Supervised machine learning for coronary artery lumen segmentation in intravascular ultrasound images

Intravascular ultrasound (IVUS) has been widely used to capture cross sectional lumen frames of inner wall of coronary arteries. This kind of medical imaging modalities is capable of providing detailed and significant information of lumen contour shape, which is very important for clinical diagnosis and analysis of cardiovascular diseases. Numerous learning based techniques have recently become very popular for coronary artery segmentation due to their impressive results. In this work, a supervised machine learning method for coronary artery lumen segmentation with high accuracy and minimal user interaction is designed. The fully discriminative lumen segmentation method jointly learning a classifier the weak learners rely on and the features of the classifier is developed. Additionally, the theoretical supports of the Gradient Boosting framework used in this work and its quadratic approximation are presented. The proposed algorithm is tested on the public datasets of boundary detection of lumen in IVUS challenge held in MICCAI 2011 and achieves a higher average Jaccard similarity of 96.8% and a lower mean error distance of 0.55 (in Cartesian coordinates), which shows higher accuracy compared to the existing learning based methods. Moreover, three real patient IVUS datasets are used to evaluate the performance of the proposed coronary artery lumen segmentation algorithm, which is shown to achieve lower percent error of lumen area of 1.861% ± 0.965%, 1.968% ± 0.864%, and 1.671% ± 0.584%, respectively, compared to the manually measured lumen area (ground truth). The proposed lumen segmentation method is found to be superior to the latest learning based segmentation techniques. Given the efficiency and robustness, our method has great potential in IVUS images processing and coronary artery segmentation and quantification. NOVELTY STATEMENT: The main contributions are summarized in the following aspects: A detailed review of related work about learning based coronary artery lumen segmentation in intravascular ultrasound images is presented. A fully discriminative lumen segmentation method jointly learning a classifier our weak learners rely on and the features of the classifier is developed. The theoretical supports of the Gradient Boosting framework and its quadratic approximation used in this work are presented.