Scale-space for empty catheter segmentation in PCI fluoroscopic images

Abstract : Purpose: In this article, we present empty guiding catheter segmentation in fluoroscopic X-ray images. The guiding catheter, being a commonly visible landmark, its segmentation is an important brick for Percutaneous Coronary Intervention (PCI) procedure modeling but difficult too. Methods: In number of clinical situations, it is empty and appears as a low contrasted structure with two parallel and partially disconnected edges. To segment it, we work on the level-set scale-space of image, the min tree, to extract curve blobs. We then propose a novel structural scale-space, a hierarchy built on these curve blobs. The deep connected component , i.e. the cluster of curve blobs on this hierarchy, that maximizes the likelihood to be an empty catheter is retained as final segmentation. Results: As a result of evaluation over a database of 1250 fluoroscopic images taken from examinations of 6 patients, we obtain very good qualitative and quantitative segmentation performance, with mean precision and recall of 80.48% and 63.04% respectively. Conclusions: We develop a novel structural scale-space to segment a structured object, the empty catheter in challenging imaging situations where the information content is very sparse. Fully-automatic empty catheter segmentation in X-ray fluoroscopic images is an important and preliminary step in PCI procedure modeling, as it aids in tagging the arrival and removal location of other interventional tools.
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International Journal of Computer Assisted Radiology and Surgery, Springer Verlag, 2017, 12 (7), pp.1179-1188. 〈https://rd.springer.com/article/10.1007/s11548-017-1612-7〉
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  • HAL Id : hal-01445849, version 2

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Ketan Bacchuwar, Jean Cousty, Régis Vaillant, Laurent Najman. Scale-space for empty catheter segmentation in PCI fluoroscopic images. International Journal of Computer Assisted Radiology and Surgery, Springer Verlag, 2017, 12 (7), pp.1179-1188. 〈https://rd.springer.com/article/10.1007/s11548-017-1612-7〉. 〈hal-01445849v2〉

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