CAVE: Cerebral Artery-Vein Segmentation in Digital Subtraction Angiography

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Hauptverfasser: Su, Ruisheng, van der Sluijs, P. Matthijs, Chen, Yuan, Cornelissen, Sandra, Broek, Ruben van den, van Zwam, Wim H., van der Lugt, Aad, Niessen, Wiro, Ruijters, Danny, van Walsum, Theo
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Veröffentlicht: 2022
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author Su, Ruisheng
van der Sluijs, P. Matthijs
Chen, Yuan
Cornelissen, Sandra
Broek, Ruben van den
van Zwam, Wim H.
van der Lugt, Aad
Niessen, Wiro
Ruijters, Danny
van Walsum, Theo
author_facet Su, Ruisheng
van der Sluijs, P. Matthijs
Chen, Yuan
Cornelissen, Sandra
Broek, Ruben van den
van Zwam, Wim H.
van der Lugt, Aad
Niessen, Wiro
Ruijters, Danny
van Walsum, Theo
contents Cerebral X-ray digital subtraction angiography (DSA) is a widely used imaging technique in patients with neurovascular disease, allowing for vessel and flow visualization with high spatio-temporal resolution. Automatic artery-vein segmentation in DSA plays a fundamental role in vascular analysis with quantitative biomarker extraction, facilitating a wide range of clinical applications. The widely adopted U-Net applied on static DSA frames often struggles with disentangling vessels from subtraction artifacts. Further, it falls short in effectively separating arteries and veins as it disregards the temporal perspectives inherent in DSA. To address these limitations, we propose to simultaneously leverage spatial vasculature and temporal cerebral flow characteristics to segment arteries and veins in DSA. The proposed network, coined CAVE, encodes a 2D+time DSA series using spatial modules, aggregates all the features using temporal modules, and decodes it into 2D segmentation maps. On a large multi-center clinical dataset, CAVE achieves a vessel segmentation Dice of 0.84 ($\pm$0.04) and an artery-vein segmentation Dice of 0.79 ($\pm$0.06). CAVE surpasses traditional Frangi-based K-means clustering (P<0.001) and U-Net (P<0.001) by a significant margin, demonstrating the advantages of harvesting spatio-temporal features. This study represents the first investigation into automatic artery-vein segmentation in DSA using deep learning. The code is publicly available at https://github.com/RuishengSu/CAVE_DSA.
format Preprint
id arxiv_https___arxiv_org_abs_2208_02355
institution arXiv
publishDate 2022
record_format arxiv
spellingShingle CAVE: Cerebral Artery-Vein Segmentation in Digital Subtraction Angiography
Su, Ruisheng
van der Sluijs, P. Matthijs
Chen, Yuan
Cornelissen, Sandra
Broek, Ruben van den
van Zwam, Wim H.
van der Lugt, Aad
Niessen, Wiro
Ruijters, Danny
van Walsum, Theo
Image and Video Processing
Cerebral X-ray digital subtraction angiography (DSA) is a widely used imaging technique in patients with neurovascular disease, allowing for vessel and flow visualization with high spatio-temporal resolution. Automatic artery-vein segmentation in DSA plays a fundamental role in vascular analysis with quantitative biomarker extraction, facilitating a wide range of clinical applications. The widely adopted U-Net applied on static DSA frames often struggles with disentangling vessels from subtraction artifacts. Further, it falls short in effectively separating arteries and veins as it disregards the temporal perspectives inherent in DSA. To address these limitations, we propose to simultaneously leverage spatial vasculature and temporal cerebral flow characteristics to segment arteries and veins in DSA. The proposed network, coined CAVE, encodes a 2D+time DSA series using spatial modules, aggregates all the features using temporal modules, and decodes it into 2D segmentation maps. On a large multi-center clinical dataset, CAVE achieves a vessel segmentation Dice of 0.84 ($\pm$0.04) and an artery-vein segmentation Dice of 0.79 ($\pm$0.06). CAVE surpasses traditional Frangi-based K-means clustering (P<0.001) and U-Net (P<0.001) by a significant margin, demonstrating the advantages of harvesting spatio-temporal features. This study represents the first investigation into automatic artery-vein segmentation in DSA using deep learning. The code is publicly available at https://github.com/RuishengSu/CAVE_DSA.
title CAVE: Cerebral Artery-Vein Segmentation in Digital Subtraction Angiography
topic Image and Video Processing
url https://arxiv.org/abs/2208.02355