The Department of Cardiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
The Department of Cardiology, Wenzhou People Hospital, Wenzhou, China.
Biomed Eng Online. 2021 Feb 6;20(1):16. doi: 10.1186/s12938-021-00852-0.
Intravascular ultrasound (IVUS) is the golden standard in accessing the coronary lesions, stenosis, and atherosclerosis plaques. In this paper, a fully automatic approach by an 8-layer U-Net is developed to segment the coronary artery lumen and the area bounded by external elastic membrane (EEM), i.e., cross-sectional area (EEM-CSA). The database comprises single-vendor and single-frequency IVUS data. Particularly, the proposed data augmentation of MeshGrid combined with flip and rotation operations is implemented, improving the model performance without pre- or post-processing of the raw IVUS images.
The mean intersection of union (MIoU) of 0.937 and 0.804 for the lumen and EEM-CSA, respectively, were achieved, which exceeded the manual labeling accuracy of the clinician.
The accuracy shown by the proposed method is sufficient for subsequent reconstruction of 3D-IVUS images, which is essential for doctors' diagnosis in the tissue characterization of coronary artery walls and plaque compositions, qualitatively and quantitatively.
血管内超声(IVUS)是评估冠状动脉病变、狭窄和动脉粥样硬化斑块的金标准。本文提出了一种基于 8 层 U-Net 的全自动方法,用于分割冠状动脉管腔和外弹力膜(EEM)边界区域,即横截面积(EEM-CSA)。该数据库包含单供应商和单频率 IVUS 数据。特别地,实现了 MeshGrid 与翻转和旋转操作相结合的数据增强,在不对原始 IVUS 图像进行预处理或后处理的情况下提高了模型性能。
分别获得了管腔和 EEM-CSA 的平均交并比(MIoU)为 0.937 和 0.804,超过了临床医生的手动标注精度。
所提出方法的准确性足以用于后续的 3D-IVUS 图像重建,这对于医生在冠状动脉壁和斑块成分的组织特征定性和定量诊断至关重要。