TWM575602U - Automatic reporting system of cardiovascular calcium or stenosis degree - Google Patents

Automatic reporting system of cardiovascular calcium or stenosis degree Download PDF

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TWM575602U
TWM575602U TW107204590U TW107204590U TWM575602U TW M575602 U TWM575602 U TW M575602U TW 107204590 U TW107204590 U TW 107204590U TW 107204590 U TW107204590 U TW 107204590U TW M575602 U TWM575602 U TW M575602U
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stenosis
calcification
degree
vascular
module
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TW107204590U
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陳榮邦
詩燕 鄭
蘇木春
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臺北醫學大學
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Abstract

The creation provides an automatic reporting system of cardiovascular calcium or stenosis degree, comprising a server saving a database having a number of cardiovascular images with various calcification or stenosis locations and degree; an image processing module; an artificial neural network learning module; a module for recognizing and marking cardiovascular calcium or stenosis; and a figure producing module.

Description

心臟血管鈣化或狹窄程度之自動報告產生系統Automatic reporting system for cardiac vascular calcification or stenosis

本新型係關於心臟血管鈣化或狹窄位置之檢測領域。特定言之,本新型係關於心臟血管鈣化或狹窄位置之自動報告產生系統。The present invention relates to the field of detection of cardiac vascular calcification or stenosis. In particular, the present invention relates to an automated report generation system for cardiac vascular calcification or stenosis.

心血管疾病佔據台灣十大死因前三名,心血管疾病多沒有明顯症狀,九成病人到院前死亡,發現大多病患係因心血管狹窄造成血量減少。心血管狹窄之原因為血管鈣化。當血管壁上出現鈣有過量沉積的現象,就可稱之為血管鈣化,造成血管狹窄。鈣化的產生是因為病人血脂沉積於冠狀動脈血管壁上,慢慢形成纖維化的斑塊,部分平滑肌肉細胞填滿脂肪,核心逐漸壞死,隨著時間鈣化逐年增厚。分析心臟血管的鈣化含量,可預測狹窄風險,進一步預防未來心肌梗塞的風險。三高(高血壓、高血脂、高血糖)病患、吸菸者、高齡等高風險族群更需要有效的篩檢。 此外,鈣化分析可反映病人長期身體失衡的相關炎症,藉此推測進行中的疾病,除了心血管疾病,還有糖尿病、新陳代謝症候群、癌症。鈣化指數0分者,幾乎沒有任何心血管疾病的風險;與沒有鈣化者相較,鈣化指數400以上者,約四分之三有冠狀動脈狹窄;鈣化指數超過1,000者,與癌症發生顯著相關。 因此,鈣化分析可作為基礎推測的風險預估值,高風險者,再接受需顯影劑的冠狀動脈CT血管攝影檢查(CCTA)。鈣化分析係量化數值,由電腦斷層的後處理量測及產出報告。CCTA則由專業醫師參考多截面電腦斷層影像,有賴於醫生之經驗,對於CCTA影像,進行手動計算、標記、與繪製心臟冠狀動脈狹窄分佈診斷報告。 因此,仍有需要開發自動報告產生系統,減少因醫師經驗差異產生之誤差及提升效率。Cardiovascular disease occupies the top three causes of death in Taiwan. There are no obvious symptoms of cardiovascular disease. Ninety percent of patients died before hospital death. Most of the patients were found to have reduced blood volume due to cardiovascular stenosis. The cause of cardiovascular stenosis is vascular calcification. When there is excessive deposition of calcium on the blood vessel wall, it can be called vascular calcification, which causes blood vessel stenosis. Calcification occurs because the patient's blood lipids deposit on the walls of the coronary arteries, slowly forming fibrotic plaques, some of the smooth muscle cells are filled with fat, the core is gradually necrotic, and calcification thickens with time. Analysis of the calcification of cardiovascular vessels can predict the risk of stenosis and further prevent the risk of future myocardial infarction. Three high (high blood pressure, high blood fat, high blood sugar) patients, smokers, seniors and other high-risk groups need effective screening. In addition, calcification analysis can reflect the inflammation associated with long-term physical imbalances in patients, thereby presuming ongoing diseases, in addition to cardiovascular diseases, as well as diabetes, metabolic syndrome, and cancer. There is almost no risk of cardiovascular disease in the calcification index of 0. Compared with those without calcification, about three-quarters of those with a calcification index of 400 or more have coronary artery stenosis; those with a calcification index of more than 1,000 are significantly associated with cancer. Therefore, calcification analysis can be used as a basis for predicting risk estimates, and those at high risk should receive coronary CT angiography (CCTA) for developing agents. Calcification analysis quantified the values, post-processing measurements and output reports from computed tomography. CCTA refers to multi-section computed tomography images by professional physicians. It relies on the experience of doctors to perform manual calculation, labeling, and mapping of coronary artery stenosis distribution for CCTA images. Therefore, there is still a need to develop an automatic report generation system to reduce errors and improve efficiency due to differences in physician experience.

本新型提供一種心臟血管鈣化或狹窄位置與程度之自動報告產生系統,其包括: 一伺服器,其具有一儲存不同角度的血管圖檔及鈣化或狹窄位置與程度之資料庫; 一影像處理模組,其將血管圖檔作影像處理,截取出單純只有血管的圖檔; 一類神經網路學習模組,其將血管鈣化或狹窄特徵以類神經網路訓練模型; 一血管鈣化或狹窄程度辨識及標示模組,其將有鈣化或狹窄的血管部分截取一段,分別用不同角度的血管來判斷鈣化或狹窄程度,接著利用訓練好的模型即時自動標示出鈣化或狹窄位置及鈣化或狹窄程度,或以肉眼人工標示鈣化或狹窄位置及鈣化或狹窄程度並將結果輸入該模組;及 一圖型產生模組,建立一心臟血管標準圖型,並將所得鈣化或狹窄位置對應到標準圖型的相對應位置並自動產生標有鈣化或狹窄位置及程度的一偵測結果圖型。 在一些實施態樣中,該伺服器儲存有不同角度的血管圖檔及鈣化或狹窄位置程度的資訊。該等不同角度的血管圖檔及鈣化或狹窄位置程度的資訊係收集自多個病人,以建立大數據。冠狀動脈鈣化是血管上斑塊(脂肪沉積)或動脈粥樣硬化的標記。軟性斑塊發生較早也較不穩定,鈣化的斑塊則發生在後。鈣化指數愈高,冠狀動脈狹窄程度愈高。在一些實施態樣中,鈣化會造成血管狹窄,血管鈣化或狹窄分類成<25%、25-49%、50-69%和>70%的狹窄程度。 該影像處理模組將血管圖檔作影像處理,截取出單純只有血管的圖檔。接著,使用該類神經網路學習模組將血管鈣化或狹窄特徵以類神經網路訓練模型。該訓練模型先進行監督式學習辨識是否為血管鈣化點,經過適度之學習次數之後,該類神經網路可自行學習到血管是否有鈣化現象之判斷規則。 類神經網路是一種模仿生物神經網路(動物的中樞神經系統,特別是大腦的結構和功能的數學模型或計算模型,用於對函式進行估計或近似。藉由監督式學習,可自行歸納出血管是否鈣化之判斷規則,藉此達到自動化達到辨識血管是否鈣化或狹窄之判斷。在一具體實施例,該類神經網路為卷積神經網路(Convolutional Neural Networks,CNN)學習模組。 該血管鈣化或狹窄程度辨識及標示模組將有鈣化或狹窄的血管部分截取一段,分別用不同角度的血管來判斷鈣化或狹窄程度,接著利用訓練好的模型即時自動標示出鈣化或狹窄位置及鈣化或狹窄程度,或以肉眼人工標示鈣化或狹窄位置及鈣化或狹窄程度並將結果輸入該模組。 該圖型產生模組首先建立一心臟血管標準圖型,並將所得鈣化或狹窄位置對應到標準圖型的相對應位置並自動產生標有鈣化或狹窄位置及程度的一偵測結果圖型。首先,建立一心臟血管標準圖型,再將以訓練好的模型標出鈣化或狹窄位置及鈣化或狹窄程度的影像對應至該標準圖型;對應方式為大條的血管可用醫師提供的分段方法來作分段,分段後計算位置比例後將鈣化或狹窄位置標示到標準圖型中的對應位置。小條的血管支線可直接透過計算位置比例的方式將鈣化或狹窄位置標示到標準圖型中的對應位置。 在一些實施態樣中,本新型系統可另包括一資料輸出模組,將血管狹窄程度及鈣化位置等資料輸出形成報告。在一具體實施例,該資料另包括血液及理學資訊,一併輸出於報告中。The present invention provides an automatic report generation system for the location and extent of cardiac vascular calcification or stenosis, comprising: a server having a database for storing vascular images of different angles and positions and degrees of calcification or stenosis; The group performs image processing on the vascular image file and intercepts the image file of only the blood vessel; a type of neural network learning module that uses the neural network training model for vascular calcification or stenosis; And a labeling module that intercepts a portion of the calcified or narrowed blood vessel, and uses different angles of blood vessels to determine the degree of calcification or stenosis, and then automatically displays the calcification or stenosis position and the degree of calcification or stenosis using the trained model. Or manually visualize the location of calcification or stenosis and calcification or stenosis with the naked eye and enter the results into the module; and a pattern generation module to establish a standard pattern of cardiovascular vessels and map the resulting calcification or stenosis to the standard pattern Corresponding position and automatically generate a detection result pattern marked with calcification or stenosis position and extent. In some embodiments, the server stores information about vessel angles at different angles and degrees of calcification or stenosis. These different angles of vascular mapping and information on the extent of calcification or stenosis are collected from multiple patients to establish big data. Coronary calcification is a marker of plaque on the blood vessels (fat deposits) or atherosclerosis. Soft plaques occur earlier and are less stable, and calcified plaques occur later. The higher the calcification index, the higher the degree of coronary artery stenosis. In some embodiments, calcification causes vascular stenosis, and vascular calcification or stenosis is classified as <25%, 25-49%, 50-69%, and >70% stenosis. The image processing module performs image processing on the blood vessel image file, and intercepts the image file of only the blood vessel. Next, the neural network learning module is used to train the model of the vascular calcification or stenosis with a neural network. The training model firstly performs supervised learning to identify whether it is a vascular calcification point. After a moderate number of learning, the neural network can learn the judgment rule of whether the blood vessel has calcification. A neural network is a mathematical model or computational model that mimics the biological neural network (the central nervous system of animals, especially the structure and function of the brain, for estimating or approximating functions. By supervised learning, The judgment rule of whether the blood vessel is calcified is summarized, thereby automatically achieving the judgment of whether the blood vessel is calcified or narrowed. In a specific embodiment, the neural network is a Convolutional Neural Networks (CNN) learning module. The vascular calcification or stenosis identification and labeling module intercepts a section of the calcified or stenotic vessel, and uses different angles of blood vessels to determine the degree of calcification or stenosis, and then automatically displays the calcification or stenosis position using the trained model. And the degree of calcification or stenosis, or manually visualize the location of calcification or stenosis and calcification or stenosis with the naked eye and enter the results into the module. The pattern generation module first establishes a standard pattern of cardiovascular and the resulting calcification or stenosis position Corresponds to the corresponding position of the standard pattern and automatically generates the position and degree marked with calcification or stenosis First, a pattern of detection results. First, establish a standard pattern of cardiac blood vessels, and then map the calcified or stenotic position and the degree of calcification or stenosis to the standard pattern with the trained model; the corresponding method is large The blood vessels can be segmented by the segmentation method provided by the physician, and the position ratio is calculated after segmentation, and the calcification or stenosis position is marked to the corresponding position in the standard pattern. The blood vessel branch of the strip can be directly calculated by calculating the position ratio. The calcification or stenosis position is indicated to the corresponding position in the standard pattern. In some embodiments, the novel system may further comprise a data output module for reporting the output of the stenosis degree and the calcification position. For example, the information also includes blood and science information, which are also included in the report.

參照第一圖,本新型系統包含6個元件,分別為伺服器1、影像處理模組2、類神經網路學習模組3、血管鈣化或狹窄程度辨識及標示模組4及圖表產生模組5。伺服器1具有資料庫,儲存多個病患的不同角度的血管圖檔及鈣化或狹窄之程度資訊。影像處理模組2將血管圖檔作影像處理,擷取出單純只有血管的圖檔。將血管鈣化或狹窄特徵用類神經網路學習模組3訓練模型。將有鈣化或狹窄的血管部分截取一段,分別用不同角度的血管來判斷鈣化或狹窄程度,之後利用訓練好的模型以血管鈣化或狹窄程度辨識及標示模組4自動判斷鈣化或狹窄位置在哪條血管的哪個區段,並即時自動標出鈣化或狹窄位置及鈣化或狹窄程度;或者,可使用肉眼人工標示鈣化或狹窄位置及鈣化或狹窄程度並將結果輸入該模組。接著,建立一心臟血管標準圖型,並以圖表產生模組5將所得鈣化或狹窄位置對應到標準圖型的相對應位置並自動產生標有鈣化或狹窄位置及程度的一偵測結果圖型。Referring to the first figure, the novel system comprises six components, namely a server 1, an image processing module 2, a neural network learning module 3, a vascular calcification or stenosis degree recognition and labeling module 4, and a graph generating module. 5. The server 1 has a database for storing the vascular image files of different angles of the patient and the degree of calcification or stenosis. The image processing module 2 performs image processing on the blood vessel image file, and extracts a picture file that is only a blood vessel. The vascular calcification or stenosis features were trained using a neural network learning module 3 model. A section of the calcified or stenotic vessel is taken for a period of time, and the calcification or stenosis degree is determined by using blood vessels of different angles, and then the trained model is used to identify the vascular calcification or stenosis and the indicator module 4 automatically determines where the calcification or stenosis is located. Which segment of the blood vessel is automatically marked with calcification or stenosis and calcification or stenosis; or the calcification or stenosis position and calcification or stenosis can be manually indicated by the naked eye and the result can be entered into the module. Next, a cardiovascular standard pattern is established, and the resulting calcification or stenosis position is mapped to the corresponding position of the standard pattern by the chart generation module 5 and a detection result pattern indicating the position and extent of calcification or stenosis is automatically generated. .

1‧‧‧伺服器1‧‧‧Server

2‧‧‧影像處理模組 2‧‧‧Image Processing Module

3‧‧‧類神經網路學習模組 3‧‧‧ class neural network learning module

4‧‧‧血管鈣化或狹窄程度辨識及標示模組 4‧‧‧Vascular calcification or stenosis identification and labeling module

5‧‧‧圖表產生模組 5‧‧‧Chart generation module

第一圖係為一種心臟血管鈣化位置之自動報告產生系統的各個元件的連結示意圖。The first image is a schematic representation of the linkage of the various components of an automated report generation system for cardiac vascular calcification sites.

Claims (8)

一種心臟血管鈣化或狹窄位置與程度之自動報告產生系統,其包括: 一伺服器,其具有一儲存不同角度的血管圖檔及鈣化或狹窄位置程度之資料庫; 一影像處理模組,其將血管圖檔作影像處理,截取出單純只有血管的圖檔; 一類神經網路學習模組,其將血管鈣化或狹窄特徵以類神經網路訓練模型; 一血管鈣化或狹窄程度辨識及標示模組,其將有鈣化或狹窄的血管部分截取一段,分別用不同角度的血管來判斷鈣化或狹窄程度,接著利用訓練好的模型即時自動標出鈣化或狹窄位置及鈣化或狹窄程度,或以肉眼人工標示鈣化或狹窄位置及鈣化或狹窄程度並將結果輸入該模組;及 一圖型產生模組,建立一心臟血管標準圖型,並將所得鈣化或狹窄位置對應到標準圖型的相對應位置並自動產生標有鈣化或狹窄位置及程度的一偵測結果圖型。An automatic report generation system for the location and extent of cardiac vascular calcification or stenosis, comprising: a server having a database for storing vascular images of different angles and degrees of calcification or stenosis; an image processing module The vascular image file is used for image processing, and the image file of only the blood vessel is intercepted; a type of neural network learning module which uses the neural network training model for vascular calcification or stenosis; a blood vessel calcification or stenosis degree identification and labeling module It will cut a section of the calcified or stenotic blood vessels, and use different angles of blood vessels to judge the degree of calcification or stenosis, and then use the trained model to automatically mark the calcification or stenosis position and the degree of calcification or stenosis, or artificially Mark calcification or stenosis and calcification or stenosis and enter the results into the module; and a pattern generation module to establish a standard pattern of cardiovascular vessels and map the resulting calcification or stenosis to the corresponding position of the standard pattern A pattern of detection results indicating the location and extent of calcification or stenosis is automatically generated. 如請求項1之系統,其中該等不同角度的血管圖檔及鈣化或狹窄位置與程度的資訊係收集自多個病人,以建立大數據。The system of claim 1, wherein the different angles of the vascular image and the location and extent of calcification or stenosis are collected from a plurality of patients to establish big data. 如請求項1之系統,其中該鈣化或狹窄程度係以血管狹窄程度來表示,該血管狹窄分類成0、25%、50%和75%的狹窄程度。The system of claim 1, wherein the degree of calcification or stenosis is expressed as a degree of vascular stenosis classified as 0, 25%, 50%, and 75% of the degree of stenosis. 如請求項1之系統,其中該鈣化或狹窄位置及鈣化或狹窄程度的影像對應至該標準圖型的對應方式為大條的血管可用醫師提供的分段方法來作分段,分段後計算位置比例後將鈣化或狹窄位置標示到標準圖型中的對應位置。The system of claim 1, wherein the image of the calcification or stenosis position and the degree of calcification or stenosis corresponds to the standard pattern, wherein the large blood vessel can be segmented by a segmentation method provided by a physician, and the segmentation is calculated. After the position ratio, the calcification or stenosis position is marked to the corresponding position in the standard pattern. 如請求項1之系統,其中該鈣化或狹窄位置及鈣化或狹窄程度的影像對應至該標準圖型的對應方式為小條的血管支線可直接透過計算位置比例的方式將鈣化或狹窄位置標示到標準圖型中的對應位置。The system of claim 1, wherein the image of the calcification or stenosis position and the degree of calcification or stenosis corresponds to the standard pattern, and the vascular branch line of the strip can directly mark the calcification or stenosis position by calculating the position ratio. The corresponding position in the standard pattern. 如請求項1之系統,其中該類神經網路學習模組為卷積神經網路或其他類型之監督式類神經網路。The system of claim 1, wherein the neural network learning module is a convolutional neural network or other type of supervised neural network. 如請求項1之系統,其另包括一資料輸出模組,將血管鈣化或狹窄程度及鈣化位置等資料輸出形成報告。The system of claim 1, further comprising a data output module for outputting a report such as vascular calcification or stenosis degree and calcification position. 如請求項7之系統,其中該資料另包括血液及理學資訊,一併輸出於報告中。The system of claim 7, wherein the information further includes blood and science information, which are also output in the report.
TW107204590U 2018-04-10 2018-04-10 Automatic reporting system of cardiovascular calcium or stenosis degree TWM575602U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114424290A (en) * 2019-08-05 2022-04-29 光实验成像公司 Longitudinal visualization of coronary calcium loading

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114424290A (en) * 2019-08-05 2022-04-29 光实验成像公司 Longitudinal visualization of coronary calcium loading
CN114424290B (en) * 2019-08-05 2023-07-25 光实验成像公司 Apparatus and method for providing a longitudinal display of coronary calcium loading

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