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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Main Authors: Jina Shim, Su Hwan Lee, Youngjin Lee, Kyu Bom Kim, Kyuseok Kim
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Diagnostics
Subjects:
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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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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