CN106803251B - The apparatus and method of aortic coaractation pressure difference are determined by CT images - Google Patents

The apparatus and method of aortic coaractation pressure difference are determined by CT images Download PDF

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CN106803251B
CN106803251B CN201710021582.5A CN201710021582A CN106803251B CN 106803251 B CN106803251 B CN 106803251B CN 201710021582 A CN201710021582 A CN 201710021582A CN 106803251 B CN106803251 B CN 106803251B
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aorta
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value
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黄力宇
杨茂青
黄美萍
李军
庄建
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GUANGDONG PROV CARDIOVASCULAR DISEASE INST
Xidian University
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GUANGDONG PROV CARDIOVASCULAR DISEASE INST
Xian University of Electronic Science and Technology
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
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    • G06T7/0012Biomedical image inspection
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/10Image acquisition modality
    • G06T2207/10072Tomographic images
    • G06T2207/10081Computed x-ray tomography [CT]
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    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/20Special algorithmic details
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/30Subject of image; Context of image processing
    • G06T2207/30004Biomedical image processing
    • G06T2207/30048Heart; Cardiac
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/30Subject of image; Context of image processing
    • G06T2207/30004Biomedical image processing
    • G06T2207/30101Blood vessel; Artery; Vein; Vascular

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Abstract

The invention discloses a kind of device and method for determining aortic coaractation pressure difference by CT images.The inventive system comprises: data read module, two dimension slicing module, segmentation module, three-dimensional reconstruction module, aortic coaractation discrimination module, characteristic extracting module, categorization module, result display module.Step of the invention includes: 1, reads CT data, 2, two dimension slicing processing is carried out to CT data, 3, divide aorta images, 4, aorta diameter ratio is measured, 5, discriminate whether that there are constrictions, 6, feature is extracted from three-dimensional aorta model, 7, classify to aortic coaractation degree, 8, pressure difference at display aortic coaractation.The present invention classifies to CT images morphological feature using machine learning algorithm, and accurate aortic coaractation pressure difference can be directly obtained by CT images, improves accuracy of the CT images in aortic coaractation diagnosis.

Description

The apparatus and method of aortic coaractation pressure difference are determined by CT images
Technical field
The invention belongs to electronic technology fields, further relate to medical image processing, artificial intelligence and machine learning skill One of art field determines aortic coaractation pressure by computer tomography CT (Computed Tomography) image The device and method of difference.The present invention is for aortic coaractation is diagnosed in clinical medicine when, the feelings quantified to pressure difference are needed Shape realizes using the device for determining pressure difference at aortic coaractation and quantitatively obtains aortic coaractation both ends by CT images Pressure difference.
Background technique
Aortic coaractation is a kind of common deformity in congenital heart disease, clinically diagnoses aortic coaractation by CT at present Mainly by carrying out qualitative estimation to aortic coaractation severity from morphological feature, aorta is accurately assessed to realize Constriction severity is needed to be had using Pressure wire and invasively protrudes into intralesional, and the pressure difference of rear and front end, this measurement are measured Method not only has biggish damage to patient, and clinical manipulation difficulty is larger, while expense is also more expensive.
Institute of Semiconductors,Academia Sinica its application patent document " a kind of intracardiac pressure seal wire of optical fiber " (publication number: CN105054916A, application number: CN201510609653.4, the applying date: on November 18th, 2015) in disclose a kind of optical fiber heart Internal pressure seal wire.The device includes optical fiber and the pressure measuring cavity that is fixed on fiber end face, realizes and seal wire is protruded into inside of human body surveys Measure pressure difference.Deficiency existing for the device is, it is necessary to device be stretched to inside of human body, the method for invasive side pressure has one to patient Fixed damage, and expense is costly.
Matthew J.Budoff, A Shittu, S Roy, in paper " the Use of cardiovascular that it is delivered computed tomography in the diagnosis and management of coarctation of the Aorta " is described in (Journal of Thoracic&Cardiovascular Surgery, 2013,146 (1): 229-32) By the method for CT images assessment aortic coaractation.This method carries out CT scan to the lesions position of patient first, and by CT images It is directed into the image system of computer, secondly, the feature in CT images is read from computer, as: the ratio of constriction, constriction institute Position etc., realize the qualitative evaluation to aortic coaractation.It is disadvantageous in that, can not quantitatively assess existing for this method The degree of aortic coaractation cannot be obtained the pressure difference of aortic coaractation, the gold of this differentiation aortic coaractation by CT images Standard.
Patent document " coronary blood based on cardiac CT image of the Suzhou Run Xin medical science and technology Co., Ltd in its application Stream deposit score calculation method " (publication number: CN106023202A, application number: CN201610339892.7, the applying date: 2016 May 20) in disclose a kind of method that degree of stenosis is quantitatively determined by CT image.This method extracts the heart first Then flesh image does edge detection to coronary artery volume data to coronary artery Accurate Segmentation, generate coronary artery triangle gridding Model finally realizes the qualitative assessment to degree of stenosis.Shortcoming existing for this method is targeted blood vessel Only coronary artery, coronary artery physiological structure and aorta gap are big, and coronary artery stenosis is often due to thrombus etc. blocks And formed, and aortic coaractation is the change due to blood vessel physiological structure, the above method is not suitable for being used to assess aortic coaractation.
In conclusion existing method can only carry out "ball-park" estimate to aortic coaractation situation by CT images, to The method that the pressure difference at both ends can only take invasive measurement at aortic coaractation, it is larger to the damage of patient, and expense compared with For valuableness.
Summary of the invention
When the purpose of the present invention is for diagnosing aortic coaractation in clinical medicine, the feelings quantified to pressure difference are needed Shape provides a kind of device and method for directly obtaining constriction pressure difference by CT images, can noninvasive, quantitative, rapidly basis CT images assess the severity of aortic coaractation, provide strong auxiliary for the diagnosing and treating of doctor, and can reduce disease The treatment cost of people.
The thinking for realizing the object of the invention is the aorta vessel being partitioned into the preoperative CT image of patients with congenital heart diseases, and will It carries out three-dimensional visualization reconstruction, carries out aortic coaractation judgement to the obtained model of reconstruction, to be determined as the data of constriction into Onestep extraction feature, and active rugosity is obtained by within the scope of Feature Mapping to specific pressure difference using the method for machine learning The pressure difference at narrow place provides reference for clinician.
To achieve the above object, the inventive system comprises data read module, two dimension slicing module, segmentation modules, three Dimension rebuilds module, aortic coaractation discrimination module, characteristic extracting module, categorization module, result display module, in which:
The data read module, for reading in the original thoracic CT data that format is .dcm or .raw;
The two dimension slicing module, for the original thoracic CT data read in be each mapped to different gray-value pixels The two-dimensional slice image matrix of point;
The segmentation module, for sectioning image of the selection comprising descending aorta end from two-dimensional slice image matrix Matrix, selection includes the sectioning image matrix of descending aorta end, raw centered on the central point of selected sectioning image matrix At n*n centimetres of square-shaped frame, the size of n is between image array length 1/5th between a quarter;Using S [i, J]=I [p, q] × G [0.25] formula, the gray value at each pixel coordinate of smooth rear image is calculated, two-dimensional slice image is removed Noise extracts the descending aorta tail vein edge in square-shaped frame, obtains vascular wall edge graph using medical image software Picture;The gray value for all internal points that vascular wall edge image is surrounded is set to 255, forms an internal blood vessel administrative division map Picture utilizesFormula calculates the mass center of internal blood vessel area image;It is loaded into marked blood vessel Lowest level sectioning image matrix except the sectioning image matrix of region determines a seed point element on sectioning image matrix, The abscissa of the seed point element is equal with the mass center abscissa in upper layer sectioning image matrix internal blood vessel region, ordinate with it is upper The mass center ordinate in layer sectioning image matrix internal blood vessel region is equal, using the edge of vascular wall image as boundary, with seed point Element coordinate determines that seed point carries out the growth of 8 neighborhood adaptive regions, obtains the active vascular inner region on sectioning image matrix Image;Wherein, it is located at the gray value of the pixel at [i, j] after S [i, j] indicates smooth in image, I [p, q] indicates that two dimension is cut It is located at the gray value of the pixel at [p, q] in picture, G [0.25] indicates that standard deviation is 0.25 Gaussian function, and M indicates blood The center of mass point of pipe images of interior regions, ∫ indicate integration operation, and f (x, y) is indicated at internal blood vessel area image pixel (x, y) Gray value;
The three-dimensional reconstruction module, for the active vascular inner region image on sectioning image matrix to be imported into three-dimensional Three-dimensional volume drawing, the three-dimensional aorta model after being drawn are carried out in reconstruction software;
The aortic coaractation discrimination module, for measuring primary active at interval of 1mm in three-dimensional aorta model The adjacent aorta diameter measured twice is done compare respectively by arteries and veins diameter, and ratio result is stored in diameter than in statistical form, if Diameter is all larger than 0.8 than the value in statistical form, then there is constriction, otherwise, constriction is not present;
The characteristic extracting module, for three-dimensional aorta model to be imported Medical Image Processing software, by software meter Value of the greatest gradient dmax value of obtained aorta vessel as feature 1;Aortic coaractation is located at aorta ascendens position When mark be assigned a value of 0, mark when aortic coaractation is located at descending aorta position is assigned a value of -1, and aortic coaractation is located at Mark when arch of aorta position is assigned a value of 1, by value of the mark as feature 2 after assignment;Three-dimensional aorta model is imported Medical Image Processing software, diameter is as the value of feature 3 at the most constriction for the aorta vessel that software measurement is obtained;It will be three-dimensional Aorta model imports Medical Image Processing software, and diameter and descending aorta are straight at the most constriction that software is measured and is calculated Value of the ratio of diameter as feature 4;Utilize R1=π R2/ (SQRT ((H × W)/3600) formula calculates aortic coaractation area Than using calculated result as the value of feature 5;Using R2=D/SQRT, (SQRT ((H × W)/3600) formula calculates active rugosity Narrow ratio, using calculated result as the value of feature 6;Wherein, R1 indicates the constriction area ratio of aorta images, and π indicates pi, R indicates radius at aorta images most constriction ,/indicating divide operations, SQRT indicates evolution operation, and H indicates Patient height, W table Show patient's weight, R2 indicates the constriction ratio of aorta images, diameter at most constriction in D expression aorta images;
The categorization module, for 6 characteristic values to be input in main contracting pressure difference model, the output of main contracting pressure difference model with Pressure difference at the corresponding aortic coaractation of 6 characteristic values;
The result display module, for showing pressure difference at aortic coaractation that main contracting pressure difference model obtains.
The method of the present invention includes following steps:
(1) CT data are read:
Data read module reads in the original thoracic CT data that format is .dcm or .raw;
(2) two dimension slicing processing is carried out to CT data:
Two dimension slicing module by the original thoracic CT data of reading, cut by the two dimension for being each mapped to different gray-value pixel points Picture matrix;
(3) divide aorta images:
(3a) divides module from two-dimensional slice image matrix, and selection includes the sectioning image matrix of descending aorta end, Centered on the central point of selected sectioning image matrix, n*n centimetres of square-shaped frame is generated, the size of n is between image array / 5th of length are between a quarter;
(3b) utilizes Gaussian smoothing formula, calculates the gray value at each pixel coordinate of smooth rear image, and removal two dimension is cut Picture noise extracts the descending aorta tail vein edge in square-shaped frame, obtains vascular wall side using medical image software Edge image;
The gray value for all internal points that vascular wall edge image is surrounded is set to 255 by (3c), and composition one is intravascular Portion's area image calculates the mass center of internal blood vessel area image using Image Moments formula;
(3d) is loaded into the lowest level sectioning image matrix except marked angiosomes sectioning image matrix, utilizes aorta Sectioning image dividing method obtains the active vascular inner region image on sectioning image matrix;
(3e) judges whether loaded all sectioning image matrixes, if so, thening follow the steps (4), otherwise, executes step (3d);
(4) aorta diameter ratio is measured:
Active vascular inner region image on sectioning image matrix it is soft to be imported into three-dimensional reconstruction by (4a) three-dimensional reconstruction module Three-dimensional volume drawing, the three-dimensional aorta model after being drawn are carried out in part;
(4b) measures an aorta diameter in three-dimensional aorta model, at interval of 1mm;
(4c), which respectively does the adjacent aorta diameter measured twice, to be compared, and ratio result deposit diameter is compared statistical form In;
(5) aortic coaractation discrimination module judges diameter than whether there is the value less than 0.8 in statistical form, if so, holding Row step (6) otherwise executes step (7);
(6) feature is extracted from three-dimensional aorta model:
Three-dimensional aorta model is imported Medical Image Processing software, software is calculated by (6a) characteristic extracting module Aorta vessel value of the greatest gradient dmax value as feature 1;
Mark when aortic coaractation is located at aorta ascendens position by (6b) is assigned a value of 0, and aortic coaractation is located at drop master Mark when artery position is assigned a value of -1, and mark when aortic coaractation is located at arch of aorta position is assigned a value of 1, after assignment Value of the mark as feature 2;
Three-dimensional aorta model is imported Medical Image Processing software by (6c), the aorta vessel that software measurement is obtained Value of the diameter as feature 3 at most constriction;
Three-dimensional aorta model is imported Medical Image Processing software, the most constriction that software is measured and is calculated by (6d) Locate value of the ratio of diameter and descending aorta diameter as feature 4;
(6e) utilize constriction area ratio formula, calculate aorta images aortic coaractation area ratio, using calculated result as The value of feature 5;
(6f) utilizes constriction ratio formula, aorta images constriction ratio is calculated, using calculated result as the value of feature 6;
(7) classify to aortic coaractation degree:
6 characteristic values are input in main contracting pressure difference model by (7a) categorization module;
(7b) main contracting pressure difference model exports the pressure difference at aortic coaractation corresponding with 6 characteristic values;
(8) result display module shows pressure difference at aortic coaractation that main contracting pressure difference model obtains.
The present invention has the advantage that compared with prior art
First, since the device of the invention uses CT image segmentation module, CT image characteristics extraction module, CT image classification Module realizes that CT images directly obtain pressure difference at accurate aortic coaractation, overcomes prior art seal wire manometric method Big to patient's damage, clinical manipulation difficulty is big, the more expensive deficiency of expense, such that the present invention is noninvasive, rapidly measures Pressure difference reduces clinical manipulation difficulty, saves diagnosis cost.
Second, due to method of the invention using the aorta divided in original thoracic CT data, from three-dimensional aorta mould Feature is extracted in type, is classified to aortic coaractation degree, is realized and is extracted CT images feature, obtains accurate aorta Pressure difference at constriction overcomes the prior art and is only capable of estimating from CT morphological feature is qualitative to the progress of aortic coaractation severity It surveys, the deficiency that can not be quantitatively evaluated, so that the present invention substantially increases CT images for the accuracy of diagnosis aortic coaractation.
Detailed description of the invention
Fig. 1 is the block diagram of apparatus of the present invention;
Fig. 2 is the flow chart of the method for the present invention;
Fig. 3 is the flow chart for dividing aorta images in the method for the present invention;
Fig. 4 is segmentation sectioning image matrix result figure in the method for the present invention, and wherein black line identified areas image is after dividing Obtained active vascular inner region image;
Fig. 5 is the three-dimensional reconstruction being sliced after dividing in the method for the present invention, three-dimensional aorta model after obtained drafting.
Specific embodiment
The present invention will be described in detail with reference to the accompanying drawing.
Referring to attached drawing 1, the device of the invention is clearly and completely described.
The inventive system comprises data read module, two dimension slicing module, segmentation modules, three-dimensional reconstruction module, active The narrow discrimination module of rugosity, characteristic extracting module, categorization module, result display module.
Data read module, for reading in the original thoracic CT data that format is .dcm or .raw.
Two dimension slicing module, for the original thoracic CT data read in be each mapped to the two of different gray-value pixel points Tie up sectioning image matrix.
Divide module, for selecting the sectioning image matrix comprising descending aorta end from two-dimensional slice image matrix, Selection includes the sectioning image matrix of descending aorta end, centered on the central point of selected sectioning image matrix, generates n*n Centimetre square-shaped frame, the size of n is between image array length 1/5th between a quarter;Utilize S [i, j]=I [p, q] × G [0.25] formula calculates the gray value at each pixel coordinate of smooth rear image, removes two-dimensional slice image noise, Using medical image software, the descending aorta tail vein edge in square-shaped frame is extracted, vascular wall edge image is obtained;By blood The gray value for all internal points that tube wall edge image is surrounded is set to 255, forms an internal blood vessel area image, utilizesFormula calculates the mass center of internal blood vessel area image;It is loaded into marked angiosomes slice Lowest level sectioning image matrix except image array determines a seed point element, the seed point on sectioning image matrix The abscissa of element is equal with the mass center abscissa in upper layer sectioning image matrix internal blood vessel region, ordinate and upper layer slice map As the mass center ordinate in matrix internal blood vessel region is equal, using the edge of vascular wall image as boundary, with seed point element coordinate It determines that seed point carries out the growth of 8 neighborhood adaptive regions, obtains the active vascular inner region image on sectioning image matrix;Its In, the gray value of the pixel after S [i, j] indicates smooth in image at [i, j], I [p, q] is indicated in two-dimensional slice image The gray value of pixel at [p, q], G [0.25] indicate that standard deviation is 0.25 Gaussian function, and M indicates internal blood vessel area The center of mass point of area image, ∫ indicate integration operation, and f (x, y) indicates the gray value at internal blood vessel area image pixel (x, y).
Three-dimensional reconstruction module, it is soft for the active vascular inner region image on sectioning image matrix to be imported into three-dimensional reconstruction Three-dimensional volume drawing, the three-dimensional aorta model after being drawn are carried out in part.
Aortic coaractation discrimination module, for it is straight to measure an aorta at interval of 1mm in three-dimensional aorta model The adjacent aorta diameter measured twice is done compare respectively by diameter, and ratio result is stored in diameter than in statistical form, if diameter It is all larger than 0.8 than the value in statistical form, then there is constriction, otherwise, constriction is not present.
Software is calculated for three-dimensional aorta model to be imported Medical Image Processing software for characteristic extracting module Aorta vessel value of the greatest gradient dmax value as feature 1;Aortic coaractation is located to mark when aorta ascendens position Knowledge is assigned a value of 0, and mark when aortic coaractation is located at descending aorta position is assigned a value of -1, and aortic coaractation is located at aorta Mark when bending position is assigned a value of 1, by value of the mark as feature 2 after assignment;Three-dimensional aorta model is imported into medicine figure As processing software, diameter is as the value of feature 3 at the most constriction for the aorta vessel that software measurement is obtained;By three-dimensional aorta Model imports Medical Image Processing software, the ratio of diameter and descending aorta diameter at the most constriction that software is measured and is calculated It is worth the value as feature 4;Utilize R1=π R2/ (SQRT ((H × W)/3600) formula calculates aortic coaractation area ratio, will count Calculate value of the result as feature 5;Using R2=D/SQRT (SQRT ((H × W)/3600) formula, calculate aortic coaractation ratio, Using calculated result as the value of feature 6;Wherein, R1 indicates the constriction area ratio of aorta images, and π indicates that pi, R indicate master Radius at arterial images most constriction ,/indicating divide operations, SQRT indicates evolution operation, and H indicates that Patient height, W indicate patient's body Weight, R2 indicate the constriction ratio of aorta images, diameter at most constriction in D expression aorta images.
Categorization module, for 6 characteristic values to be input in main contracting pressure difference model, main contracting pressure difference model output and 6 spies Pressure difference at the corresponding aortic coaractation of value indicative.
Result display module, for showing pressure difference at aortic coaractation that main contracting pressure difference model obtains.
It is described in further detail referring to 2 pairs of methods of the invention of attached drawing.
Step 1, CT images are read.
Data read module reads in the original thoracic CT data that format is .dcm or .raw.
Step 2, two dimension slicing processing is carried out to CT data.
Two dimension slicing module cuts the two dimension that the original thoracic CT data of reading is each mapped to different gray-value pixel points Original thoracic CT data is mapped as two-dimensional slice image matrix according to gray value using 3DMed software by picture matrix.
Step 3, divide aorta images.
The first step divides module from two-dimensional slice image matrix, and selection includes the sectioning image square of descending aorta end Battle array generates n*n centimetres of square-shaped frame, the size of n is between image moment centered on the central point of selected sectioning image matrix / 5th of array length degree are between a quarter.
Second step calculates the gray value at each pixel coordinate of smooth rear image, removal two dimension using Gaussian smoothing formula Sectioning image noise extracts the descending aorta tail vein edge in square-shaped frame, obtains vascular wall using medical image software Edge image.
The Gaussian smoothing formula is as follows:
S [i, j]=I [p, q] × G [0.25]
Wherein, it is located at the gray value of the pixel at [i, j] after S [i, j] indicates smooth in image, I [p, q] indicates two dimension It is located at the gray value of the pixel at [p, q] in sectioning image, G [0.25] indicates that standard deviation is 0.25 Gaussian function.
The gray value for all internal points that vascular wall edge image is surrounded is set to 255, forms a blood vessel by third step Images of interior regions calculates the mass center of internal blood vessel area image using Image Moments formula.
The Image Moments formula is as follows:
Wherein, M indicates the center of mass point of internal blood vessel area image, and ∫ indicates integration operation, and f (x, y) indicates internal blood vessel area Gray value at area image pixel (x, y).
4th step, the lowest level sectioning image matrix being loaded into except marked angiosomes sectioning image matrix, is being loaded into Sectioning image matrix on determine a seed point element, the matter of abscissa and upper layer sectioning image matrix internal blood vessel region Heart abscissa is equal, and ordinate is equal with the mass center ordinate in upper layer sectioning image matrix internal blood vessel region, is obtained with third step The edge of the vascular wall image arrived is boundary, determines that seed point carries out the growth of 8 neighborhood adaptive regions with seed point element coordinate, Obtain the active vascular inner region image on sectioning image matrix.
5th step judges whether loaded all sectioning image matrixes, if so, thening follow the steps 4, otherwise, executes the 4th Step.
Step 4, aorta diameter ratio is measured.
Active vascular inner region image on sectioning image matrix is imported into three-dimensional reconstruction software by three-dimensional reconstruction module Carry out three-dimensional volume drawing, the three-dimensional aorta model after being drawn.
In three-dimensional aorta model, an aorta diameter is measured at interval of 1mm.
The adjacent aorta diameter measured twice is done respectively and is compared, and by ratio result deposit diameter than in statistical form.
Step 5, aortic coaractation discrimination module, judge diameter than in statistical form with the presence or absence of value less than 0.8, if so, (6) are thened follow the steps, otherwise, are executed step (7).
Step 6, feature is extracted from three-dimensional aorta model.
Three-dimensional aorta model is imported Medical Image Processing software, the active that software is calculated by characteristic extracting module Value of the greatest gradient dmax value of arteries and veins blood vessel as feature 1.
Mark when aortic coaractation is located at aorta ascendens position is assigned a value of 0, and aortic coaractation is located at descending aorta Mark when position is assigned a value of -1, and mark when aortic coaractation is located at arch of aorta position is assigned a value of 1, by the mark after assignment Know the value as feature 2.
Three-dimensional aorta model is imported into Medical Image Processing software, the most contracting for the aorta vessel that software measurement is obtained Value of the narrow place's diameter as feature 3.
It is straight at the most constriction that software is measured and is calculated by three-dimensional aorta model importing Medical Image Processing software Value of the ratio of diameter and descending aorta diameter as feature 4.
Using constriction area ratio formula, aorta images aortic coaractation area ratio is calculated, using calculated result as feature 5 Value.
The constriction area ratio formula is as follows:
R1=π R2/(SQRT((H×W)/3600)
Wherein, R1 indicates the constriction area ratio of aorta images, and π indicates that pi, R indicate at aorta images most constriction Radius ,/indicating divide operations, SQRT indicates evolution operation, and H indicates that Patient height, W indicate patient's weight.
Using constriction ratio formula, aorta images constriction ratio is calculated, using calculated result as the value of feature 6.
The constriction ratio formula is as follows:
R2=D/SQRT (SQRT ((H × W)/3600)
Wherein, R2 indicates the constriction ratio of aorta images, diameter at most constriction in D expression aorta images.
Step 7, classify to aortic coaractation degree:
The case data that 500 aortic coaractation patients are acquired from hospital database form training set, every case load According to the CT images comprising patient, height, weight, four kinds of data of pressure difference at aortic coaractation.
Using the method in step 6, six features of patient are quantitatively calculated.
The label label value of the training data is determined according to the pressure difference at patient sustainer constriction, specifically, pressure difference is from 0- 5mmHg, 6-10mmHg, 10-15mmHg ... 95-100mmHg, label label value are respectively 1,2,3 ... 20.
It using the feature of all cases and corresponding label value as training set, is input in classifier, all 500 number of cases After importing, operation classifier obtains disaggregated model model.
100 cases are chosen as test set, six features of every an example test patient is extracted, is input to classifier Model model is classified, and obtained result is compared with the actual pressure difference of the case, the accuracy rate of statistical classification, quasi- True rate then shows that the model has good availability 80% or more.
6 characteristic values are input in main contracting pressure difference model by categorization module.
Main contracting pressure difference model exports the pressure difference at aortic coaractation corresponding with 6 characteristic values, specifically according to master The output category result of contracting pressure difference model determines specific pressure difference, and output result indicates the patient sustainer constriction pressure difference for 0 For 0-5mmHg, exporting indicates that the patient sustainer constriction pressure difference is 5-10mmHg for 1, and so on, export indicates to suffer from for 20 The aortic coaractation pressure difference of person is 95-100mmHg.
Step 8, result display module shows pressure difference at aortic coaractation that main contracting pressure difference model obtains.

Claims (1)

1. a kind of device for determining aortic coaractation pressure difference by CT images, including data read module, two dimension slicing module, Divide module, three-dimensional reconstruction module, aortic coaractation discrimination module, characteristic extracting module, categorization module, result display module, Wherein:
The data read module, for reading in the original thoracic CT data that format is .dcm or .raw;
The two dimension slicing module, for the original thoracic CT data read in be each mapped to different gray-value pixel points Two-dimensional slice image matrix;
The segmentation module, for sectioning image square of the selection comprising descending aorta end from two-dimensional slice image matrix Battle array, selection includes the sectioning image matrix of descending aorta end, centered on the central point of selected sectioning image matrix, is generated N*n centimetres of square-shaped frame, the size of n is between image array length 1/5th between a quarter;It utilizes S [i, j] =I [p, q] × G [0.25] formula, calculates the gray value at each pixel coordinate of smooth rear image, and removal two-dimensional slice image is made an uproar Sound extracts the descending aorta tail vein edge in square-shaped frame, obtains vascular wall edge image using medical image software; The gray value for all internal points that vascular wall edge image is surrounded is set to 255, forms an internal blood vessel area image, benefit WithFormula calculates the mass center of internal blood vessel area image;Marked angiosomes are loaded into cut Lowest level sectioning image matrix except picture matrix determines a seed point element, the seed on sectioning image matrix The abscissa of point element is equal with the mass center abscissa in upper layer sectioning image matrix internal blood vessel region, and ordinate and upper layer are sliced The mass center ordinate in image array internal blood vessel region is equal, using the edge of vascular wall image as boundary, with seed point element seat It marks and determines that seed point carries out the growth of 8 neighborhood adaptive regions, obtain the active vascular inner region image on sectioning image matrix;Its In, the gray value of the pixel after S [i, j] indicates smooth in image at [i, j], I [p, q] is indicated in two-dimensional slice image The gray value of pixel at [p, q], G [0.25] indicate that standard deviation is 0.25 Gaussian function, and M indicates internal blood vessel area The center of mass point of area image, ∫ indicate integration operation, and f (x, y) indicates the gray value at internal blood vessel area image pixel (x, y);
The three-dimensional reconstruction module, for the active vascular inner region image on sectioning image matrix to be imported into three-dimensional reconstruction Three-dimensional volume drawing, the three-dimensional aorta model after being drawn are carried out in software;
The aortic coaractation discrimination module, for it is straight to measure an aorta at interval of 1mm in three-dimensional aorta model The adjacent aorta diameter measured twice is done compare respectively by diameter, and ratio result is stored in diameter than in statistical form, if diameter It is all larger than 0.8 than the value in statistical form, then there is constriction, otherwise, constriction is not present;
The characteristic extracting module calculates software for three-dimensional aorta model to be imported Medical Image Processing software Value of the greatest gradient dmax value of the aorta vessel arrived as feature 1;When aortic coaractation is located at aorta ascendens position Mark is assigned a value of 0, and mark when aortic coaractation is located at descending aorta position is assigned a value of -1, and aortic coaractation is located at actively Mark when arcus haemalis position is assigned a value of 1, by value of the mark as feature 2 after assignment;Three-dimensional aorta model is imported into medicine Image processing software, diameter is as the value of feature 3 at the most constriction for the aorta vessel that software measurement is obtained;By three-dimensional active Arteries and veins model imports Medical Image Processing software, diameter and descending aorta diameter at the most constriction that software is measured and is calculated Value of the ratio as feature 4;Utilize R1=π R2/ (SQRT ((H × W)/3600) formula calculates aortic coaractation area ratio, will Value of the calculated result as feature 5;Using R2=D/SQRT, (SQRT ((H × W)/3600) formula calculates aortic coaractation ratio Rate, using calculated result as the value of feature 6;Wherein, R1 indicates the constriction area ratio of aorta images, and π indicates pi, R table Show radius at aorta images most constriction ,/indicating divide operations, SQRT indicates evolution operation, and H indicates that Patient height, W indicate to suffer from Person's weight, R2 indicate the constriction ratio of aorta images, diameter at most constriction in D expression aorta images;
The categorization module, for 6 characteristic values to be input in main contracting pressure difference model, main contracting pressure difference model is exported and 6 Pressure difference at the corresponding aortic coaractation of characteristic value;
The result display module, for showing pressure difference at aortic coaractation that main contracting pressure difference model obtains.
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