Anthony Mathur

Yuan Jin, Antonio Pepe, Gian Marco Melito et al.

The automated analysis of the aortic vessel tree (AVT) from computed tomography angiography (CTA) holds immense clinical potential, but its development has been impeded by a lack of shared, high-quality data. We launched the SEG.A. challenge to catalyze progress in this field by introducing a large, publicly available, multi-institutional dataset for AVT segmentation. The challenge benchmarked automated algorithms on a hidden test set, with subsequent optional tasks in surface meshing for computational simulations. Our findings reveal a clear convergence on deep learning methodologies, with 3D U-Net architectures dominating the top submissions. A key result was that an ensemble of the highest-ranking algorithms significantly outperformed individual models, highlighting the benefits of model fusion. Performance was strongly linked to algorithmic design, particularly the use of customized post-processing steps, and the characteristics of the training data. This initiative not only establishes a new performance benchmark but also provides a lasting resource to drive future innovation toward robust, clinically translatable tools.

Xingwei He, Kit Mills Bransby, Ahmet Emir Ulutas et al.

Aims: To develop a deep-learning (DL) framework that will allow fully automated longitudinal and circumferential co-registration of intravascular ultrasound (IVUS) and optical coherence tomography (OCT) images. Methods and results: Data from 230 patients (714 vessels) with acute coronary syndrome that underwent near-infrared spectroscopy (NIRS)-IVUS and OCT imaging in their non-culprit vessels were included in the present analysis. The lumen borders annotated by expert analysts in 61,655 NIRS-IVUS and 62,334 OCT frames, and the side branches and calcific tissue identified in 10,000 NIRS-IVUS frames and 10,000 OCT frames, were used to train DL solutions for the automated extraction of these features. The trained DL solutions were used to process NIRS-IVUS and OCT images and their output was used by a dynamic time warping algorithm to co-register longitudinally the NIRS-IVUS and OCT images, while the circumferential registration of the IVUS and OCT was optimized through dynamic programming. On a test set of 77 vessels from 22 patients, the DL method showed high concordance with the expert analysts for the longitudinal and circumferential co-registration of the two imaging sets (concordance correlation coefficient >0.99 for the longitudinal and >0.90 for the circumferential co-registration). The Williams Index was 0.96 for longitudinal and 0.97 for circumferential co-registration, indicating a comparable performance to the analysts. The time needed for the DL pipeline to process imaging data from a vessel was <90s. Conclusion: The fully automated, DL-based framework introduced in this study for the co-registration of IVUS and OCT is fast and provides estimations that compare favorably to the expert analysts. These features renders it useful in research in the analysis of large-scale data collected in studies that incorporate multimodality imaging to characterize plaque composition.