878 research outputs found
Stent implant follow-up in intravascular optical coherence tomography images
The objectives of this article are (i) to
utilize computer methods in detection of stent struts
imaged in vivo by optical coherence tomography
(OCT) during percutaneous coronary interventions
(PCI); (ii) to provide measurements for the assessment
and monitoring of in-stent restenosis by OCT post PCI.
Thirty-nine OCT cross-sections from seven pullbacks
from seven patients presenting varying degrees of
neointimal hyperplasia (NIH) are selected, and stent
struts are detected. Stent and lumen boundaries are
reconstructed and one experienced observer analyzed
the strut detection, the lumen and stent area measurements,
as well as the NIH thickness in comparison to
manual tracing using the reviewing software provided
by the OCT manufacturer (LightLab Imaging, MA,
USA). Very good agreements were found between
the computer methods and the expert evaluations
for lumen cross-section area (mean difference =
0.11 ± 0.70 mm2; r2 = 0.98, P\ 0.0001) and the
stent cross-section area (mean difference = 0.10 ±
1.28 mm2; r2 = 0.85, P value\ 0.0001). The average
number of detected struts was 10.4 ± 2.9 per crosssection
when the expert identified 10.5 ± 2.8
(r2 = 0.78, P value\0.0001). For the given patient
dataset: lumen cross-sectional area was on the average
(6.05 ± 1.87 mm2), stent cross-sectional area was
(6.26 ± 1.63 mm2), maximum angle between struts
was on the average (85.96 ± 54.23), maximum,
average, and minimum distance between the stent
and the lumen were (0.18 ± 0.13 mm), (0.08 ±
0.06 mm), and (0.01 ± 0.02 mm), respectively, and
stent eccentricity was (0.80 ± 0.08). Low variability
between the expert and automatic method was
observed in the computations of the most important
parameters assessing the degree of neointimal tissue
growth in stents imaged by OCT pullbacks. After
further extensive validation, the presented methods
might offer a robust automated tool that will improve
the evaluation and follow-up monitoring of in-stent
restenosis in patients
A New 3-D automated computational method to evaluate in-stent neointimal hyperplasia in in-vivo intravascular optical coherence tomography pullbacks
Abstract. Detection of stent struts imaged in vivo by optical coherence
tomography (OCT) after percutaneous coronary interventions (PCI) and
quantification of in-stent neointimal hyperplasia (NIH) are important.
In this paper, we present a new computational method to facilitate the
physician in this endeavor to assess and compare new (drug-eluting)
stents. We developed a new algorithm for stent strut detection and utilized
splines to reconstruct the lumen and stent boundaries which provide
automatic measurements of NIH thickness, lumen and stent area. Our
original approach is based on the detection of stent struts unique characteristics:
bright reflection and shadow behind. Furthermore, we present
for the first time to our knowledge a rotation correction method applied
across OCT cross-section images for 3D reconstruction and visualization
of reconstructed lumen and stent boundaries for further analysis in
the longitudinal dimension of the coronary artery. Our experiments over
OCT cross-sections taken from 7 patients presenting varying degrees of
NIH after PCI illustrate a good agreement between the computer method
and expert evaluations: Bland-Altmann analysis revealed a mean difference
for lumen cross-section area of 0.11 ± 0.70mm2 and for the stent
cross-section area of 0.10 ± 1.28mm2
Recommended from our members
Shape-driven segmentation of the arterial wall in intravascular ultrasound images
Segmentation of arterial wall boundaries from intravascular images is an important problem for many applications in the study of plaque characteristics, mechanical properties of the arterial wall, its 3D reconstruction,
and its measurements such as lumen size, lumen radius, and wall radius. We present a shape-driven approach to segmentation of the arterial wall from intravascular ultrasound images in the rectangular domain. In a properly built
shape space using training data, we constrain the lumen and media-adventitia contours to a smooth, closed geometry, which increases the segmentation quality without any tradeoff with a regularizer term. In addition to a shape prior,
we utilize an intensity prior through a non-parametric probability density based image energy, with global image measurements rather than pointwise measurements used in previous methods. Furthermore, a detection step is included to address the challenges introduced to the segmentation process by side branches and calcifications. All these features greatly enhance our segmentation method. The tests of our algorithm on a large dataset demonstrate the effectiveness of our approach
Shape-driven segmentation of the arterial wall in intravascular ultrasound images
Segmentation of arterial wall boundaries from intravascular images is an important problem for many applications in the study of plaque characteristics, mechanical properties of the arterial wall, its 3D reconstruction,
and its measurements such as lumen size, lumen radius, and wall radius. We present a shape-driven approach to segmentation of the arterial wall from intravascular ultrasound images in the rectangular domain. In a properly built
shape space using training data, we constrain the lumen and media-adventitia contours to a smooth, closed geometry, which increases the segmentation quality without any tradeoff with a regularizer term. In addition to a shape prior,
we utilize an intensity prior through a non-parametric probability density based image energy, with global image measurements rather than pointwise measurements used in previous methods. Furthermore, a detection step is included to address the challenges introduced to the segmentation process by side branches and calcifications. All these features greatly enhance our segmentation method. The tests of our algorithm on a large dataset demonstrate the effectiveness of our approach
Analysis and compensation for the effect of the catheter position on image intensities in intravascular optical coherence tomography
Cardiovascular Aspects of Radiolog
Advanced deep learning methodology for accurate, real-time segmentation of high-resolution intravascular ultrasound images
AIMS: The aim of this study is to develop and validate a deep learning (DL) methodology capable of automated and accurate segmentation of intravascular ultrasound (IVUS) image sequences in real-time. METHODS AND RESULTS: IVUS segmentation was performed by two experts who manually annotated the external elastic membrane (EEM) and lumen borders in the end-diastolic frames of 197 IVUS sequences portraying the native coronary arteries of 65 patients. The IVUS sequences of 177 randomly-selected vessels were used to train and optimise a novel DL model for the segmentation of IVUS images. Validation of the developed methodology was performed in 20 vessels using the estimations of two expert analysts as the reference standard. The mean difference for the EEM, lumen and plaque area between the DL-methodology and the analysts was ≤0.23mm2 (standard deviation ≤0.85mm2), while the Hausdorff and mean distance differences for the EEM and lumen borders was ≤0.19 mm (standard deviation≤0.17 mm). The agreement between DL and experts was similar to experts' agreement (Williams Index ranges: 0.754-1.061) with similar results in frames portraying calcific plaques or side branches. CONCLUSIONS: The developed DL-methodology appears accurate and capable of segmenting high-resolution real-world IVUS datasets. These features are expected to facilitate its broad adoption and enhance the applications of IVUS in clinical practice and research
Intravascular Ultrasound
Intravascular ultrasound (IVUS) is a cardiovascular imaging technology using a specially designed catheter with a miniaturized ultrasound probe for the assessment of vascular anatomy with detailed visualization of arterial layers. Over the past two decades, this technology has developed into an indispensable tool for research and clinical practice in cardiovascular medicine, offering the opportunity to gather diagnostic information about the process of atherosclerosis in vivo, and to directly observe the effects of various interventions on the plaque and arterial wall. This book aims to give a comprehensive overview of this rapidly evolving technique from basic principles and instrumentation to research and clinical applications with future perspectives
Computer Vision Techniques for Transcatheter Intervention
Minimally invasive transcatheter technologies have demonstrated substantial promise for the diagnosis and treatment of cardiovascular diseases. For example, TAVI is an alternative to AVR for the treatment of severe aortic stenosis and TAFA is widely used for the treatment and cure of atrial fibrillation. In addition, catheter-based IVUS and OCT imaging of coronary arteries provides important information about the coronary lumen, wall and plaque characteristics. Qualitative and quantitative analysis of these cross-sectional image data will be beneficial for the evaluation and treatment of coronary artery diseases such as atherosclerosis. In all the phases (preoperative, intraoperative, and postoperative) during the transcatheter intervention procedure, computer vision techniques (e.g., image segmentation, motion tracking) have been largely applied in the field to accomplish tasks like annulus measurement, valve selection, catheter placement control, and vessel centerline extraction. This provides beneficial guidance for the clinicians in surgical planning, disease diagnosis, and treatment assessment. In this paper, we present a systematical review on these state-of-the-art methods.We aim to give a comprehensive overview for researchers in the area of computer vision on the subject of transcatheter intervention. Research in medical computing is multi-disciplinary due to its nature, and hence it is important to understand the application domain, clinical background, and imaging modality so that methods and quantitative measurements derived from analyzing the imaging data are appropriate and meaningful. We thus provide an overview on background information of transcatheter intervention procedures, as well as a review of the computer vision techniques and methodologies applied in this area
- …