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Coronary Plaque Analysis for CT Angiography Clinical Research

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Bildverarbeitung für die Medizin 2021

Abstract

The analysis of plaque deposits in the coronary vasculature is an important topic in current clinical research. From a technical side mostly new algorithms for different sub tasks e.g. centerline extraction or vessel/plaque segmentation – are proposed. However, to enable clinical research with the help of these algorithms, a software solution, which enables manual correction, comprehensive visual feedback and tissue analysis capabilities, is needed. Therefore, we want to present such an integrated software solution. A MeVisLab-based implementation of our solution is available as part of the Siemens Healthineers syngo.via Frontier and OpenApps research extension. It is able to perform robust automatic centerline extraction and inner and outer vessel wall segmentation, while providing easy to use manual correction tools. Also, it allows for annotation of lesions along the centerlines, which can be further analyzed regarding their tissue composition. Furthermore, it enables research in upcoming technologies and research directions: it does support dual energy CT scans with dedicated plaque analysis and the quantification of the fatty tissue surrounding the vasculature, also in automated set-ups.

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References

  1. Mendis S, Davis S, Norrving B. Organizational update: the World health organization global status report on noncommunicable diseases 2014. Stroke. 2015;46(5):e121–e122.

    Google Scholar 

  2. Naghavi M. From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies. Part II. Circulation. 2003;108:1772–1778.

    Google Scholar 

  3. Antonopoulos AS, et al. Detecting human coronary inflammation by imaging perivascular fat. Sci Transl Med. 2017;9(398).

    Google Scholar 

  4. Zheng Y, Barbu A, Georgescu B, et al. Four-chamber heart modeling and automatic segmentation for 3-D cardiac CT volumes using marginal space learning and steerable features. IEEE Trans Med Imaging. 2008;27(11):1668–1681.

    Google Scholar 

  5. Zheng Y, Tek H, Funka-Lea G. Robust and accurate coronary artery centerline extraction in CTA by combining model-driven and data-driven approaches. Proc MICCAI. 2013; p. 74–81.

    Google Scholar 

  6. Schaap M, Metz CT, van Walsum T, et al. Standardized evaluation methodology and reference database for evaluating coronary artery centerline extraction algorithms. Med Image Anal. 2009;13(5):701–714.

    Google Scholar 

  7. Lugauer F, Zheng Y, Hornegger J, et al. Precise lumen segmentation in coronary computed tomography angiography. Proc MICCAI. 2014; p. 137–147.

    Google Scholar 

  8. Kirişli H, et al. Standardized evaluation framework for evaluating coronary artery stenosis detection, stenosis quantification and lumen segmentation algorithms in computed tomography angiography. Med Image Anal. 2013;17(8):859–876.

    Google Scholar 

  9. Grosskopf S, Biermann C, Deng K, et al. Accurate, fast, and robust vessel contour segmentation of CTA using an adaptive self-learning edge model. In: Medical Imaging 2009: Image Processing. vol. 7259. International Society for Optics and Photonics; 2009. p. 72594D.

    Google Scholar 

  10. Wels M, Lades F, Hopfgartner C, et al. Intuitive and accurate patient-specific coronary tree modeling from cardiac computed-tomography angiography. In: The 3rd interactive MIC Workshop; 2016. p. 86-93.

    Google Scholar 

  11. Danad I, Ó Hartaigh B, Min JK. Dual-energy computed tomography for detection of coronary artery disease. Expert Rev Cardiovasc Ther. 2015;13(12):1345–1356.

    Google Scholar 

  12. BarretoM, Schoenhagen P, Nair A, et al. Potential of dual-energy computed tomography to characterize atherosclerotic plaque: ex vivo assessment of human coronary arteries in comparison to histology. J Cardiovasc Comput Tomogr. 2008;2(4):234–242.

    Google Scholar 

  13. Tesche C, et al. Coronary CT angiography derived morphological and functional quantitative plaque markers correlated with invasive fractional flow reserve for detecting hemodynamically significant stenosis. J Cardiovasc Comput Tomogr. 2016;10(3):199–206.

    Google Scholar 

  14. Ratiu M, et al. Impact of coronary plaque geometry on plaque vulnerability and its association with the risk of future cardiovascular events in patients with chest pain undergoing coronary computed tomographic angiography: the GEOMETRY study: Protocol for a prospective clinical trial. Medicine. 2018;97(49).

    Google Scholar 

  15. Morariu M, et al. Impact of inflammation-mediated response on pan-coronary plaque vulnerability, myocardial viability and ventricular remodeling in the postinfarction period-the VIABILITY study: Protocol for a non-randomized prospective clinical study. Medicine. 2019;98(17).

    Google Scholar 

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Correspondence to Felix Denzinger .

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© 2021 Der/die Autor(en), exklusiv lizenziert durch Springer Fachmedien Wiesbaden GmbH, ein Teil von Springer Nature

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Denzinger, F. et al. (2021). Coronary Plaque Analysis for CT Angiography Clinical Research. In: Palm, C., Deserno, T.M., Handels, H., Maier, A., Maier-Hein, K., Tolxdorff, T. (eds) Bildverarbeitung für die Medizin 2021. Informatik aktuell. Springer Vieweg, Wiesbaden. https://doi.org/10.1007/978-3-658-33198-6_53

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