Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery
The purpose of this study was to investigate the viability of the proposed method in preventing the loss of metallic components including the clip and coil in cerebral computed tomography angiography (CTA). Forty patients undergoing surgery for aneurysms carried metallic materials. The proposed meth...
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MDPI AG
2022-01-01
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Online Access: | https://www.mdpi.com/2075-4418/12/2/338 |
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author | Jina Shim Su Hwan Lee Youngjin Lee Kyu Bom Kim Kyuseok Kim |
author_facet | Jina Shim Su Hwan Lee Youngjin Lee Kyu Bom Kim Kyuseok Kim |
author_sort | Jina Shim |
collection | DOAJ |
description | The purpose of this study was to investigate the viability of the proposed method in preventing the loss of metallic components including the clip and coil in cerebral computed tomography angiography (CTA). Forty patients undergoing surgery for aneurysms carried metallic materials. The proposed method is based on conventional bone subtraction CTA (BS-CTA) system. Briefly, the position of metal components was determined using the threshold value and a region of interest (ROI). An appropriate threshold was used to separate the background from the target materials based on the Otsu method. A three-dimensional (3D) rendering was performed from the proposed BS-CTA data carrying the extracted target information. The accuracy of clip and coil region measured using the dice similarity coefficient (DSC) and bidirectional Hausdorff distance (HD) is reported. The metallic components of the proposed BS-CTA were significantly visualized in various patient cases. Quantitative evaluation using the proposed method is based on the mean DSC of 0.93 with a standard deviation (SD) of ±0.05 (e.g., maximum value = 0.99, minimum value = 0.75, 95% confidence interval (CI) = 0.91 to 0.95, and all <i>p</i> < 0.05). The mean HD was 1.50 voxels with an SD of ± 0.58 (e.g., maximum value = 5.95, minimum value = 0.12, 95% CI = 1.10 to 1.90, and all <i>p</i> < 0.05). The proposed method demonstrates effective segmentation of the metallic component and application to the existing conventional BS-CTA system. |
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issn | 2075-4418 |
language | English |
last_indexed | 2024-03-09T22:12:12Z |
publishDate | 2022-01-01 |
publisher | MDPI AG |
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series | Diagnostics |
spelling | doaj.art-54fb61479b944554840e7eb991df0d212023-11-23T19:30:24ZengMDPI AGDiagnostics2075-44182022-01-0112233810.3390/diagnostics12020338Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm SurgeryJina Shim0Su Hwan Lee1Youngjin Lee2Kyu Bom Kim3Kyuseok Kim4Department of Radiology and Research, Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Yonsei-ro, Seodaemun-gu, Seoul 03722, KoreaDepartment of Radiological Science, Gachon University, 191, Hambakmoe-ro, Yeonsu-gu, Incheon 21936, KoreaDepartment of Integrative Medicine, Major in Digital Healthcare, Yonsei University College of Medicine, Unju-ro, Gangman-gu, Seoul 06229, KoreaDepartment of Integrative Medicine, Major in Digital Healthcare, Yonsei University College of Medicine, Unju-ro, Gangman-gu, Seoul 06229, KoreaThe purpose of this study was to investigate the viability of the proposed method in preventing the loss of metallic components including the clip and coil in cerebral computed tomography angiography (CTA). Forty patients undergoing surgery for aneurysms carried metallic materials. The proposed method is based on conventional bone subtraction CTA (BS-CTA) system. Briefly, the position of metal components was determined using the threshold value and a region of interest (ROI). An appropriate threshold was used to separate the background from the target materials based on the Otsu method. A three-dimensional (3D) rendering was performed from the proposed BS-CTA data carrying the extracted target information. The accuracy of clip and coil region measured using the dice similarity coefficient (DSC) and bidirectional Hausdorff distance (HD) is reported. The metallic components of the proposed BS-CTA were significantly visualized in various patient cases. Quantitative evaluation using the proposed method is based on the mean DSC of 0.93 with a standard deviation (SD) of ±0.05 (e.g., maximum value = 0.99, minimum value = 0.75, 95% confidence interval (CI) = 0.91 to 0.95, and all <i>p</i> < 0.05). The mean HD was 1.50 voxels with an SD of ± 0.58 (e.g., maximum value = 5.95, minimum value = 0.12, 95% CI = 1.10 to 1.90, and all <i>p</i> < 0.05). The proposed method demonstrates effective segmentation of the metallic component and application to the existing conventional BS-CTA system.https://www.mdpi.com/2075-4418/12/2/338cerebral CT angiography (CTA)bone subtractionaneurysmclip and coilperformance evaluation |
spellingShingle | Jina Shim Su Hwan Lee Youngjin Lee Kyu Bom Kim Kyuseok Kim Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery Diagnostics cerebral CT angiography (CTA) bone subtraction aneurysm clip and coil performance evaluation |
title | Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery |
title_full | Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery |
title_fullStr | Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery |
title_full_unstemmed | Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery |
title_short | Metallic Component Preserving Algorithm Based on the Cerebral Computed Tomography Angiography in Aneurysm Surgery |
title_sort | metallic component preserving algorithm based on the cerebral computed tomography angiography in aneurysm surgery |
topic | cerebral CT angiography (CTA) bone subtraction aneurysm clip and coil performance evaluation |
url | https://www.mdpi.com/2075-4418/12/2/338 |
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