George G. Malliaras
Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology
Advanced Science
BSPM
electrophysiology
high‐density
mapping
wearables
title Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology
title_full Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology
title_fullStr Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology
title_full_unstemmed Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology
title_short Body Surface Potential Mapping: A Perspective on High‐Density Cutaneous Electrophysiology
title_sort body surface potential mapping a perspective on high density cutaneous electrophysiology
topic BSPM
electrophysiology
high‐density
mapping
wearables
url https://doi.org/10.1002/advs.202411087
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AT dariofarina bodysurfacepotentialmappingaperspectiveonhighdensitycutaneouselectrophysiology
AT georgegmalliaras bodysurfacepotentialmappingaperspectiveonhighdensitycutaneouselectrophysiology