Abstract

The accurate and efficient segmentation of coronary arteries in X-ray angiograms represents an essential task for computer-aided diagnosis. This paper presents a new multiscale Gaussian-matched filter (MGMF) based on artificial neural networks. The proposed method consists of two different stages. In the first stage, MGMF is used for detecting vessel-like structures while reducing image noise. The results of MGMF are compared with those obtained using six GMF-based detection methods in terms of the area (Az) under the receiver operating characteristic (ROC) curve. In the second stage, ten thresholding methods of the state of the art are compared in order to classify the magnitude of the multiscale Gaussian response into vessel and nonvessel pixels, respectively. The accuracy measure is used to analyze the segmentation methods, by comparing the results with a set of 100 X-ray coronary angiograms, which were outlined by a specialist to form the ground truth. Finally, the proposed method is compared with seven state-of-the-art vessel segmentation methods. The vessel detection results using the proposed MGMF method achieved an Az = 0.9357 with a training set of 50 angiograms and Az = 0.9362 with the test set of 50 images. In addition, the segmentation results using the intraclass variance thresholding method provided a segmentation accuracy of 0.9568 with the test set of coronary angiograms.

Highlights

  • Coronary angiography is the standard X-ray imaging procedure used by cardiologists in diagnosing and monitoring vascular abnormalities

  • Given the suitable performance of the Gaussian-matched filters for detecting coronary arteries in X-ray angiograms, a new multiscale Gaussian-matched filter based on a multilayer neural network is proposed in the present work; this method is described in detail in the present section

  • The vessel enhancement and segmentation results obtained from the proposed multiscale Gaussian-matched filter (MGMF) method are presented and analyzed

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Summary

Introduction

Coronary angiography is the standard X-ray imaging procedure used by cardiologists in diagnosing and monitoring vascular abnormalities. The development of computational methods to perform image analysis along with computer-aided diagnosis (CAD) has begun to attract more attention. Automatic segmentation of coronary arteries is the main image processing step in cardiology CAD systems and is a challenging and complex task. The main disadvantages in X-ray angiograms are the uneven illumination and weak contrast between coronary arteries and image background. Given that these two disadvantages generate multimodal histograms, the segmentation task has been commonly addressed in two stages: vessel enhancement called detection and binary classification known as segmentation. The first stage is performed to enhance vessellike structures from the image background while removing image noise, and the second stage focuses on using a soft classification method to differentiate vessel and nonvessel pixels

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