Annotation and quantification of cardiovascular in intravascular ultrasound (IVUS) images are of great significance in assisting the clinical diagnosis and treatment of coronary heart disease. However, it is time-consuming and expensive for cardiologists to manually annotate cardiovascular and calculate parameters in IVUS images using different software during the diagnosis. In this paper, we propose an IVUS analysis toolbox (SaCAQ) for semi-automatic cardiovascular annotation and quantification via prior knowledge-guided feature learning. The SaCAQ consists of two main modules: (1) a semi-automatic cardiovascular annotation module and (2) a cardiovascular quantification module. The semi-automatic cardiovascular annotation module can accurately segment the vascular wall by a IVUS images segmentation model (ISM-IVUS). The ISM-IVUS first extracts vascular morphological features and pixel intensity change features for the complex image segmentation by the expert prior knowledge feature extraction mechanism. Secondly, vascular wall is accurately segmented by the multi-scale feature extraction of attention U-Net. Moreover, the segmentation result checking mechanism is applied to verify the automatic segmentation result, which enhances the reliability of SaCAQ. Plaque regions of interest to doctors are detected by the rule-based plaque detection method, which can assist in the quantification task. Finally, image measurement methods and medically recognized calculation formulas are used in the cardiovascular quantification module to obtain clinical parameters, which significantly improves the confidence of the results. The SaCAQ is verified on our own dataset containing 5242 IVUS slice images and 383 sets of parameters. The experiments demonstrate that the SaCAQ achieves high accuracy of vascular wall segmentation: mIoU of 86.16%, Dice coefficient of 93.43%, and Hausdorff distance of 0.2171 mm. Moreover, ISM-IVUS has good segmentation speed and robustness. The calculated parameters show good correlation and p-values. All of these results indicate that the proposed SaCAQ provides an efficient, accurate, and reliable toolbox for clinical diagnosis of cardiovascular disease. The SaCAQ and user manual can be publicly available from https://github.com/zHwiz/SaCAQ.
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