Document Detail


Automated coronary artery tree extraction in coronary CT angiography using a multiscale enhancement and dynamic balloon tracking (MSCAR-DBT) method.
MedLine Citation:
PMID:  21601422     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONAL AND OBJECTIVES: To evaluate our prototype method for segmentation and tracking of the coronary arterial tree, which is the foundation for a computer-aided detection (CADe) system to be developed to assist radiologists in detecting non-calcified plaques in coronary CT angiography (cCTA) scans.
MATERIALS AND METHODS: The heart region was first extracted by a morphological operation and an adaptive thresholding method based on expectation-maximization (EM) estimation. The vascular structures within the heart region were enhanced and segmented using a multiscale coronary response (MSCAR) method that combined 3D multiscale filtering, analysis of the eigenvalues of Hessian matrices and EM estimation segmentation. After the segmentation of vascular structures, the coronary arteries were tracked by a 3D dynamic balloon tracking (DBT) method. The DBT method started at two manually identified seed points located at the origins of the left and right coronary arteries (LCA and RCA) for extraction of the arterial trees. The coronary arterial trees of a data set containing 20 ECG-gated contrast-enhanced cCTA scans were extracted by our MSCAR-DBT method and a clinical GE Advantage workstation. Two experienced thoracic radiologists visually examined the coronary arteries on the original cCTA scans and the rendered volume of segmented vessels to count the untracked false-negative (FN) segments and false positives (FPs) for both methods.
RESULTS: For the visible coronary arterial segments in the 20 cases, the radiologists identified that 25 segments were missed by our MSCAR-DBT method, ranging from 0 to 5 FN segments in individual cases, and that 55 artery segments were missed by the GE software, ranging from 0 to 7 FN segments in individual cases. 19 and 15 FPs were identified in our and the GE coronary trees, ranging from 0 to 4 FPs for both methods in individual cases, respectively.
CONCLUSION: The preliminary study demonstrates the feasibility of our MSCAR-DBT method for segmentation and tracking coronary artery trees. The results indicated that both our method and GE software can extract coronary artery trees reasonably well and the performance of our method is superior to that of GE software in this small data set. Further studies are underway to develop methods for improvement of the segmentation and tracking accuracy.
Authors:
Chuan Zhou; Heang-Ping Chan; Aamer Chughtai; Smita Patel; Lubomir M Hadjiiski; Jun Wei; Ella A Kazerooni
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-05-20
Journal Detail:
Title:  Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society     Volume:  36     ISSN:  1879-0771     ISO Abbreviation:  Comput Med Imaging Graph     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-19     Completed Date:  2012-04-17     Revised Date:  2012-05-23    
Medline Journal Info:
Nlm Unique ID:  8806104     Medline TA:  Comput Med Imaging Graph     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-10     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Radiology, University of Michigan, Ann Arbor 48109, USA. chuan@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Balloon Dilation
Calcinosis / radiography*
Coronary Angiography / methods
Coronary Artery Disease / radiography*
Heart Catheterization
Humans
Imaging, Three-Dimensional / methods*
Pattern Recognition, Automated / methods*
Radiographic Image Enhancement / methods
Radiographic Image Interpretation, Computer-Assisted / methods*
Reproducibility of Results
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Grant Support
ID/Acronym/Agency:
R01 HL06545/HL/NHLBI NIH HHS; R01 HL092044/HL/NHLBI NIH HHS; R01 HL092044/HL/NHLBI NIH HHS; R01 HL092044-03/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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