Abstract

The automatic detection of coronary stenosis is a very important task in computer aided diagnosis systems in the cardiology area. The main contribution of this paper is the identification of a suitable subset of 20 features that allows for the classification of stenosis cases in X-ray coronary images with a high performance overcoming different state-of-the-art classification techniques including deep learning strategies. The automatic feature selection stage was driven by the Univariate Marginal Distribution Algorithm and carried out by statistical comparison between five metaheuristics in order to explore the search space, which is O(249) computational complexity. Moreover, the proposed method is compared with six state-of-the-art classification methods, probing its effectiveness in terms of the Accuracy and Jaccard Index evaluation metrics. All the experiments were performed using two X-ray image databases of coronary angiograms. The first database contains 500 instances and the second one 250 images. In the experimental results, the proposed method achieved an Accuracy rate of 0.89 and 0.88 and Jaccard Index of 0.80 and 0.79, respectively. Finally, the average computational time of the proposed method to classify stenosis cases was ≈0.02 s, which made it highly suitable to be used in clinical practice.

Highlights

  • IntroductionTo determine the presence of stenosis on a X-ray coronary angiogram, the specialist performs an exhaustive visual examination over the entire image or a set of continuous digital image sequences

  • In clinical practice, stenosis detection is conducted by specialized cardiologists

  • A novel method for automatic stenosis classification in X-ray coronary images based on feature selection has been introduced

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Summary

Introduction

To determine the presence of stenosis on a X-ray coronary angiogram, the specialist performs an exhaustive visual examination over the entire image or a set of continuous digital image sequences. The automatic stenosis detection problem on coronary X-ray angiograms is a challenging task in computer aided diagnosis systems (CAD systems) because of the low contrast and the presence of high noise levels in almost all angiograms. This problem has been addressed using different techniques and strategies. When the vessel pixels are determined, the width is measured adding intensity values from the left to right edge with no need of a skeletonization process

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