A novel real-time computational framework for detecting catheters and rigid guidewires in cardiac catheterization procedures

Purpose: Catheters and guidewires are used extensively in cardiac catheterization procedures such as heart arrhythmia treatment (ablation), angioplasty and congenital heart disease treatment. Detecting their positions in fluoroscopic X-ray images is important for several clinical applications, for example, motion compensation, co-registration between 2D and 3D imaging modalities and 3D object reconstruction. Methods: For the generalized framework, a multiscale vessel enhancement filter is first used to enhance the visibility of wire-like structures in the X-ray images. After applying adaptive binarization method, the centerlines of wire-like objects were extracted. Finally, the catheters and guidewires were detected as a smooth path which is reconstructed from centerlines of target wire-like objects. In order to classify electrode catheters which are mainly used in electrophysiology procedures, additional steps were proposed. First, a blob detection method, which is embedded in vessel enhancement filter with no additional computational cost, localizes electrode positions on catheters. Then the type of electrode catheters can be recognized by detecting the number of electrodes and also the shape created by a series of electrodes. Furthermore, for detecting guiding catheters or guidewires, a localized machine learning algorithm is added into the framework to distinguish between target wire objects and other wire-like artifacts. The proposed framework were tested on total 10,624 images which are from 102 image sequences acquired from 63 clinical cases. Results: Detection errors for the coronary sinus (CS) catheter, lasso catheter ring and lasso catheter body are 0.56 ± 0.28 mm, 0.64 ± 0.36 mm and 0.66 ± 0.32 mm, respectively, as well as success rates of 91.4%, 86.3% and 84.8% were achieved. Detection errors for guidewires and guiding catheters are 0.62 ± 0.48 mm and success rates are 83.5%. Conclusion: The proposed computational framework do not require any user interaction or prior models and it can detect multiple catheters or guidewires simultaneously and in real-time. The accuracy of the proposed framework is sub-mm and the methods are robust toward low-dose X-ray fluoroscopic images, which are mainly used during procedures to maintain low radiation dose

Fast catheter segmentation from echocardiographic sequences based on segmentation from corresponding X-ray fluoroscopy for cardiac catheterization interventions

© 2014 IEEE. Echocardiography is a potential alternative to X-ray fluoroscopy in cardiac catheterization given its richness in soft tissue information and its lack of ionizing radiation. However, its small field of view and acoustic artifacts make direct automatic segmentation of the catheters very challenging. In this study, a fast catheter segmentation framework for echocardiographic imaging guided by the segmentation of corresponding X-ray fluoroscopic imaging is proposed. The complete framework consists of: 1) catheter initialization in the first X-ray frame; 2) catheter tracking in the rest of the X-ray sequence; 3) fast registration of corresponding X-ray and ultrasound frames; and 4) catheter segmentation in ultrasound images guided by the results of both X-ray tracking and fast registration. The main contributions include: 1) a Kalman filter-based growing strategy with more clinical data evalution; 2) a SURF detector applied in a constrained search space for catheter segmentation in ultrasound images; 3) a two layer hierarchical graph model to integrate and smooth catheter fragments into a complete catheter; and 4) the integration of these components into a system for clinical applications. This framework is evaluated on five sequences of porcine data and four sequences of patient data comprising more than 3000 X-ray frames and more than 1000 ultrasound frames. The results show that our algorithm is able to track the catheter in ultrasound images at 1.3 s per frame, with an error of less than 2 mm. However, although this may satisfy the accuracy for visualization purposes and is also fast, the algorithm still needs to be further accelerated for real-time clinical applications

Comparative venom gland transcriptome analysis of the scorpion Lychas mucronatus reveals intraspecific toxic gene diversity and new venomous components

<p>Abstract</p> <p>Background</p> <p><it>Lychas mucronatus </it>is one scorpion species widely distributed in Southeast Asia and southern China. Anything is hardly known about its venom components, despite the fact that it can often cause human accidents. In this work, we performed a venomous gland transcriptome analysis by constructing and screening the venom gland cDNA library of the scorpion <it>Lychas mucronatus </it>from Yunnan province and compared it with the previous results of Hainan-sourced <it>Lychas mucronatus</it>.</p> <p>Results</p> <p>A total of sixteen known types of venom peptides and proteins are obtained from the venom gland cDNA library of Yunnan-sourced <it>Lychas mucronatus</it>, which greatly increase the number of currently reported scorpion venom peptides. Interestingly, we also identified nineteen atypical types of venom molecules seldom reported in scorpion species. Surprisingly, the comparative transcriptome analysis of Yunnan-sourced <it>Lychas mucronatus </it>and Hainan-sourced <it>Lychas mucronatus </it>indicated that enormous diversity and vastly abundant difference could be found in venom peptides and proteins between populations of the scorpion <it>Lychas mucronatus </it>from different geographical regions.</p> <p>Conclusions</p> <p>This work characterizes a large number of venom molecules never identified in scorpion species. This result provides a comparative analysis of venom transcriptomes of the scorpion <it>Lychas mucronatus </it>from different geographical regions, which thoroughly reveals the fact that the venom peptides and proteins of the same scorpion species from different geographical regions are highly diversified and scorpion evolves to adapt a new environment by altering the primary structure and abundance of venom peptides and proteins.</p

Point2PartVolume: Human body volume estimation from a single depth image

Human body volume is a useful biometric feature for human identification and an important medical indicator for monitoring body health. Traditional body volume estimation techniques such as underwater weighing and air displacement demand a lot of equipment, and are difficult to be performed under some circumstances, e.g. in clinical environments when dealing with bedridden patients. In this contribution, a novel vision-based method dubbed Point2PartVolume based on deep learning is proposed to rapidly and accurately predict the part-aware body volumes from a single depth image of the dressed body. Firstly, a novel multi-task neural network is proposed for jointly completing the partial body point clouds, predicting the body shape under clothing, and semantically segmenting the reconstructed body into parts. Next, the estimated body segments are fed into the proposed volume regression network to estimate the partial volumes. A simple yet efficient two-step training strategy is proposed for improving the accuracy of volume prediction regressed from point clouds. Compared to existing methods, the proposed method addresses several major challenges in vision-based human body volume estimation, including shape completion, pose estimation, body shape estimation under clothing, body segmentation, and volume regression from point clouds. Experimental results on both the synthetic data and public real-world data show our method achieved average 90% volume prediction accuracy and outperformed the relevant state-of-the-art

Image-based view-angle independent cardiorespiratory motion gating and coronary sinus catheter tracking for x-ray-guided cardiac electrophysiology procedures

Determination of the cardiorespiratory phase of the heart has numerous applications during cardiac imaging. In this article we propose a novel view-angle independent near-real time cardiorespiratory motion gating and coronary sinus (CS) catheter tracking technique for x-ray fluoroscopy images that are used to guide cardiac electrophysiology procedures. The method is based on learning CS catheter motion using principal component analysis and then applying the derived motion model to unseen images taken at arbitrary projections, using the epipolar constraint. This method is also able to track the CS catheter throughout the x-ray images in any arbitrary subsequent view. We also demonstrate the clinical application of our model on rotational angiography sequences. We validated our technique in normal and very low dose phantom and clinical datasets. For the normal dose clinical images we established average systole, end-expiration and end-inspiration gating success rates of 100%, 85.7%, and 92.3%, respectively. For very low dose applications, the technique was able to track the CS catheter with median errors not exceeding 1 mm for all tracked electrodes. Average gating success rates of 80.3%, 71.4%, and 69.2% were established for the application of the technique on clinical datasets, even with a dose reduction of more than 10 times. In rotational sequences at normal dose, CS tracking median errors were within 1.2 mm for all electrodes, and the gating success rate was 100%, for view angles from RAO 90° to LAO 90°. This view-angle independent technique can extract clinically useful cardiorespiratory motion information using x-ray doses significantly lower than those currently used in clinical practice

Edge-Enhancement DenseNet for X-ray Fluoroscopy Image Denoising in Cardiac Electrophysiology Procedures

PURPOSE: Reducing X‐ray dose increases safety in cardiac electrophysiology procedures but also increases image noise and artifacts which may affect the discernibility of devices and anatomical cues. Previous denoising methods based on convolutional neural networks (CNNs) have shown improvements in the quality of low‐dose X‐ray fluoroscopy images but may compromise clinically important details required by cardiologists. METHODS: In order to obtain denoised X‐ray fluoroscopy images whilst preserving details, we propose a novel deep‐learning‐based denoising framework, namely edge‐enhancement densenet (EEDN), in which an attention‐awareness edge‐enhancement module is designed to increase edge sharpness. In this framework, a CNN‐based denoiser is first used to generate an initial denoising result. Contours representing edge information are then extracted using an attention block and a group of interacted ultra‐dense blocks for edge feature representation. Finally, the initial denoising result and enhanced edges are combined to generate the final X‐ray image. The proposed denoising framework was tested on a total of 3262 clinical images taken from 100 low‐dose X‐ray sequences acquired from 20 patients. The performance was assessed by pairwise voting from five cardiologists as well as quantitative indicators. Furthermore, we evaluated our technique's effect on catheter detection using 416 images containing coronary sinus catheters in order to examine its influence as a pre‐processing tool. RESULTS: The average signal‐to‐noise ratio of X‐ray images denoised with EEDN was 24.5, which was 2.2 times higher than that of the original images. The accuracy of catheter detection from EEDN denoised sequences showed no significant difference compared with their original counterparts. Moreover, EEDN received the highest average votes in our clinician assessment when compared to our existing technique and the original images. CONCLUSION: The proposed deep learning‐based framework shows promising capability for denoising interventional X‐ray fluoroscopy images. The results from the catheter detection show that the network does not affect the results of such an algorithm when used as a pre‐processing step. The extensive qualitative and quantitative evaluations suggest that the network may be of benefit to reduce radiation dose when applied in real time in the catheter laboratory

SdPI, The First Functionally Characterized Kunitz-Type Trypsin Inhibitor from Scorpion Venom

Background: Kunitz-type venom peptides have been isolated from a wide variety of venomous animals. They usually have protease inhibitory activity or potassium channel blocking activity, which by virtue of the effects on predator animals are essential for the survival of venomous animals. However, no Kunitz-type peptides from scorpion venom have been functionally characterized. Principal Findings: A new Kunitz-type venom peptide gene precursor, SdPI, was cloned and characterized from a venom gland cDNA library of the scorpion Lychas mucronatus. It codes for a signal peptide of 21 residues and a mature peptide of 59 residues. The mature SdPI peptide possesses a unique cysteine framework reticulated by three disulfide bridges, different from all reported Kunitz-type proteins. The recombinant SdPI peptide was functionally expressed. It showed trypsin inhibitory activity with high potency (Ki = 1.6610 27 M) and thermostability. Conclusions: The results illustrated that SdPI is a potent and stable serine protease inhibitor. Further mutagenesis and molecular dynamics simulation revealed that SdPI possesses a serine protease inhibitory active site similar to other Kunitztype venom peptides. To our knowledge, SdPI is the first functionally characterized Kunitz-type trypsin inhibitor derive

A transfer learning based approach for brain tumor classification

In order to improve patient outcomes, brain tumors—which are notorious for their catastrophic effects and short life expectancy, particularly in higher grades—need to be diagnosed accurately and treated with care. Patient survival chances may be hampered by incorrect medical procedures brought on by a brain tumor misdiagnosis. CNNs and computer-aided tumor detection systems have demonstrated promise in revolutionizing brain tumor diagnostics through the application of ML techniques. One issue in the field of brain tumor detection and classification is the dearth of non-invasive indication support systems, which is compounded by data scarcity. Conventional neural networks may cause problems such as overfitting and gradient vanishing when they use uniform filters in different visual settings. Moreover, these methods incur time and computational complexity as they train the model from scratch and extract the pertinent characteristics. This paper presents an InceptionV4 neural network architecture-based Transfer Learning-based methodology to address the shortcomings in brain tumor classification methods. The goal is to deliver precise diagnostic assistance while minimizing calculation time and improving accuracy. The model makes use of a dataset that contains 7022 MRI images that were obtained from figshare, the SARTAJ dataset, and Br35H, among other sites. The suggested InceptionV4 architecture improves its ability to categorize brain tumors into three groups and normal brain images by utilizing transfer learning approaches. The suggested InceptionV4 model achieves an accuracy rate of 98.7% in brain tumor classification, indicating the model’s remarkable performance. This suggests a noteworthy progression in the precision of diagnosis and computational effectiveness to support practitioners making decisions