Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients

Intravascular Optical Coherence Tomography (IVOCT) images provide important insight into every aspect of atherosclerosis. Specifically, the extent of plaque and its type, which are indicative of the patient’s condition, are better assessed by OCT images in comparison to other in vivo modalities. A l...

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Main Authors: Grigorios-Aris Cheimariotis, Maria Riga, Kostas Haris, Konstantinos Toutouzas, Aggelos K. Katsaggelos, Nicos Maglaveras
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/16/7412
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author Grigorios-Aris Cheimariotis
Maria Riga
Kostas Haris
Konstantinos Toutouzas
Aggelos K. Katsaggelos
Nicos Maglaveras
author_facet Grigorios-Aris Cheimariotis
Maria Riga
Kostas Haris
Konstantinos Toutouzas
Aggelos K. Katsaggelos
Nicos Maglaveras
author_sort Grigorios-Aris Cheimariotis
collection DOAJ
description Intravascular Optical Coherence Tomography (IVOCT) images provide important insight into every aspect of atherosclerosis. Specifically, the extent of plaque and its type, which are indicative of the patient’s condition, are better assessed by OCT images in comparison to other in vivo modalities. A large amount of imaging data per patient require automatic methods for rapid results. An effective step towards automatic plaque detection and plaque characterization is axial lines (A-lines) based classification into normal and various plaque types. In this work, a novel automatic method for A-line classification is proposed. The method employed convolutional neural networks (CNNs) for classification in its core and comprised the following pre-processing steps: arterial wall segmentation and an OCT-specific (depth-resolved) transformation and a post-processing step based on the majority of classifications. The important step was the OCT-specific transformation, which was based on the estimation of the attenuation coefficient in every pixel of the OCT image. The dataset used for training and testing consisted of 183 images from 33 patients. In these images, four different plaque types were delineated. The method was evaluated by cross-validation. The mean values of accuracy, sensitivity and specificity were 74.73%, 87.78%, and 61.45%, respectively, when classifying into plaque and normal A-lines. When plaque A-lines were classified into fibrolipidic and fibrocalcific, the overall accuracy was 83.47% for A-lines of OCT-specific transformed images and 74.94% for A-lines of original images. This large improvement in accuracy indicates the advantage of using attenuation coefficients when characterizing plaque types. The proposed automatic deep-learning pipeline constitutes a positive contribution to the accurate classification of A-lines in intravascular OCT images.
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spelling doaj.art-ef6640bec7064b76870a4e668b31fe772023-11-22T06:41:12ZengMDPI AGApplied Sciences2076-34172021-08-011116741210.3390/app11167412Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation CoefficientsGrigorios-Aris Cheimariotis0Maria Riga1Kostas Haris2Konstantinos Toutouzas3Aggelos K. Katsaggelos4Nicos Maglaveras5Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, 54124 Thessaloníki, Greece1st Department of Cardiology, National Kapodistrian University of Athens, Hippokration Hospital, 11527 Athens, GreeceLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, 54124 Thessaloníki, Greece1st Department of Cardiology, National Kapodistrian University of Athens, Hippokration Hospital, 11527 Athens, GreeceDepartment of Electrical and Computer Engineering, Northwestern University, Evanston, IL 60208, USALab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, 54124 Thessaloníki, GreeceIntravascular Optical Coherence Tomography (IVOCT) images provide important insight into every aspect of atherosclerosis. Specifically, the extent of plaque and its type, which are indicative of the patient’s condition, are better assessed by OCT images in comparison to other in vivo modalities. A large amount of imaging data per patient require automatic methods for rapid results. An effective step towards automatic plaque detection and plaque characterization is axial lines (A-lines) based classification into normal and various plaque types. In this work, a novel automatic method for A-line classification is proposed. The method employed convolutional neural networks (CNNs) for classification in its core and comprised the following pre-processing steps: arterial wall segmentation and an OCT-specific (depth-resolved) transformation and a post-processing step based on the majority of classifications. The important step was the OCT-specific transformation, which was based on the estimation of the attenuation coefficient in every pixel of the OCT image. The dataset used for training and testing consisted of 183 images from 33 patients. In these images, four different plaque types were delineated. The method was evaluated by cross-validation. The mean values of accuracy, sensitivity and specificity were 74.73%, 87.78%, and 61.45%, respectively, when classifying into plaque and normal A-lines. When plaque A-lines were classified into fibrolipidic and fibrocalcific, the overall accuracy was 83.47% for A-lines of OCT-specific transformed images and 74.94% for A-lines of original images. This large improvement in accuracy indicates the advantage of using attenuation coefficients when characterizing plaque types. The proposed automatic deep-learning pipeline constitutes a positive contribution to the accurate classification of A-lines in intravascular OCT images.https://www.mdpi.com/2076-3417/11/16/7412intravascular optical coherence tomographyatheromatic plaquedeep learningCNNclassification
spellingShingle Grigorios-Aris Cheimariotis
Maria Riga
Kostas Haris
Konstantinos Toutouzas
Aggelos K. Katsaggelos
Nicos Maglaveras
Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients
Applied Sciences
intravascular optical coherence tomography
atheromatic plaque
deep learning
CNN
classification
title Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients
title_full Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients
title_fullStr Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients
title_full_unstemmed Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients
title_short Automatic Classification of A-Lines in Intravascular OCT Images Using Deep Learning and Estimation of Attenuation Coefficients
title_sort automatic classification of a lines in intravascular oct images using deep learning and estimation of attenuation coefficients
topic intravascular optical coherence tomography
atheromatic plaque
deep learning
CNN
classification
url https://www.mdpi.com/2076-3417/11/16/7412
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