Automated Plaque Detection and Agatston Score Estimation on Non-Contrast CT Scans: A Multicenter Study

Fuente: arXiv
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Autori principali: Nguyen, Andrew M., Liu, Jianfei, Mathai, Tejas Sudharshan, Grayson, Peter C., Summers, Ronald M.
Natura: Preprint
Pubblicazione: 2024
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author Nguyen, Andrew M.
Liu, Jianfei
Mathai, Tejas Sudharshan
Grayson, Peter C.
Summers, Ronald M.
author_facet Nguyen, Andrew M.
Liu, Jianfei
Mathai, Tejas Sudharshan
Grayson, Peter C.
Summers, Ronald M.
contents Coronary artery calcification (CAC) is a strong and independent predictor of cardiovascular disease (CVD). However, manual assessment of CAC often requires radiological expertise, time, and invasive imaging techniques. The purpose of this multicenter study is to validate an automated cardiac plaque detection model using a 3D multiclass nnU-Net for gated and non-gated non-contrast chest CT volumes. CT scans were performed at three tertiary care hospitals and collected as three datasets, respectively. Heart, aorta, and lung segmentations were determined using TotalSegmentator, while plaques in the coronary arteries and heart valves were manually labeled for 801 volumes. In this work we demonstrate how the nnU-Net semantic segmentation pipeline may be adapted to detect plaques in the coronary arteries and valves. With a linear correction, nnU-Net deep learning methods may also accurately estimate Agatston scores on chest non-contrast CT scans. Compared to manual Agatson scoring, automated Agatston scoring indicated a slope of the linear regression of 0.841 with an intercept of +16 HU (R2 = 0.97). These results are an improvement over previous work assessing automated Agatston score computation in non-gated CT scans.
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id arxiv_https___arxiv_org_abs_2402_09569
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Automated Plaque Detection and Agatston Score Estimation on Non-Contrast CT Scans: A Multicenter Study
Nguyen, Andrew M.
Liu, Jianfei
Mathai, Tejas Sudharshan
Grayson, Peter C.
Summers, Ronald M.
Computer Vision and Pattern Recognition
Coronary artery calcification (CAC) is a strong and independent predictor of cardiovascular disease (CVD). However, manual assessment of CAC often requires radiological expertise, time, and invasive imaging techniques. The purpose of this multicenter study is to validate an automated cardiac plaque detection model using a 3D multiclass nnU-Net for gated and non-gated non-contrast chest CT volumes. CT scans were performed at three tertiary care hospitals and collected as three datasets, respectively. Heart, aorta, and lung segmentations were determined using TotalSegmentator, while plaques in the coronary arteries and heart valves were manually labeled for 801 volumes. In this work we demonstrate how the nnU-Net semantic segmentation pipeline may be adapted to detect plaques in the coronary arteries and valves. With a linear correction, nnU-Net deep learning methods may also accurately estimate Agatston scores on chest non-contrast CT scans. Compared to manual Agatson scoring, automated Agatston scoring indicated a slope of the linear regression of 0.841 with an intercept of +16 HU (R2 = 0.97). These results are an improvement over previous work assessing automated Agatston score computation in non-gated CT scans.
title Automated Plaque Detection and Agatston Score Estimation on Non-Contrast CT Scans: A Multicenter Study
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2402.09569