Coronary angiography video segmentation method for assisting cardiovascular disease interventional treatment

BMC Med Imaging. 2020 Jun 16;20(1):65. doi: 10.1186/s12880-020-00460-9.

Abstract

Background: Coronary heart disease is one of the diseases with the highest mortality rate. Due to the important position of cardiovascular disease prevention and diagnosis in the medical field, the segmentation of cardiovascular images has gradually become a research hotspot. How to segment accurate blood vessels from coronary angiography videos to assist doctors in making accurate analysis has become the goal of our research.

Method: Based on the U-net architecture, we use a context-based convolutional network for capturing more information of the vessel in the video. The proposed method includes three modules: the sequence encoder module, the sequence decoder module, and the sequence filter module. The high-level information of the feature is extracted in the encoder module. Multi-kernel pooling layers suitable for the extraction of blood vessels are added before the decoder module. In the filter block, we add a simple temporal filter to reducing inter-frame flickers.

Results: The performance comparison with other method shows that our work can achieve 0.8739 in Sen, 0.9895 in Acc. From the performance of the results, the accuracy of our method is significantly improved. The performance benefit from the algorithm architecture and our enlarged dataset.

Conclusion: Compared with previous methods that only focus on single image analysis, our method can obtain more coronary information through image sequences. In future work, we will extend the network to 3D networks.

Keywords: Coronary angiography; Medical assistance; Medical imaging; Video segmentation.

MeSH terms

  • Algorithms
  • Cardiovascular Diseases / diagnostic imaging*
  • Coronary Angiography / methods*
  • Humans
  • Neural Networks, Computer
  • Radiographic Image Interpretation, Computer-Assisted / methods*