Skip to main content
Erschienen in: The International Journal of Cardiovascular Imaging 7/2010

01.10.2010 | Original Paper

Toward the automatic detection of coronary artery calcification in non-contrast computed tomography data

verfasst von: Gerd Brunner, Deepak R. Chittajallu, Uday Kurkure, Ioannis A. Kakadiaris

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 7/2010

Einloggen, um Zugang zu erhalten

Abstract

Measurements related to coronary artery calcification (CAC) offer significant predictive value for coronary artery disease (CAD). In current medical practice CAC scoring is a labor-intensive task. The objective of this paper is the development and evaluation of a family of coronary artery region (CAR) models applied to the detection of CACs in coronary artery zones and sections. Thirty patients underwent non-contrast electron-beam computed tomography scanning. Coronary artery trajectory points as presented in the University of Houston heart-centered coordinate system were utilized to construct the CAR models which automatically detect coronary artery zones and sections. On a per-patient and per-zone basis the proposed CAR models detected CACs with a sensitivity, specificity and accuracy of 85.56 (±15.80)%, 93.54 (±1.98)%, and 85.27 (±14.67)%, respectively while the corresponding values in the zones and segments based case were 77.94 (±7.78)%, 96.57 (±4.90)%, and 73.58 (±8.96)%, respectively. The results of this study suggest that the family of CAR models provide an effective method to detect different regions of the coronaries. Further, the CAR classifiers are able to detect CACs with a mean sensitivity and specificity of 86.33 and 93.78%, respectively.
Fußnoten
1
See "Methods" Section for an exact definition of zones and sections.
 
2
Train CAR classifier using all patient data except for one data set and test on the left-out data set. Repeat for all patients and report the averaged performance.
 
Literatur
1.
Zurück zum Zitat National Institutes of Health (2007) National heart lung and blood institute, disease statistics National Institutes of Health (2007) National heart lung and blood institute, disease statistics
2.
Zurück zum Zitat Naghavi M, Libby P, Falk E, Casscells S, Litovsky S, Rumberger J, Badimon J, Stefanadis C, Moreno P, Pasterkamp G, Fayad Z, Stone P, Waxman S, Raggi P, Madjid M, Zarrabi A, Burke A, Yuan C, Fitzgerald P, Siscovick D, de Korte C, Aikawa M, Airaksinen K, Assmann G, Becker C, Chesebro J, Farb A, Galis Z, Jackson C, Jang I, Koenig W, Lodder R, March K, Demirovic J, Navab M, Priori S, Rekhter M, Bahr R, Grundy S, Mehran R, Colombo A, Boerwinkle E, Ballantyne C, Insull W, Schwartz R, Vogel R, Serruys P, Hansson G, Faxon D, Kaul S, Drexler H, Greenland P, Muller J, Virmani R, Ridker P, Zipes D, Shah P, Willerson J (2003) From vulnerable plaque to vulnerable patient: Aa call for new definitions and risk assessment strategies: part II. Circulation 108(15):1772–1778CrossRefPubMed Naghavi M, Libby P, Falk E, Casscells S, Litovsky S, Rumberger J, Badimon J, Stefanadis C, Moreno P, Pasterkamp G, Fayad Z, Stone P, Waxman S, Raggi P, Madjid M, Zarrabi A, Burke A, Yuan C, Fitzgerald P, Siscovick D, de Korte C, Aikawa M, Airaksinen K, Assmann G, Becker C, Chesebro J, Farb A, Galis Z, Jackson C, Jang I, Koenig W, Lodder R, March K, Demirovic J, Navab M, Priori S, Rekhter M, Bahr R, Grundy S, Mehran R, Colombo A, Boerwinkle E, Ballantyne C, Insull W, Schwartz R, Vogel R, Serruys P, Hansson G, Faxon D, Kaul S, Drexler H, Greenland P, Muller J, Virmani R, Ridker P, Zipes D, Shah P, Willerson J (2003) From vulnerable plaque to vulnerable patient: Aa call for new definitions and risk assessment strategies: part II. Circulation 108(15):1772–1778CrossRefPubMed
3.
Zurück zum Zitat Agatston A, Janowitz W, Hildner F, Zusmer N, Viamonte MJ, Detrano R (1990) Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 15(4):827–32CrossRefPubMed Agatston A, Janowitz W, Hildner F, Zusmer N, Viamonte MJ, Detrano R (1990) Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 15(4):827–32CrossRefPubMed
4.
Zurück zum Zitat Carr JJ, Nelson JC, Wong ND, McNitt-Gray M, Arad Y, Jacobs J, Sidney DRS, Bild DE, Williams OD, Detrano RC (2005) Calcified coronary artery plaque measurement with cardiac CT in population-based studies: standardized protocol of Multi-ethnic study of atherosclerosis (MESA) and Coronary artery risk development in young adults (CARDIA) study. Radiology 234(1):35–43CrossRefPubMed Carr JJ, Nelson JC, Wong ND, McNitt-Gray M, Arad Y, Jacobs J, Sidney DRS, Bild DE, Williams OD, Detrano RC (2005) Calcified coronary artery plaque measurement with cardiac CT in population-based studies: standardized protocol of Multi-ethnic study of atherosclerosis (MESA) and Coronary artery risk development in young adults (CARDIA) study. Radiology 234(1):35–43CrossRefPubMed
5.
Zurück zum Zitat Brown ER, Kronmal RA, Bluemke DA, Guerci AD, Carr JJ, Goldin J, Detrano R (2008) Coronary calcium coverage score: determination, correlates, and predictive accuracy in the multi-ethnic study of atherosclerosis. Radiology 247(3):669–75CrossRefPubMed Brown ER, Kronmal RA, Bluemke DA, Guerci AD, Carr JJ, Goldin J, Detrano R (2008) Coronary calcium coverage score: determination, correlates, and predictive accuracy in the multi-ethnic study of atherosclerosis. Radiology 247(3):669–75CrossRefPubMed
6.
Zurück zum Zitat Kurkure U, Chittajallu D, Brunner G, Yalamanchili R, Kakadiaris I (2008) Detection of coronary calcifications using supervised hierarchical classification. In: Proceedings of 2nd MICCAI workshop on computer vision for intravascular and intracardiac imaging, New York, NY, Sep. 10 2008 Kurkure U, Chittajallu D, Brunner G, Yalamanchili R, Kakadiaris I (2008) Detection of coronary calcifications using supervised hierarchical classification. In: Proceedings of 2nd MICCAI workshop on computer vision for intravascular and intracardiac imaging, New York, NY, Sep. 10 2008
7.
Zurück zum Zitat Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Yun TJ, Park JJ, Yoon CH (2003) CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 23:147–65CrossRef Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Yun TJ, Park JJ, Yoon CH (2003) CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 23:147–65CrossRef
8.
Zurück zum Zitat Aubry P, Joudinaud T, Hyafil F (2008) Anomalous origin of coronary arteries in adults. Ann Cardiol Angeiol (Paris) 57(6):327–334CrossRef Aubry P, Joudinaud T, Hyafil F (2008) Anomalous origin of coronary arteries in adults. Ann Cardiol Angeiol (Paris) 57(6):327–334CrossRef
9.
Zurück zum Zitat Yang Y, Stillman A, Tannenbaum A, Giddens D (2007) Automatic segmentation of coronary arteries using bayesian driven implicit surfaces. In: Proceedings of IEEE international symposium on biomedical imaging: from nano to macro, Washington, DC, Apr. 2007, pp 189–192 Yang Y, Stillman A, Tannenbaum A, Giddens D (2007) Automatic segmentation of coronary arteries using bayesian driven implicit surfaces. In: Proceedings of IEEE international symposium on biomedical imaging: from nano to macro, Washington, DC, Apr. 2007, pp 189–192
10.
Zurück zum Zitat Banh D, Kyprianou I, Paquerault S, Myers K (2007) Morphology-based three-dimensional segmentation of coronary artery tree from CTA scans in medical imaging 2007: image processing, vol. 6512, presented at the Society of photo-optical instrumentation engineers (SPIE) conference, pp 65–122 Banh D, Kyprianou I, Paquerault S, Myers K (2007) Morphology-based three-dimensional segmentation of coronary artery tree from CTA scans in medical imaging 2007: image processing, vol. 6512, presented at the Society of photo-optical instrumentation engineers (SPIE) conference, pp 65–122
11.
Zurück zum Zitat Kondos GT, Hoff JA, Sevrukov A, Daviglus ML, Garside DB, Devries SS, Chomka EV, Liu K (2003) Electron-beam tomography coronary artery calcium and cardiac events: a 37-month follow-up of 5635 initially asymptomatic low- to intermediate-risk adults. Circulation 107(20):2571–2576CrossRefPubMed Kondos GT, Hoff JA, Sevrukov A, Daviglus ML, Garside DB, Devries SS, Chomka EV, Liu K (2003) Electron-beam tomography coronary artery calcium and cardiac events: a 37-month follow-up of 5635 initially asymptomatic low- to intermediate-risk adults. Circulation 107(20):2571–2576CrossRefPubMed
12.
Zurück zum Zitat Greenland P, LaBree L, Azen SP, Doherty TM, Detrano RC (2004) Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals. JAMA 291(2):210–5CrossRefPubMed Greenland P, LaBree L, Azen SP, Doherty TM, Detrano RC (2004) Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals. JAMA 291(2):210–5CrossRefPubMed
13.
Zurück zum Zitat Bild DE, Detrano R, Peterson D, Guerci A, Liu K, Shahar E, Ouyang P, Jackson S, Saad MF (2005) Ethnic differences in coronary calcification: the Multi-Ethnic Study of Atherosclerosis (MESA). Circulation 111(10):1313–20CrossRefPubMed Bild DE, Detrano R, Peterson D, Guerci A, Liu K, Shahar E, Ouyang P, Jackson S, Saad MF (2005) Ethnic differences in coronary calcification: the Multi-Ethnic Study of Atherosclerosis (MESA). Circulation 111(10):1313–20CrossRefPubMed
14.
Zurück zum Zitat Brunner G, Chittajallu D, Kurkure U, Kakadiaris I (2008) A heart-centered coordinate system for the detection of coronary artery zones in non-contrast computed tomography data. In: Proceedings of 2nd MICCAI workshop on computer vision for intravascular and intracardiac imaging, New York, NY, Sep. 10 2008 Brunner G, Chittajallu D, Kurkure U, Kakadiaris I (2008) A heart-centered coordinate system for the detection of coronary artery zones in non-contrast computed tomography data. In: Proceedings of 2nd MICCAI workshop on computer vision for intravascular and intracardiac imaging, New York, NY, Sep. 10 2008
15.
Zurück zum Zitat Xiao J (2007) A new coordinate system for rodent brain and variability in the brain weights and dimensions of different ages in the naked mole-rat. J Neurosci Methods 162(1–2):162–70CrossRefPubMed Xiao J (2007) A new coordinate system for rodent brain and variability in the brain weights and dimensions of different ages in the naked mole-rat. J Neurosci Methods 162(1–2):162–70CrossRefPubMed
16.
Zurück zum Zitat Vapnik V (1995) The nature of statistical learning theory. Springer Verlag, Berlin Vapnik V (1995) The nature of statistical learning theory. Springer Verlag, Berlin
17.
Zurück zum Zitat WG Austen, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, McGoon DC, Murphy ML, Roe BB (1975) A reporting system on patients evaluated for coronary artery disease. Report of the ad hoc committee for grading of coronary artery disease, council on cardiovascular surgery, american heart association. Circulation 51(4):5–40 WG Austen, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, McGoon DC, Murphy ML, Roe BB (1975) A reporting system on patients evaluated for coronary artery disease. Report of the ad hoc committee for grading of coronary artery disease, council on cardiovascular surgery, american heart association. Circulation 51(4):5–40
Metadaten
Titel
Toward the automatic detection of coronary artery calcification in non-contrast computed tomography data
verfasst von
Gerd Brunner
Deepak R. Chittajallu
Uday Kurkure
Ioannis A. Kakadiaris
Publikationsdatum
01.10.2010
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 7/2010
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-010-9608-1

Weitere Artikel der Ausgabe 7/2010

The International Journal of Cardiovascular Imaging 7/2010 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.