Abstract

PurposeIntravascular ultrasound (IVUS) imaging is crucial for planning and performing percutaneous coronary interventions. Automatic segmentation of lumen and vessel wall in IVUS images can thus help streamlining the clinical workflow. State-of-the-art results in image segmentation are achieved with data-driven methods like convolutional neural networks (CNNs). These need large amounts of training data to perform sufficiently well but medical image datasets are often rather small. A possibility to overcome this problem is exploiting alternative network architectures like capsule networks.MethodsWe systematically investigated different capsule network architecture variants and optimized the performance on IVUS image segmentation. We then compared our capsule network with corresponding CNNs under varying amounts of training images and network parameters.ResultsContrary to previous works, our capsule network performs best when doubling the number of capsule types after each downsampling stage, analogous to typical increase rates of feature maps in CNNs. Maximum improvements compared to the baseline CNNs are 20.6% in terms of the Dice coefficient and 87.2% in terms of the average Hausdorff distance.ConclusionCapsule networks are promising candidates when it comes to segmentation of small IVUS image datasets. We therefore assume that this also holds for ultrasound images in general. A reasonable next step would be the investigation of capsule networks for few- or even single-shot learning tasks.

Highlights

  • Intravascular ultrasound (IVUS) is a commonly used imaging modality worldwide

  • Automatic segmentation of lumen and vessel wall can streamline the derivation of meaningful vessel

  • Recent experimental studies showed that capsule networks can outperform convolutional neural networks (CNNs) when dealing with small natural image datasets [11,12,30]. We study whether this holds for small ultrasound image datasets

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Summary

Introduction

Intravascular ultrasound (IVUS) is a commonly used imaging modality worldwide. Via IVUS experienced, physicians can assess vessel morphologies and thereby estimate important shape parameters like lumen diameter, vessel wall thickness or plaque burden. This effectively improves treatment planning and the success of percutaneous coronary interventions [21]. In order to derive vessel shape parameters from IVUS, physicians have to manually delineate the respective structures in multiple images. This procedure is rather timeconsuming, and the results depend strongly on the physicians’ experience. Automatic segmentation of lumen and vessel wall can streamline the derivation of meaningful vessel

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