Automatic thoracic aorta calcium quantification using deep learning in non-contrast ECG-gated CT images

© 2024 IOP Publishing Ltd..

Thoracic aorta calcium (TAC) can be assessed from cardiac computed tomography (CT) studies to improve cardiovascular risk prediction. The aim of this study was to develop a fully automatic system to detect TAC and to evaluate its performance for classifying the patients into four TAC risk categories. The method started by segmenting the thoracic aorta, combining three UNets trained with axial, sagittal and coronal CT images. Afterwards, the surrounding lesion candidates were classified using three combined convolutional neural networks (CNNs) trained with orthogonal patches. Image datasets included 1190 non-enhanced ECG-gated cardiac CT studies from a cohort of cardiovascular patients (age 57 ± 9 years, 80% men, 65% TAC > 0). In the test set (N = 119), the combination of UNets was able to successfully segment the thoracic aorta with a mean volume difference of 0.3 ± 11.7 ml (<6%) and a median Dice coefficient of 0.947. The combined CNNs accurately classified the lesion candidates and 87% of the patients (N = 104) were accurately placed in their corresponding risk categories (Kappa = 0.826, ICC = 0.9915). TAC measurement can be estimated automatically from cardiac CT images using UNets to isolate the thoracic aorta and CNNs to classify calcified lesions.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Biomedical physics & engineering express - 10(2024), 3 vom: 13. März

Sprache:

Englisch

Beteiligte Personen:

Guilenea, Federico N [VerfasserIn]
Casciaro, Mariano E [VerfasserIn]
Soulat, Gilles [VerfasserIn]
Mousseaux, Elie [VerfasserIn]
Craiem, Damian [VerfasserIn]

Links:

Volltext

Themen:

Aorta segmentation
Artery calcium
Calcium
Convolutional neuronal network
Journal Article
SY7Q814VUP
Thoracic aorta calcification
UNet

Anmerkungen:

Date Completed 14.03.2024

Date Revised 14.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1088/2057-1976/ad2ff2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369275985