249 research outputs found
Coronary Artery Centerline Extraction in Cardiac CT Angiography Using a CNN-Based Orientation Classifier
Coronary artery centerline extraction in cardiac CT angiography (CCTA) images
is a prerequisite for evaluation of stenoses and atherosclerotic plaque. We
propose an algorithm that extracts coronary artery centerlines in CCTA using a
convolutional neural network (CNN).
A 3D dilated CNN is trained to predict the most likely direction and radius
of an artery at any given point in a CCTA image based on a local image patch.
Starting from a single seed point placed manually or automatically anywhere in
a coronary artery, a tracker follows the vessel centerline in two directions
using the predictions of the CNN. Tracking is terminated when no direction can
be identified with high certainty.
The CNN was trained using 32 manually annotated centerlines in a training set
consisting of 8 CCTA images provided in the MICCAI 2008 Coronary Artery
Tracking Challenge (CAT08). Evaluation using 24 test images of the CAT08
challenge showed that extracted centerlines had an average overlap of 93.7%
with 96 manually annotated reference centerlines. Extracted centerline points
were highly accurate, with an average distance of 0.21 mm to reference
centerline points. In a second test set consisting of 50 CCTA scans, 5,448
markers in the coronary arteries were used as seed points to extract single
centerlines. This showed strong correspondence between extracted centerlines
and manually placed markers. In a third test set containing 36 CCTA scans,
fully automatic seeding and centerline extraction led to extraction of on
average 92% of clinically relevant coronary artery segments.
The proposed method is able to accurately and efficiently determine the
direction and radius of coronary arteries. The method can be trained with
limited training data, and once trained allows fast automatic or interactive
extraction of coronary artery trees from CCTA images.Comment: Accepted in Medical Image Analysi
Automatic calcium scoring in low-dose chest CT using deep neural networks with dilated convolutions
Heavy smokers undergoing screening with low-dose chest CT are affected by
cardiovascular disease as much as by lung cancer. Low-dose chest CT scans
acquired in screening enable quantification of atherosclerotic calcifications
and thus enable identification of subjects at increased cardiovascular risk.
This paper presents a method for automatic detection of coronary artery,
thoracic aorta and cardiac valve calcifications in low-dose chest CT using two
consecutive convolutional neural networks. The first network identifies and
labels potential calcifications according to their anatomical location and the
second network identifies true calcifications among the detected candidates.
This method was trained and evaluated on a set of 1744 CT scans from the
National Lung Screening Trial. To determine whether any reconstruction or only
images reconstructed with soft tissue filters can be used for calcification
detection, we evaluated the method on soft and medium/sharp filter
reconstructions separately. On soft filter reconstructions, the method achieved
F1 scores of 0.89, 0.89, 0.67, and 0.55 for coronary artery, thoracic aorta,
aortic valve and mitral valve calcifications, respectively. On sharp filter
reconstructions, the F1 scores were 0.84, 0.81, 0.64, and 0.66, respectively.
Linearly weighted kappa coefficients for risk category assignment based on per
subject coronary artery calcium were 0.91 and 0.90 for soft and sharp filter
reconstructions, respectively. These results demonstrate that the presented
method enables reliable automatic cardiovascular risk assessment in all
low-dose chest CT scans acquired for lung cancer screening
Automatic segmentation of MR brain images with a convolutional neural network
Automatic segmentation in MR brain images is important for quantitative
analysis in large-scale studies with images acquired at all ages.
This paper presents a method for the automatic segmentation of MR brain
images into a number of tissue classes using a convolutional neural network. To
ensure that the method obtains accurate segmentation details as well as spatial
consistency, the network uses multiple patch sizes and multiple convolution
kernel sizes to acquire multi-scale information about each voxel. The method is
not dependent on explicit features, but learns to recognise the information
that is important for the classification based on training data. The method
requires a single anatomical MR image only.
The segmentation method is applied to five different data sets: coronal
T2-weighted images of preterm infants acquired at 30 weeks postmenstrual age
(PMA) and 40 weeks PMA, axial T2- weighted images of preterm infants acquired
at 40 weeks PMA, axial T1-weighted images of ageing adults acquired at an
average age of 70 years, and T1-weighted images of young adults acquired at an
average age of 23 years. The method obtained the following average Dice
coefficients over all segmented tissue classes for each data set, respectively:
0.87, 0.82, 0.84, 0.86 and 0.91.
The results demonstrate that the method obtains accurate segmentations in all
five sets, and hence demonstrates its robustness to differences in age and
acquisition protocol
Deep learning analysis of the myocardium in coronary CT angiography for identification of patients with functionally significant coronary artery stenosis
In patients with coronary artery stenoses of intermediate severity, the
functional significance needs to be determined. Fractional flow reserve (FFR)
measurement, performed during invasive coronary angiography (ICA), is most
often used in clinical practice. To reduce the number of ICA procedures, we
present a method for automatic identification of patients with functionally
significant coronary artery stenoses, employing deep learning analysis of the
left ventricle (LV) myocardium in rest coronary CT angiography (CCTA). The
study includes consecutively acquired CCTA scans of 166 patients with FFR
measurements. To identify patients with a functionally significant coronary
artery stenosis, analysis is performed in several stages. First, the LV
myocardium is segmented using a multiscale convolutional neural network (CNN).
To characterize the segmented LV myocardium, it is subsequently encoded using
unsupervised convolutional autoencoder (CAE). Thereafter, patients are
classified according to the presence of functionally significant stenosis using
an SVM classifier based on the extracted and clustered encodings. Quantitative
evaluation of LV myocardium segmentation in 20 images resulted in an average
Dice coefficient of 0.91 and an average mean absolute distance between the
segmented and reference LV boundaries of 0.7 mm. Classification of patients was
evaluated in the remaining 126 CCTA scans in 50 10-fold cross-validation
experiments and resulted in an area under the receiver operating characteristic
curve of 0.74 +- 0.02. At sensitivity levels 0.60, 0.70 and 0.80, the
corresponding specificity was 0.77, 0.71 and 0.59, respectively. The results
demonstrate that automatic analysis of the LV myocardium in a single CCTA scan
acquired at rest, without assessment of the anatomy of the coronary arteries,
can be used to identify patients with functionally significant coronary artery
stenosis.Comment: This paper was submitted in April 2017 and accepted in November 2017
for publication in Medical Image Analysis. Please cite as: Zreik et al.,
Medical Image Analysis, 2018, vol. 44, pp. 72-8
- …