The accuracy of localizing source currents within the human heart by non-in
vasive magneto- and electrocardiographic methods was investigated in 10 pat
ients. A non-magnetic stimulation catheter inside the heart served as a ref
erence current source. Biplane fluoroscopic imaging with lead bail markers
was used to record the catheter position. Simultaneous multichannel magneto
cardiographic (MCG) and body surface potential mapping (BSPM) recordings we
re performed during catheter pacing. Equivalent current dipole localization
s were computed from MCG and BSPM data, employing standard and patient-spec
ific boundary element torso models. Using individual models with the lungs
included, the average MCG localization error was 7 +/- 3 mm, whereas the av
erage BSPM localization error was 25 +/- 4 mm. In the simplified case of a
single homogeneous standard torso model, an average error of 9 +/- 3 mm was
obtained from MCG recordings. The MCG localization accuracies obtained in
this study imply that the capability of multichannel MCG to locate dipolar
sources is sufficient for clinical purposes, even without constructing indi
vidual torso models from x-ray or from magnetic resonance images.