Objective Intravascular ultrasound (IVUS) is a diagnostic imaging technique for tomographic visualization of coronary arteries. Automatic analysis of IVUS images is difficult due to speckle noise, artifacts of the catheter, and shadows generated by calcifications. We designed and implemented a system for automated segmentation of coronary artery IVUS images. Methods Two methods for automatic detection of the intima and the media-adventitia borders in IVUS coronary artery images were developed and compared. The first method uses the parametric deformable models, while the second method is based on the geometric deformable models. The initial locations of the borders are approximated using two different edge detection methods. The final borders are then defined using the two deformable models. Finally, the calcified regions between the extracted borders are identified using a Bayesian classifier. The performance of the proposed methods was evaluated using 60 different IVUS images obtained from 7 patients. Results Segmented images were compared with manually outlined contours. We compared the performance of calcified region characterization methods using ROC analysis and
Atherosclerotic plaque rupture is the most common mechanism responsible for a majority of sudden coronary deaths. The precursor lesion of plaque rupture is thought to be a thin cap fibroatheroma (TCFA), or “vulnerable plaque”. Virtual Histology-Intravascular Ultrasound (VH-IVUS) images are clinically available for visualising colour-coded coronary artery tissue. However, it has limitations in terms of providing clinically relevant information for identifying vulnerable plaque. The aim of this research is to improve the identification of TCFA using VH-IVUS images. To more accurately segment VH-IVUS images, a semi-supervised model is developed by means of hybrid K-means with Particle Swarm Optimisation (PSO) and a minimum Euclidean distance algorithm (KMPSO-mED). Another novelty of the proposed method is fusion of different geometric and informative texture features to capture the varying heterogeneity of plaque components and compute a discriminative index for TCFA plaque, while the existing research on TCFA detection has only focused on the geometric features. Three commonly used statistical texture features are extracted from VH-IVUS images: Local Binary Patterns (LBP), Grey Level Co-occurrence Matrix (GLCM), and Modified Run Length (MRL). Geometric and texture features are concatenated in order to generate complex descriptors. Finally, Back Propagation Neural Network (BPNN), kNN (K-Nearest Neighbour), and Support Vector Machine (SVM) classifiers are applied to select the best classifier for classifying plaque into TCFA and Non-TCFA. The present study proposes a fast and accurate computer-aided method for plaque type classification. The proposed method is applied to 588 VH-IVUS images obtained from 10 patients. The results prove the superiority of the proposed method, with accuracy rates of 98.61% for TCFA plaque.
IVUS-derived virtual histology (VH) permits the assessment of atherosclerotic plaque morphology by using radiofrequency analysis of ultrasound signals. However, it requires the acquisition to be ECG-gated, which is a major limitation of VH. Indeed, its computation can only be performed once per cardiac cycle, which significantly decreases the longitudinal resolution of VH. To overcome this limitation, the introduction of an image-based plaque characterization is of great importance. Current IVUS image processing techniques do not allow adequate identification of the coronary artery plaques. This can be improved by defining appropriate features for the different kinds of plaques. In this paper, a novel feature extraction method based on Run-length algorithm is presented and used for improving the automated characterization of the plaques within the IVUS images. The proposed feature extraction method is applied to 200 IVUS images obtained from five patients. As a result an accuracy rate of 77% was achieved. Comparing this to the accuracy rates of 75% and 71% obtained using co-occurrence and local binary pattern methods respectively indicates the superior performance of the proposed feature extraction method.
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