Complex carotid artery segmentation in multi-contrast MR sequences by improved optimal surface graph cuts based on

Chenglu Zhu1,2, Xiaoyan Wang3, Shengyong Chen4

  • 1School of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, 310023, China.

Insights

This study introduces a novel framework for segmenting carotid artery lumen and wall in MRI scans, improving accuracy for cardiovascular disease assessment with reduced training costs.

Area of Science:

  • Medical Imaging
  • Cardiovascular Disease Research
  • Biomedical Engineering

Background:

  • Carotid atherosclerosis is a primary cause of cardiovascular disease and mortality.
  • Multi-contrast MRI offers high sensitivity and specificity for identifying atherosclerotic plaque components.
  • Accurate segmentation of the diseased carotid artery is crucial for quantitative atherosclerosis evaluation.

Purpose of the Study:

  • To develop an integrated segmentation framework for precise lumen and wall segmentation of diseased carotid arteries from MR images.
  • To address challenges in segmentation caused by complex plaque morphology and limited annotated data.
  • To offer a computationally efficient alternative to existing deep learning methods.

Main Methods:

  • Proposed an integrated segmentation framework combining a lightweight prediction model with improved optimal surface graph cuts (OSG).
  • Implemented a simplified flow line sampling and post-reconstruction method to decrease graph construction costs.
  • Introduced a flexibly adaptive smoothing penalty to preserve the shape of the diseased carotid surface.

Main Results:

  • Achieved Dice coefficients of 89.68% for lumen and 80.29% for wall segmentation.
  • Obtained average surface distances of 0.2480 mm for lumen and 0.3396 mm for wall.
  • Demonstrated precise and reliable segmentation with a significantly small training cost.

Conclusions:

  • The proposed framework provides accurate and reliable segmentation of carotid artery lumen and wall in patients with atherosclerosis.
  • The method offers a computationally efficient solution for quantitative assessment of carotid atherosclerosis.
  • This approach holds promise for improving the evaluation and management of cardiovascular disease.

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