TQGDNet: Coronary artery calcium deposit detection on computed tomography

Wei-Chien Wang1, Christopher Yu2, Euijoon Ahn3

  • 1Biomedical Data Analysis and Visualisation Lab, School of Computer Science, The University of Sydney, Australia.

Insights

This study introduces a novel deep learning model for improved coronary artery calcium (CAC) scoring from CT scans. The new model enhances detection of small calcium deposits, leading to more accurate cardiovascular risk assessment.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Cardiology

Background:

  • Coronary artery disease (CAD) is a major cause of mortality.
  • Coronary artery calcium (CAC) scoring via CT images aids in assessing cardiovascular risk in asymptomatic individuals.
  • Current automated CAC scoring methods using convolutional neural networks (CNNs) struggle with integrating features from lower network layers, crucial for detecting small calcium deposits.

Purpose of the Study:

  • To develop a new CNN model for enhanced CAC scoring, specifically designed to capture features from small regions and low-contrast areas in CT images.
  • To improve the integration of features across multiple CNN layers, particularly focusing on lower layers vital for detecting subtle calcifications.

Main Methods:

  • Proposed a novel CNN architecture incorporating a low-contrast detection module (ThrConvs) and two fusion modules: Queen-fusion (Qf) for cross-scale feature fusion and a lower-layer Gather-and-Distribute (GD) module.
  • The ThrConvs module uses three convolution blocks for low-contrast object detection.
  • The fusion modules connect neurons across adjacent CNN levels to capture comprehensive features of small calcium deposits and their surroundings.

Main Results:

  • The proposed model demonstrated superior performance on the public OrCaScore dataset (269 calcium deposits).
  • Achieved a 2.3-3.6% improvement in mean Pixel Accuracy (mPA) on both the private Concord and public OrCaScore datasets compared to existing methods.
  • Outperformed previous state-of-the-art detection methods in CAC scoring.

Conclusions:

  • The novel CNN model effectively captures features from small regions and low-contrast areas, leading to improved CAC scoring accuracy.
  • The integration of specialized modules (ThrConvs, Qf, GD) enhances the model's ability to detect subtle coronary artery calcifications.
  • This approach offers a significant advancement in automated cardiovascular risk assessment using CT imaging.