Semantic Segmentation to Extract Coronary Arteries in Invasive Coronary Angiograms

Accurate semantic segmentation of each coronary artery using invasive coronary angiography (ICA) is important for stenosis assessment and coronary artery disease (CAD) diagnosis. In this paper, we propose a multi-step semantic segmentation algorithm based on analyzing arterial sements extraced from ICAs. The proposed algorithm firstly extracts the entire arterial binary mask (binary vascular tree) using a deep learning-based method. Then we extract the centerline of the binary vascular tree and separate it into different arterial segments. Finally, by extracting the underlyingarterial topology, position, and pixel features, we construct a powerful coronary artery segment classifier based on a support vector machine. Each arterial segment is classified into the left coronary artery (LCA), left anterior descending (LAD), and other types of arterial segments. The proposed method was tested on a dataset with 225 ICAs and achieved a mean accuracy of 70.33% for the multi-class artery classification and a mean intersection over union of 0.6868 for semantic segmentation of arteries. The experimental results show the effectiveness of the proposed algorithm, which provides impressive performance for analyzing the individual arteries in ICAs

Semantic Segmentation to Extract Coronary Arteries in Invasive Coronary Angiograms

Accurate semantic segmentation of each coronary artery using invasive coronary angiography (ICA) is important for stenosis assessment and coronary artery disease (CAD) diagnosis. In this paper, we propose a multi-step semantic segmentation algorithm based on analyzing arterial segments extracted from ICAs. The proposed algorithm firstly extracts the entire arterial binary mask (binary vascular tree) using a deep learning-based method. Then we extract the centerline of the binary vascular tree and separate it into different arterial segments. Finally, by extracting the underlying arterial topology, position, and pixel features, we construct a powerful coronary artery segment classifier based on a support vector machine. Each arterial segment is classified into the left coronary artery (LCA), left anterior descending (LAD), and other types of arterial segments. The proposed method was tested on a dataset with 225 ICAs and achieved a mean accuracy of 70.33% for the multi-class artery classification and a mean intersection over union of 0.6868 for semantic segmentation of arteries. The experimental results show the effectiveness of the proposed algorithm, which provides impressive performance for analyzing the individual arteries in ICAs

Semantic Segmentation to Extract Coronary Arteries in Invasive Coronary Angiograms

Accurate semantic segmentation of each coronary artery using invasive coronary angiography (ICA) is important for stenosis assessment and coronary artery disease (CAD) diagnosis. In this paper, we propose a multi-step semantic segmentation algorithm based on analyzing arterial sements extraced from ICAs. The proposed algorithm firstly extracts the entire arterial binary mask (binary vascular tree) using a deep learning-based method. Then we extract the centerline of the binary vascular tree and separate it into different arterial segments. Finally, by extracting the underlyingarterial topology, position, and pixel features, we construct a powerful coronary artery segment classifier based on a support vector machine. Each arterial segment is classified into the left coronary artery (LCA), left anterior descending (LAD), and other types of arterial segments. The proposed method was tested on a dataset with 225 ICAs and achieved a mean accuracy of 70.33% for the multi-class artery classification and a mean intersection over union of 0.6868 for semantic segmentation of arteries. The experimental results show the effectiveness of the proposed algorithm, which provides impressive performance for analyzing the individual arteries in ICAs

Deep Learning for Medical Image Segmentation using Prior Knowledge and Topology

Image segmentation refers to the division of a digital image into distinct segments or groups of pixels/voxels. However, most of the existing deep learning approaches lack the utilization of prior knowledge, such as shape information, which could improve segmentation accuracy. In addition, conventional image segmentation frequently falls short in preserving intricate spatial details, motivating the innovation of strategies for multi-scaled feature integration. Furthermore, traditional image segmentation methods primarily concentrate on pixel-level or region-level analysis. However, given the inherent morphological similarities among various image objects, the significance of topology information surpasses that of pixel-level data in the realm of medical image semantic segmentation, and the incorporation of topology information for image segmentation is important. The first aim of this dissertation is to incorporate shape priors into medical image segmentation. A shape-prior-V-Net (SP-V-Net) is proposed, which contains a shape transformation module to refine the segmentation results according to the shape prior. SP-V-Net has been applied to lung segmentation and proximal femur segmentation. The second aim aims to improve image segmentation by leveraging hierarchical features. Two approaches are proposed: the feature pyramid U-Net++ (FP-U-Net++), which dynamically aggregates the feature pyramid in the decoder of U-Net ++, and the multi-input multi-scale U-Net (MIMS U-Net), which integrates the features in the encoder of the U-Net. The third aim explores topology-based image semantic segmentation using graph neural networks. Three graph-matching networks have been developed, including association graph-based, edge attention graph matching, and hyper-association graph matching networks. The proposed graph-matching networks convert the graph-matching problems into a vertex classification problem using an association graph, where the positive vertex indicates the nodes from two individual graphs are matched. These models were applied to coronary artery semantic labeling on invasive coronary angiograms. Moreover, this study presents a pioneering approach for topology-based image semantic labeling using graph matching. The successful completion of these aims contributes technically accurate and clinically applicable algorithms and techniques for medical image segmentation. The outcomes of this dissertation provide valuable tools for the medical imaging and computer vision communities, advancing the field and improving patient care through accurate and efficient medical image segmentation

Quantitative predictions of cerebral arterial labeling employing neural network ensemble orchestrate precise investigation in brain frailty of cerebrovascular disease

학위논문(석사) -- 서울대학교대학원 : 자연과학대학 협동과정 뇌과학전공, 2023. 2. 김상윤서우근(공동지도교수).Identifying the cerebral arterial branches is essential for undertaking a computational approach to cerebrovascular imaging. However, the complexity and inter-individual differences involved in this process have not been thoroughly studied. We used machine learning to examine the anatomical profile of the cerebral arterial tree. The method is less sensitive to inter-subject and cohort-wise anatomical variations and exhibits robust performance with an unprecedented in-depth vessel range. We applied machine learning algorithms to disease-free healthy control subjects (n = 42), patients with stroke with intracranial atherosclerosis (ICAS) (n = 46), and patients with stroke mixed with the existing controls (n = 69). We trained and tested 70% and 30% of each study cohort, respectively, incorporating spatial coordinates and geometric vessel feature vectors. Cerebral arterial images were analyzed based on the segmentation-stacking method using magnetic resonance angiography. We precisely classified the cerebral arteries across the exhaustive scope of vessel components using advanced geometric characterization, redefinition of vessel unit conception, and post-processing algorithms. We verified that the neural network ensemble, with multiple joint models as the combined predictor, classified all vessel component types independent of inter-subject variations in cerebral arterial anatomy. The validity of the categorization performance of the model was tested, considering the control, ICAS, and control-blended stroke cohorts, using the area under the receiver operating characteristic (ROC) curve and precision-recall curve. The classification accuracy rarely fell outside each images 90–99% scope, independent of cohort-dependent cerebrovascular structural variations. The classification ensemble was calibrated with high overall area rates under the ROC curve of 0.99–1.00 [0.97–1.00] in the test set across various study cohorts. Identifying an all-inclusive range of vessel components across controls, ICAS, and stroke patients, the accuracy rates of the prediction were: internal carotid arteries, 91–100%; middle cerebral arteries, 82–98%; anterior cerebral arteries, 88–100%; posterior cerebral arteries, 87–100%; and collections of superior, anterior inferior, and posterior inferior cerebellar arteries, 90–99% in the chunk-level classification. Using a voting algorithm on the queued classified vessel factors and anatomically post-processing the automatically classified results intensified quantitative prediction performance. We employed stochastic clustering and deep neural network ensembles. Machine intelligence-assisted prediction of vessel structure allowed us to personalize quantitative predictions of various types of cerebral arterial structures, contributing to precise and efficient decisions regarding cerebrovascular disease.CHAPTER 1. AUTOMATED IN-DEPTH CEREBRAL ARTERIAL LABELING USING CEREBROVASCULAR VASCULATURE REFRAMING AND DEEP NEURAL NETWORKS 8 1.1. INTRODUCTION 8 1.2.1. Study design and subjects 9 1.2.2. Imaging preparation 11 1.2.2.1. Magnetic resonance machine 11 1.2.2.2. Magnetic resonance sequence 11 1.2.2.3. Region growing 11 1.2.2.4. Feature extraction 11 1.2.3. Reframing hierarchical cerebrovasculature 12 1.2.4. Classification method development 14 1.2.4.1. Two-step modeling 14 1.2.4.2. Validation 16 1.2.4.3. Statistics 16 1.2.4.4. Data availability 16 1.3. RESULTS 16 1.3.1. Subject characteristics 16 1.3.2. Vascular component characteristics 21 1.3.3. Testing the appropriateness of the reframed vascular structure 24 1.3.4. Step 1 modeling: chunk 24 1.3.5. Step 2 modeling: branch 26 1.3.6. Vascular morphological features according to the vascular risk factors 31 1.3.7. The profiles of geometric feature vectors weighted on deep neural networks 31 1.4. DISCUSSION 35 1.4.1. The role of neural networks in this study 36 1.4.2. Paradigm-shifting vascular unit reframing 36 1.4.3. Limitations and future directions 37 1.5. CONCLUSIONS 38 1.6. ACKNOWLEDGEMENTS 38 1.7. FUNDING 39 BIBLIOGRAPHY 40석

Computerized Analysis of Magnetic Resonance Images to Study Cerebral Anatomy in Developing Neonates

The study of cerebral anatomy in developing neonates is of great importance for the understanding of brain development during the early period of life. This dissertation therefore focuses on three challenges in the modelling of cerebral anatomy in neonates during brain development. The methods that have been developed all use Magnetic Resonance Images (MRI) as source data. To facilitate study of vascular development in the neonatal period, a set of image analysis algorithms are developed to automatically extract and model cerebral vessel trees. The whole process consists of cerebral vessel tracking from automatically placed seed points, vessel tree generation, and vasculature registration and matching. These algorithms have been tested on clinical Time-of- Flight (TOF) MR angiographic datasets. To facilitate study of the neonatal cortex a complete cerebral cortex segmentation and reconstruction pipeline has been developed. Segmentation of the neonatal cortex is not effectively done by existing algorithms designed for the adult brain because the contrast between grey and white matter is reversed. This causes pixels containing tissue mixtures to be incorrectly labelled by conventional methods. The neonatal cortical segmentation method that has been developed is based on a novel expectation-maximization (EM) method with explicit correction for mislabelled partial volume voxels. Based on the resulting cortical segmentation, an implicit surface evolution technique is adopted for the reconstruction of the cortex in neonates. The performance of the method is investigated by performing a detailed landmark study. To facilitate study of cortical development, a cortical surface registration algorithm for aligning the cortical surface is developed. The method first inflates extracted cortical surfaces and then performs a non-rigid surface registration using free-form deformations (FFDs) to remove residual alignment. Validation experiments using data labelled by an expert observer demonstrate that the method can capture local changes and follow the growth of specific sulcus

Deep learning for cardiac image segmentation: A review

Deep learning has become the most widely used approach for cardiac image segmentation in recent years. In this paper, we provide a review of over 100 cardiac image segmentation papers using deep learning, which covers common imaging modalities including magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound (US) and major anatomical structures of interest (ventricles, atria and vessels). In addition, a summary of publicly available cardiac image datasets and code repositories are included to provide a base for encouraging reproducible research. Finally, we discuss the challenges and limitations with current deep learning-based approaches (scarcity of labels, model generalizability across different domains, interpretability) and suggest potential directions for future research

CAD-CDN: Coronary Artery Disease Prediction Using Convolutional Neural Network with Modified Densenet

Atherosclerosis is a synonym for coronary artery disease (CAD), a non-communicable cardiovascular disease. Coronary artery disease, cancer, and tumour illness pose significant human risks. Predicting coronary artery disease (CAD) is a difficult and time-consuming task in the medical field. Early prediction is a virtuoso skill in the medical area, particularly in the cardiovascular sector. Prior research on developing early prediction models provided a grasp of modern strategies for detecting variance in medical imaging. Cardiovascular disease prevention may be accomplished with a diet plan established by the concerned physician after early diagnosis. We proposed a CAD-CDN framework for coronary artery disease prediction using a Convolutional neural network (CNN) with modified densenet. The datasets are collected from the Kaggle repository, and the data normalization has been done with Affinity propagation with an adaptive damping factor (APADF). The best features are selected using ACO with SA as the Hybrid method. Finally, the classification was done with CNN with modified Densenet.  The experimental result has been done with various existing algorithms and proposed one. And the results have shown performance indicators including accuracy, precision, sensitivity, specificity, and measure value