论文标题
通过掩盖动脉壁,改善CCTA-CPR扫描上钙化和非固定斑块的分割
Improving segmentation of calcified and non-calcified plaques on CCTA-CPR scans via masking of the artery wall
论文作者
论文摘要
冠状动脉中存在斑块是患者生命的主要风险。特别是,非售出的斑块构成了巨大的挑战,因为它们比钙化的斑块更难检测到更可能破裂。尽管当前的深度学习技术允许对现实生活图像进行精确细分,但医学图像中的性能仍然很低。这主要是由于落在相同值范围内的无关部分的模糊和模棱两可的体素强度引起的。在本文中,我们提出了一种新的方法,用于分割冠状动脉CCTA-CPR扫描中的钙化和非倒数斑块。输入切片被掩盖,因此仅考虑壁管中的体素进行分割,从而降低了歧义。该面膜可以通过深度学习的容器探测器自动生成,该探测器不仅提供了外动脉壁的轮廓,还提供内部轮廓。为了进行评估,我们利用了一个数据集,其中每个体素被仔细注释为五个类别之一:背景,管腔,动脉壁,钙化斑块或未倒置的斑块。我们还通过应用不同类型的掩模来提供详尽的评估,以验证容器掩盖对牙菌斑分割的潜力。我们的方法论在定量和定性评估中都可以显着提高分割性能,即使对于具有挑战性的非占地斑块,也可以达到准确的斑块形状。此外,当使用高度准确的掩模时,诸如狭窄之类的困难病例变得可分割。我们认为,我们的发现可以领导未来的高性能斑块细分研究。
The presence of plaques in the coronary arteries is a major risk to the patients' life. In particular, non-calcified plaques pose a great challenge, as they are harder to detect and more likely to rupture than calcified plaques. While current deep learning techniques allow precise segmentation of real-life images, the performance in medical images is still low. This is caused mostly by blurriness and ambiguous voxel intensities of unrelated parts that fall on the same value range. In this paper, we propose a novel methodology for segmenting calcified and non-calcified plaques in CCTA-CPR scans of coronary arteries. The input slices are masked so only the voxels within the wall vessel are considered for segmentation, thus, reducing ambiguity. This mask can be automatically generated via a deep learning-based vessel detector, that provides not only the contour of the outer artery wall, but also the inner contour. For evaluation, we utilized a dataset in which each voxel is carefully annotated as one of five classes: background, lumen, artery wall, calcified plaque, or non-calcified plaque. We also provide an exhaustive evaluation by applying different types of masks, in order to validate the potential of vessel masking for plaque segmentation. Our methodology results in a prominent boost in segmentation performance, in both quantitative and qualitative evaluation, achieving accurate plaque shapes even for the challenging non-calcified plaques. Furthermore, when using highly accurate masks, difficult cases such as stenosis become segmentable. We believe our findings can lead the future research for high-performance plaque segmentation.