Semi-automated segmentation of carotid artery total plaque volume from three dimensional ultrasound carotid imaging

2012 ◽  
Author(s):  
D. Buchanan ◽  
I. Gyacskov ◽  
E. Ukwatta ◽  
T. Lindenmaier ◽  
A. Fenster ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Three Dimensional ◽  
Automated Segmentation ◽  
Plaque Volume

scholarly journals Automated Segmentation of Infarct Lesions in T1-Weighted MRI Scans Using Variational Mode Decomposition and Deep Learning

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 1952
Author(s):  
May Phu Paing ◽  
Supan Tungjitkusolmun ◽  
Toan Huy Bui ◽  
Sarinporn Visitsattapongse ◽  
Chuchart Pintavirooj
Keyword(s):  
Deep Learning ◽  
Brain Infarction ◽  
Three Dimensional ◽  
Dice Similarity Coefficient ◽  
Automated Segmentation ◽  
Variational Mode Decomposition ◽  
Brain Scans ◽  
Automated Method ◽  
Mode Decomposition ◽  
Segmentation Task

Automated segmentation methods are critical for early detection, prompt actions, and immediate treatments in reducing disability and death risks of brain infarction. This paper aims to develop a fully automated method to segment the infarct lesions from T1-weighted brain scans. As a key novelty, the proposed method combines variational mode decomposition and deep learning-based segmentation to take advantages of both methods and provide better results. There are three main technical contributions in this paper. First, variational mode decomposition is applied as a pre-processing to discriminate the infarct lesions from unwanted non-infarct tissues. Second, overlapped patches strategy is proposed to reduce the workload of the deep-learning-based segmentation task. Finally, a three-dimensional U-Net model is developed to perform patch-wise segmentation of infarct lesions. A total of 239 brain scans from a public dataset is utilized to develop and evaluate the proposed method. Empirical results reveal that the proposed automated segmentation can provide promising performances with an average dice similarity coefficient (DSC) of 0.6684, intersection over union (IoU) of 0.5022, and average symmetric surface distance (ASSD) of 0.3932, respectively.

Abstract TP136: Four-dimensionally Guided Three-dimensional Color-doppler Ultrasonography Quantifies Carotid Artery Stenoses With Equally High Reproducibility and Accuracy Compared to Catheter Angiography

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Roland Richard Macharzina ◽  
Sascha Kocher ◽  
Steven R Messé ◽  
Fabian Hoffmann ◽  
Thomas Rutkowski ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Doppler Ultrasonography ◽  
Binary Classification ◽  
Color Doppler ◽  
Pearson Correlation ◽  
Three Dimensional ◽  
Catheter Angiography ◽  
High Reproducibility ◽  
Stenosis Quantification ◽  
Stenosis Detection

Introduction: Clinical stratification in patients with ICAS largely depends on symptomatic status and stenosis grading. The purpose was to analyze the agreement and binary accuracy for the degree of internal carotid artery stenoses (ICAS) as determined by four-dimensional (4D) real-time guided three-dimensional color-Doppler (3DC) ultrasonography (4D/3DC-US) compared to catheter angiography (CA). Hypothesis: We hypothesized that 4D/3DC-US is non inferior to CA in grading ICAS in selected patients. Methods: Screening with 4D/3DC-US was performed in 93 patients (122 ICAS) admitted to our vascular center.Main exclusion criteria were insufficient image quality, previous revascularization and contraindications to CA. Eighty patients were prospectively examined in optimal planes with 4D-US assisted static 3DC-US color-Doppler (10MHz) followed by blinded multiplanar off-line rendering to determine %-NASCET stenosis. Multiplane selective CA of the same ICAS were quantified with dedicated software in a blinded fashion. Results: Quantitative CA of 103 stenoses with a mean degree of 65 ± 17% were compared to 4D/3DC-US resulting in a Pearson correlation coefficient of 0.89 and a standard deviation of differences (SDD) of 8.1% at a bias of +1.7%. Binary 50, 60 and 70%-stenosis detection with 3DC-US revealed an accuracy of 96, 89, 85%, a sensitivity of 97, 92, 87% and a specificity of 92, 83 and 84%. Interobserver SDD for CA of 52 stenoses (7.2%) did not differ from SDD between 3DC-US and CA (P = 0.274). Conclusions: 4D/3DC-US allowed good metric stenosis quantification and accurate binary classification with high reproducibility in a selected cohort.

Correlation between computed tomography angiography and histology of carotid artery atherosclerosis: Can semi-automated imaging software predict a plaque's composition?

2021 ◽  
pp. 159101992110310
Author(s):  
John C Benson ◽  
Valentina Nardi ◽  
Melanie C Bois ◽  
Luca Saba ◽  
Waleed Brinjikji ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Computed Tomography Angiography ◽  
Necrotic Core ◽  
Intraplaque Hemorrhage ◽  
Histological Evaluation ◽  
Plaque Volume ◽  
Volumetric Imaging ◽  
Carotid Artery Atherosclerosis

Background Using computed tomography angiography to differentiate between components of carotid atherosclerotic lesions remains largely elusive. This study sought to validate a semi-automated software for computed tomography angiography plaque analysis using histologic comparisons. Materials and Methods A retrospective review was performed of consecutive patients that underwent a carotid endarterectomy, with pre-procedural computed tomography angiography imaging of the cervical arterial vasculature available for review. Images were evaluated using a commercially-available software package, which produced segmented analyses of intraplaque components (e.g. intraplaque hemorrhage, lipid-rich necrotic core, and calcifications). On imaging, each component was assessed in terms of its (1) presence or absence, and (2) both volume and proportion of the total plaque volume (if present). On histological evaluation of carotid endarterectomy specimens, each component was evaluated as an estimated proportion of total plaque volume. Results Of 80 included patients, 30 (37.5%) were female. The average age was 69.7 years (SD = 9.1). Based on imaging, intraplaque hemorrhage was the smallest contributor to plaque composition (1.2% of volumes on average). Statistically significant linear associations were noted between the proportion of intraplaque hemorrhage, lipid-rich necrotic core, and calcifications on histology and the volume of each component on imaging ( p values ranged from 0.0008 to 0.01). Area under curve were poor for intraplaque hemorrhage and lipid-rich necrotic core (0.59 and 0.61, respectively) and acceptable for calcifications (0.73). Conclusion Semi-automated analyses of computed tomography angiography have limited diagnostic accuracy in the detection of intraplaque hemorrhage and lipid-rich necrotic core in carotid artery plaques. However, volumetric imaging measurements of different components corresponded with histologic analysis.

scholarly journals Retrograde three-dimensional rotational angiography: A novel method for the detection of plaque protrusion during carotid artery stenting under continuous distal balloon protection

2020 ◽  
Vol 26 (3) ◽  
pp. 316-320
Author(s):  
Hisayuki Hosoo ◽  
Wataro Tsuruta ◽  
Yusuke Hamada ◽  
Masahiro Katsumata ◽  
Daiichiro Ishigami ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Balloon Dilatation ◽  
Three Dimensional ◽  
Additional Treatment ◽  
Stent Deployment ◽  
Ischemic Complications ◽  
Novel Method ◽  
Stent Lumen ◽  
Balloon Protection

Background To prevent ischemic complications during carotid artery stenting, accurate detection of plaque protrusion and appropriate additional treatment are essential. Here, we introduce a novel method for the detection of plaque protrusion under distal balloon protection using three-dimensional rotation angiography—“retrograde 3DRA.” We evaluated the safety and efficacy of this method. Materials and methods We retrospectively analyzed 28 consecutive carotid artery stenting procedures under distal balloon protection at our hospital between July 2017 and August 2019. The first line of protection was dual balloon protection (proximal and distal balloon). After stent deployment, balloon dilatation, and subsequent blood aspiration, 3DRA was performed with the injection of diluted contrast medium from the aspiration catheter positioned just proximal to the distal protection balloon. The stent lumen was analyzed by obtaining the reconstruction maximum intensity projection image. Results Among the 28 cases, all cases could be assessed for in-stent plaque protrusion using “retrograde 3DRA.” We were able to evaluate the stent lumen clearly. There were three cases (10.7%) in which plaque protrusion could be confirmed. Since additional balloon dilatation was performed for all protrusion cases under continuing balloon protection, no ischemic complications occurred. Conclusion Retrograde 3DRA could be safe and useful for the detection of plaque protrusions and to avoid ischemic complication for tolerable cases of internal carotid artery transient balloon protection.

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