Segmentation and Vascular Vectorization for Coronary Artery by Geometry-based Cascaded Neural Network
This work addresses the problem of accurate coronary artery segmentation for medical imaging analysis, particularly in diagnosing coronary artery disease, and is incremental as it builds on deep learning methods with geometric enhancements.
The paper tackles the challenge of segmenting coronary arteries from CCTA images, which often suffer from fragmentations due to complex structures and image limitations, by proposing a geometry-based cascaded neural network that integrates geometric deformation for continuous and accurate meshes, achieving a Dice score of 0.778 on their CCA-200 dataset and 0.895 on the public ASOCA dataset.
Segmentation of the coronary artery is an important task for the quantitative analysis of coronary computed tomography angiography (CCTA) images and is being stimulated by the field of deep learning. However, the complex structures with tiny and narrow branches of the coronary artery bring it a great challenge. Coupled with the medical image limitations of low resolution and poor contrast, fragmentations of segmented vessels frequently occur in the prediction. Therefore, a geometry-based cascaded segmentation method is proposed for the coronary artery, which has the following innovations: 1) Integrating geometric deformation networks, we design a cascaded network for segmenting the coronary artery and vectorizing results. The generated meshes of the coronary artery are continuous and accurate for twisted and sophisticated coronary artery structures, without fragmentations. 2) Different from mesh annotations generated by the traditional marching cube method from voxel-based labels, a finer vectorized mesh of the coronary artery is reconstructed with the regularized morphology. The novel mesh annotation benefits the geometry-based segmentation network, avoiding bifurcation adhesion and point cloud dispersion in intricate branches. 3) A dataset named CCA-200 is collected, consisting of 200 CCTA images with coronary artery disease. The ground truths of 200 cases are coronary internal diameter annotations by professional radiologists. Extensive experiments verify our method on our collected dataset CCA-200 and public ASOCA dataset, with a Dice of 0.778 on CCA-200 and 0.895 on ASOCA, showing superior results. Especially, our geometry-based model generates an accurate, intact and smooth coronary artery, devoid of any fragmentations of segmented vessels.