CN112070778A - Multi-parameter extraction method based on intravascular OCT and ultrasound image fusion - Google Patents

Multi-parameter extraction method based on intravascular OCT and ultrasound image fusion Download PDF

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CN112070778A
CN112070778A CN202010861189.9A CN202010861189A CN112070778A CN 112070778 A CN112070778 A CN 112070778A CN 202010861189 A CN202010861189 A CN 202010861189A CN 112070778 A CN112070778 A CN 112070778A
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oct
picture
plaque
image fusion
intravascular
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刘巍
徐克永
傅国胜
徐亚伟
焦力群
张毅
李俊峡
李世强
陶魁园
刘子旭
匡皓
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Nanjing Forssmann Medical Technology Co ltd
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00Image analysis
    • G06T7/10Segmentation; Edge detection
    • G06T7/12Edge-based segmentation
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T5/00Image enhancement or restoration
    • G06T5/50Image enhancement or restoration using two or more images, e.g. averaging or subtraction
    • GPHYSICS
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    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/10Image acquisition modality
    • G06T2207/10072Tomographic images
    • G06T2207/10101Optical tomography; Optical coherence tomography [OCT]
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/10Image acquisition modality
    • G06T2207/10132Ultrasound image
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    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/20Special algorithmic details
    • G06T2207/20212Image combination
    • G06T2207/20221Image fusion; Image merging
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    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/30Subject of image; Context of image processing
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    • G06T2207/30096Tumor; Lesion

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Abstract

A multi-parameter extraction algorithm based on intravascular OCT and ultrasound image fusion is characterized in that an IVUS picture and an OCT picture of the same blood vessel are used for image fusion, the fused picture is used for deep learning to identify the tunica media of an OCT image, a satisfactory artificial intelligence algorithm is trained, the OCT picture is input into the artificial intelligence algorithm, the tunica media and a lumen boundary can be segmented, and therefore plaque load information can be obtained. The invention makes up the defect of insufficient penetration force of OCT imaging and can quickly obtain image load.

Description

Multi-parameter extraction method based on intravascular OCT and ultrasound image fusion
Technical Field
The invention relates to an image processing technology, in particular to an OCT image processing technology, and specifically relates to a multi-parameter extraction algorithm based on intravascular OCT and ultrasound image fusion.
Background
At present, technical means such as X-ray, ultrasound and OCT have been widely used for diagnosis and treatment of various diseases. The X-ray has lower resolution, but can be used for large-range and integral imaging, is the basis of the current radiography imaging and is also the gold standard for coronary artery evaluation and treatment, but radiography can only provide two-dimensional imaging information and can not provide tissue composition information in a tube cavity; the resolution of the intravascular ultrasound is about 100-200 microns, and the penetration depth can reach 10 mm; the resolution of intravascular OCT is about 10-20 microns with a penetration depth of about 1-2 mm. Currently, these three imaging techniques are clinically complementary to each other and used in concert. Since the imaging mechanisms of intravascular ultrasound and intravascular OCT are similar, the main difference is resolution and penetration depth, and intravascular ultrasound has the main advantages over intravascular OCT in clinical application in that plaque burden can be evaluated, but the ultrasound signal cannot penetrate calcified plaque and the resolution of the ultrasound signal is low, and the lumen area is often overestimated when calculating the lumen area. Intravascular OCT has an ultrahigh resolution, can identify various plaques, limits the penetration depth, and cannot effectively identify the middle membrane position of the plaque position, thus failing to provide plaque load information and effectively imaging lipid plaques.
Disclosure of Invention
The invention aims to provide a multi-parameter extraction method based on intravascular OCT and ultrasonic image fusion, aiming at the problems that the middle membrane position of a plaque position cannot be effectively identified due to low penetrating power of an OCT imaging technology, plaque load information cannot be provided, and lipid plaques cannot be effectively imaged.
The technical scheme of the invention is as follows:
a multi-parameter extraction method based on intravascular OCT and ultrasound image fusion is characterized in that an IVUS picture and an OCT picture of the same section of blood vessel are used for image fusion, deep learning is carried out on the fused picture to identify the tunica media of an OCT image, a satisfactory artificial intelligence algorithm is trained, the OCT picture is input into the artificial intelligence algorithm, the tunica media and a lumen boundary can be segmented, and therefore plaque load information can be obtained.
The plaque load evaluation is the occupation effect of plaque on the original blood vessel lumen, and the calculation formula is
Figure BDA0002648203100000021
The cross-sectional area of the outer stretch film is typically characterized using the cross-sectional area of the middle film. Because intravascular ultrasound has a large penetration depth, the tunica media can be imaged at the plaque-rich part, so that the plaque area and the tunica media area can be measured, and the plaque load condition can be further evaluated. The penetration depth of the intravascular OCT to tissues is only 1-2 mm, and when the plaque depth is more than 1mm or a special plaque is encountered (a lipid pool), the intima cannot be effectively imaged, so that the conventional OCT image cannot evaluate the plaque load condition.
The invention has the beneficial effects that:
the invention makes up the defect of insufficient penetration force of OCT imaging and can quickly obtain image load.
Drawings
FIG. 1 is a schematic flow chart of the algorithm of the present invention.
FIG. 2 is a schematic diagram of the image fusion process of the present invention.
Fig. 3 is a schematic diagram of the segmentation of the tunica media (green) and the lumen (blue) and the plaque load information by inputting the OCT image into the model.
Fig. 4 shows a section of a blood vessel identified, and the lumen and media locations (arrows) at the plaque are obtained, and a hemodynamic analysis can be performed to further evaluate the ischemia condition of the blood vessel and the local eddy current and stress distribution.
Fig. 5 is a schematic diagram of a U-net network structure.
Detailed Description
The invention is further described with reference to the following figures and detailed description.
As shown in fig. 1-5.
A multi-parameter extraction method based on intravascular OCT and ultrasound image fusion is characterized in that an IVUS picture and an OCT picture of the same blood vessel are used for image fusion, the fused picture is used for deep learning to identify the mesoderm of an OCT image, a satisfactory artificial intelligence algorithm is trained, the OCT picture is input into the artificial intelligence algorithm, the mesoderm and a lumen boundary can be segmented, and therefore plaque load information can be obtained. The plaque load evaluation is the occupation effect of plaque on the original blood vessel lumen, and the calculation formula is
Figure BDA0002648203100000031
The cross-sectional area of the outer stretch film is typically characterized using the cross-sectional area of the middle film. Because intravascular ultrasound has a large penetration depth, the tunica media can be imaged at the plaque-rich part, so that the plaque area and the tunica media area can be measured, and the plaque load condition can be further evaluated. The penetration depth of the intravascular OCT to tissues is only 1-2 mm, and when the plaque depth is more than 1mm or a special plaque is encountered (a lipid pool), the intima cannot be effectively imaged, so that the conventional OCT image cannot evaluate the plaque load condition.
The specific algorithm flow is shown in FIG. 1
The image fusion process is shown in fig. 2: and inputting an IVUS image, identifying the tunica media, and accurately marking the identified tunica media on the OCT image.
Then the OCT image is input into the model, the tunica media (green) and the lumen (blue) can be segmented, and the plaque load information can be obtained. As shown in fig. 3.
The algorithm can not only obtain plaque load information, but also identify a section of blood vessel to obtain the mesoderm and lumen information of the section of blood vessel, so that the hemodynamics calculation (figure 4) is carried out, the section of blood vessel is identified to obtain the lumen and the mesoderm position (arrow position) of the plaque, the hemodynamics analysis can be carried out, and the ischemia condition of the blood vessel and the local eddy current and stress distribution can be further evaluated.
And (3) network model: u-net
The U-net network model is one of models which are applied more in the semantic segmentation field, particularly in the medical field. Considering the limited data set of medical images, we have adopted the U-net network model. The greatest advantage of the model is that learning is carried out through a small training set, and good effect can be obtained.
The U-net network is very simple, the first half is used for feature extraction and the second half is upsampled, and this structure can also be called an encoder-decoder. The whole structure of the network is similar to the capital letter U, so the network is called U-net. As shown in FIG. 5, FIG. 5 is a U-net network semantic segmentation model, the left side represents down-sampling and the right side represents up-sampling. The first layer is the input layer (input), the input picture size is 572 × 572, and the maximum pooled (max × pool) result continues the convolution as input for one layer by two-layer convolution (number of volumes (conv) is 64, convolution size is 3 × 3, activation function is ReLU). After four times of large convolution pooling, downsampling is completed. For the fourth result, deconvolution up-sampling (up-conv) is adopted, and the step size is 2, so that the feature is combined with the corresponding down-sampling layer. After four times of downsampling, the output layer (output) uses a convolution layer of 1 × 1, and outputs the classification prediction result by using a softmax activation function. In the case of limited data sets, the data may be enhanced by copying, cutting, rotating (copy, crop) pictures.
The present invention is not concerned with parts that are the same as the prior art or that can be implemented using the prior art.

Claims (2)

1. A multi-parameter extraction method based on intravascular OCT and ultrasound image fusion is characterized in that an IVUS picture and an OCT picture of the same section of blood vessel are used for image fusion, deep learning is carried out on the fused picture to identify the tunica media of an OCT image, a satisfactory artificial intelligence algorithm is trained, the OCT picture is input into the artificial intelligence algorithm, the tunica media and a lumen boundary can be segmented, and therefore plaque load information can be obtained.
2. The method of claim 1, wherein the plaque burden assessment is a plaque occupancy effect on the lumen of the native vessel, and is calculated by the formula:
Figure FDA0002648203090000011
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CN112587170A (en) * 2020-12-29 2021-04-02 全景恒升(北京)科学技术有限公司 Intravascular plaque load detection method, system and terminal based on dual-mode imaging
CN115644989A (en) * 2022-12-29 2023-01-31 南京沃福曼医疗科技有限公司 Multi-channel pulse high-voltage parameter controllable shock wave lithotripsy balloon imaging system and catheter thereof

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CN107730540A (en) * 2017-10-09 2018-02-23 全景恒升(北京)科学技术有限公司 The computational methods of coronary artery parameter based on high-precision Matching Model
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