CN112509076A

CN112509076A - Intracranial vascular lesion marking and three-dimensional display system based on intelligent medical treatment

Info

Publication number: CN112509076A
Application number: CN202011322233.5A
Authority: CN
Inventors: 贾艳楠
Original assignee: Xian Cresun Innovation Technology Co Ltd
Current assignee: Xian Cresun Innovation Technology Co Ltd
Priority date: 2020-11-23
Filing date: 2020-11-23
Publication date: 2021-03-16

Abstract

The invention relates to an intracranial vascular lesion marking and three-dimensional display system based on intelligent medical treatment, which comprises: the system comprises an image acquisition module, an image preprocessing module, an image registration module, a flow-space artifact eliminating module, a blood three-dimensional module establishing module, a blood vessel three-dimensional model establishing module, a contrast enhanced three-dimensional model establishing module, an intracranial angiography enhanced three-dimensional stenosis analysis model establishing module and an intracranial blood vessel three-dimensional display module. The scheme of the invention can simply, conveniently, quickly and intuitively obtain the real information of the intracranial blood vessel and the analysis data about the intracranial blood vessel stenosis degree in clinical application, and assist doctors to more accurately and intuitively analyze and judge the focus.

Description

Intracranial vascular lesion marking and three-dimensional display system based on intelligent medical treatment

Technical Field

The invention belongs to the field of image processing, and particularly relates to an intracranial vascular lesion marking and three-dimensional display system based on intelligent medical treatment.

Background

With the rapid development of national economy, people pay more and more attention to health problems. A paper published by Lancet in 2019 in 6 months analyzes the death reasons of residents in 34 provinces (including Hongkong and Australia) in China from 1990 to 2017, and the first death reason of high-centrality Chinese people is found to be stroke. Cerebral apoplexy is a series of symptoms caused by brain tissue necrosis caused by rupture, stenosis or blockage of intracranial blood vessels, including cerebral hemorrhage, cerebral infarction and the like, and if treatment is not timely, a patient can die; even if the treatment is timely, the disability of the patient can be caused.

Currently, for clinically assessing the degree of intracranial vascular lesion and vascular stenosis, a lumen-based imaging method, such as Digital Subtraction Angiography (DSA), CT Angiography (CTA), Magnetic Resonance Angiography (MRA), and High-Resolution Magnetic Resonance Angiography (HRMRA), is commonly used. The intracranial artery blood vessel is connected with the carotid artery and the vertebral artery, and forms a ring structure at the bottom of the brain, and has special structural form, zigzag and extremely thin tube wall thickness. By means of the magnetic resonance blood vessel imaging technology, the path of the intracranial artery blood vessel can be clearly described.

The magnetic resonance angiography (MRA or HRMRA) is used as a non-invasive imaging method for a patient, the vascular wall structure of intracranial vessels can be clearly detected and analyzed, the magnetic resonance image obtained by scanning has high resolution ratio on soft tissues, no bone artifacts and good image quality, and the tissue structures with different imaging characteristics can be obtained by using multiple sequence scanning, so that the magnetic resonance angiography (MRA or HRMRA) has obvious superiority in displaying the intracranial vessels.

Because the images corresponding to the bright blood sequence and the black blood sequence obtained by the magnetic resonance blood vessel imaging technology are two-dimensional images, in clinic, doctors need to obtain the comprehensive condition of the intracranial blood vessels by combining the information of the two images through experience so as to analyze the intracranial vascular lesions. However, the two-dimensional image has limitations, which is not beneficial to simply and rapidly obtaining the real information of the intracranial blood vessel. Moreover, analysis data about the intracranial vascular stenosis degree cannot be intuitively and quickly obtained from the image obtained by the imaging method, and the positioning analysis of the intracranial vascular lesion area is not facilitated clinically.

Disclosure of Invention

In order to be used in clinical application, the real information of the intracranial blood vessel is simply, conveniently and quickly obtained for intracranial vascular lesion analysis. The embodiment of the invention provides an intracranial vascular lesion marking and three-dimensional display system based on intelligent medical treatment. The method comprises the following steps:

the image acquisition module is used for acquiring a bright blood image group, a black blood image group and an enhanced black blood image group of the intracranial vascular site; the bright blood image group, the black blood image group and the enhanced black blood image group respectively comprise K bright blood images, black blood images and enhanced black blood images; the images in the bright blood image group, the black blood image group and the enhanced black blood image group are in one-to-one correspondence; k is a natural number greater than 2;

the image preprocessing module is used for taking each bright blood image and the corresponding enhanced black blood image as an image pair, and preprocessing each image pair to obtain a first bright blood image and a first black blood image of the image pair;

the image registration module is used for performing image registration on each first bright blood image by using the corresponding first black blood image as a reference and using a registration method based on mutual information of Gaussian distribution sampling and an image pyramid to obtain a registered bright blood image group comprising K registered bright blood images;

the flow-space artifact eliminating module is used for utilizing the registered bright blood image group to perform flow-space artifact eliminating operation on the enhanced black blood image in the enhanced black blood image group to obtain an artifact eliminated enhanced black blood image group comprising K target enhanced black blood images;

the blood three-dimensional model establishing module is used for establishing a blood three-dimensional model by using the registered bright blood image group and adopting a transfer learning method;

the blood vessel three-dimensional model establishing module is used for establishing a blood vessel three-dimensional model of blood boundary expansion by utilizing the registered bright blood image group;

the contrast enhancement three-dimensional model building module is used for subtracting the artifact removal enhancement black blood image group from the corresponding image in the black blood image group to obtain K contrast enhancement images; establishing a contrast enhanced three-dimensional model by using the K contrast enhanced images;

the intracranial angiography enhancement three-dimensional model establishing module is used for obtaining an intracranial angiography enhancement three-dimensional model based on the blood three-dimensional model, the blood vessel three-dimensional model and the angiography enhancement three-dimensional model;

the intracranial angiography enhanced three-dimensional narrowing analysis model establishing module is used for acquiring numerical values of target parameters representing angiostenosis degrees of all sections of blood vessels in the angiography enhanced three-dimensional model, and marking the angiography enhanced three-dimensional model by using the numerical values of the target parameters of all sections of blood vessels to obtain an intracranial angiography enhanced three-dimensional narrowing analysis model;

and the intracranial blood vessel three-dimensional display module is used for displaying the angiography enhanced three-dimensional stenosis analysis model.

The scheme provided by the embodiment of the invention can simply, conveniently, quickly and intuitively obtain the real information of the intracranial blood vessel and the analysis data about the intracranial blood vessel stenosis degree in clinical application, and assist doctors to more accurately and intuitively analyze and judge the focus.

Of course, not all of the advantages described above need to be achieved at the same time in the practice of any one product or method of the invention.

The present invention will be described in further detail with reference to the accompanying drawings and examples.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.

Fig. 1 is a schematic structural diagram of an intracranial vascular lesion marking and three-dimensional display system based on smart medical treatment according to an embodiment of the present invention;

FIG. 2 is a diagram of the pre-registered results of an intracranial vascular magnetic resonance image in accordance with an embodiment of the present invention;

FIG. 3 is a schematic diagram of a region to be registered of an intracranial vascular magnetic resonance image in accordance with an embodiment of the invention;

fig. 4(a) is a bright blood gaussian pyramid and a black blood gaussian pyramid of an intracranial vascular magnetic resonance image according to an embodiment of the invention; fig. 4(b) is a bright blood laplacian pyramid and a black blood laplacian pyramid of an intracranial vascular magnetic resonance image according to an embodiment of the present invention;

FIG. 5 is a result of registration of Laplacian pyramid images of intracranial vascular magnetic resonance images according to an embodiment of the invention;

FIG. 6 is a schematic diagram of a Gaussian pyramid image registration step based on mutual information for an intracranial vascular magnetic resonance image in an embodiment of the invention;

FIG. 7 is a normalized mutual information for different iterations according to an embodiment of the present invention;

FIG. 8 is a registration result of an intracranial vascular magnetic resonance image including a plurality of registration methods of a mutual information pyramid method;

fig. 9 is a result of the registration of the mutual information based on gaussian distribution sampling and the image pyramid and the intracranial vascular magnetic resonance image of the mutual information pyramid method according to the embodiment of the present invention;

FIG. 10 is a schematic diagram of gray scale linear transformation and parameter setting according to an embodiment of the present invention;

FIG. 11 is a diagram illustrating an image binarization result according to an embodiment of the present invention;

FIG. 12 is a flow-empty artifact removal result obtained by a different method for an intracranial blood vessel in an embodiment of the present invention;

fig. 13 is an exemplary MIP diagram of an embodiment of the present invention;

FIG. 14 is an inverse graph, a characteristic MIP graph corresponding to the MIP graph of the present invention;

FIG. 15 is an effect diagram of a three-dimensional model of an intracranial vascular simulation in accordance with an embodiment of the invention;

FIG. 16 is an effect diagram of an enhanced three-dimensional model of intracranial angiography of an embodiment of the present invention;

FIG. 17 is a graph of the effect of an angiographic enhanced three-dimensional stenosis analysis model of intracranial vessels according to an embodiment of the invention;

FIG. 18 is a diagram showing the effect of an angiographic enhanced three-dimensional stenosis analysis model and a sectional view of an intracranial vessel according to an embodiment of the present invention;

fig. 19 is a naked eye 3D holographic visualization image of an angiography enhanced three-dimensional stenosis analysis model of an intracranial vessel provided by an embodiment of the present invention;

fig. 20 is a schematic diagram of gesture recognition performed on a naked-eye 3D holographic display result of an angiography-enhanced three-dimensional stenosis analysis model of an intracranial blood vessel according to an embodiment of the present invention;

fig. 21 is a 3D printed result diagram of an angiographic enhanced three-dimensional stenosis analysis model of intracranial vessels according to an embodiment of the present invention.

Detailed Description

As shown in fig. 1, a schematic structural diagram of an intracranial vascular lesion marking and three-dimensional display system based on smart medical treatment according to an embodiment of the present invention includes: the system comprises an image acquisition module 100, an image preprocessing module 200, an image registration module 300, a flow-space artifact elimination module 400, a blood three-dimensional module establishing module 500, a blood vessel three-dimensional model establishing module 600, a contrast enhanced three-dimensional model establishing module 700, an intracranial angiography enhanced three-dimensional model establishing module 800, an intracranial angiography enhanced three-dimensional stenosis analysis model establishing module 900 and an intracranial blood vessel three-dimensional display module 1000. The specific functions and implementation methods of the modules are described in detail below.

An image acquisition module 100, configured to acquire a bright blood image group, a black blood image group, and an enhanced black blood image group at an intracranial vascular site; the bright blood image group, the black blood image group and the enhanced black blood image group respectively comprise K bright blood images, black blood images and enhanced black blood images; the images in the bright blood image group, the black blood image group and the enhanced black blood image group are in one-to-one correspondence; k is a natural number greater than 2; the bright blood image group is an image group obtained by performing bright blood sequence scanning on an intracranial vascular site by using a magnetic resonance vascular imaging technology. The black blood image group is an image group obtained by performing black blood sequence scanning on an intracranial vascular site by using a magnetic resonance vascular imaging technology. The enhanced black blood image group is an image group obtained by injecting paramagnetic contrast agent into a patient and then scanning a black blood sequence on an intracranial vascular part by using a magnetic resonance vascular imaging technology. In an embodiment of the invention, the magnetic resonance angiography technique is preferably HRMRA.

The K images in the group of bright blood images, the group of black blood images and the group of enhanced black blood images are in one-to-one correspondence in such a way that the images formed according to the scanning time are in the same order.

The image preprocessing module 200 is configured to use each bright blood image and the corresponding enhanced black blood image as an image pair, and perform preprocessing on each image pair to obtain a first bright blood image and a first black blood image of the image pair.

The implementation of this module may be understood as a preprocessing process of the images, and in an alternative embodiment, each image pair is preprocessed to obtain a first bright blood image and a first black blood image of the image pair, which may include S21 and S22:

s21, aiming at each image pair, taking the enhanced black blood image as a reference, carrying out coordinate transformation and image interpolation on the bright blood image, using the similarity measurement based on mutual information, and adopting a preset search strategy to obtain a first bright blood image after pre-registration;

the enhanced black blood image is imaged by coronal plane scanning, while the bright blood image is imaged by axial plane scanning, and the difference of the sequence scanning direction causes the difference of the two final magnetic resonance imaging layers, so that the magnetic resonance images of different imaging layers need to be observed under a standard reference coordinate system through coordinate transformation.

For the blood vessel image, the coordinate transformation of the image can be realized by using the direction information in the DICOM (Digital Imaging and Communications in Medicine) file.

Specifically, the enhanced black blood image and the bright blood image are to-be-registered images, and the enhanced black blood image is used as a reference image, the bright blood image is used as a floating image, and the bright blood image is subjected to coordinate transformation according to the orientation tag information in the DICOM file of the bright blood image, so that the purpose of rotating the bright blood image to the same coordinate system as the enhanced black blood image is achieved, and the scanning direction of the rotated bright blood image is also changed into a coronal plane.

And the two search strategies of a gradient descent optimizer and (1+1) -ES are used for respectively registering 160 bright blood images and 160 enhanced black blood images of corresponding scanning layers, wherein the enhanced black blood images are reference images, the bright blood images are floating images,

referring to fig. 2, fig. 2 is a diagram illustrating the result of pre-registering the intracranial vascular magnetic resonance image according to the embodiment of the invention. The left image is a pre-registered first bright blood image, wherein the interpolation method adopts bicubic interpolation; the middle image is an enhanced black blood image, both images are coronal planes, the right image is an effect image obtained by directly superimposing the two images, and the right image shows that although the bright blood image and the enhanced black blood image under the current imaging layer can be observed under the same coronal plane after pre-registration, the bright blood image and the enhanced black blood image are still misaligned, so that subsequent image fine registration is required.

Through the pre-registration of the step, the magnetic resonance images of the same scanning layer can be compared under the same coordinate system preliminarily, but because the scanning time of the bright blood sequence and the scanning time of the black blood sequence are different, and the patient possibly moves slightly before and after the scanning, the operation is only a rough coordinate transformation, the complete registration of the multi-mode magnetic resonance images can not be realized only through the pre-registration, but the step can omit unnecessary processing procedures for the subsequent accurate registration link, and the processing speed is improved.

S22, the same area content as the scanning range of the first bright blood image is extracted from the enhanced black blood image, and a first black blood image is formed.

Optionally, S22 may include the following steps:

1. obtaining edge contour information of a blood vessel in the first bright blood image;

specifically, the edge contour information may be obtained by using a Sobel edge detection method or the like. The edge profile information contains coordinate values of the respective edge points.

2. Extracting the minimum value and the maximum value of the abscissa and the ordinate from the edge profile information, and determining an initial extraction frame based on the obtained four coordinate values;

in other words, in the edge profile information, extracting a minimum abscissa value, a maximum abscissa value, a minimum ordinate value and a maximum ordinate value, and determining four vertexes of the square frame by using the four coordinate values, thereby obtaining an initial extracted frame;

3. in the size range of the first bright blood image, the size of the initial extraction frame is respectively enlarged by a preset number of pixels along four directions to obtain a final extraction frame;

wherein, the four directions are respectively the positive and negative directions of the horizontal and vertical coordinates; the preset number is reasonably selected according to the type of the blood vessel image, so as to ensure that the expanded final extraction frame does not exceed the size range of the first bright blood image, for example, the preset number may be 20.

4. And extracting the corresponding area content in the final extracted frame from the enhanced black blood image to form a first black blood image.

And extracting the content of the corresponding area in the enhanced black blood image according to the coordinate range defined by the final extraction frame, and forming the extracted content into a first black blood image. The step obtains the common scanning range of the magnetic resonance images under the two modes by extracting the region to be registered, thereby being beneficial to subsequent rapid registration.

Referring to fig. 3, fig. 3 is a schematic diagram of a region to be registered of an intracranial vascular magnetic resonance image according to an embodiment of the present invention, where the left image is a first bright blood image after pre-registration, the right image is an enhanced black blood image, and the box is a region to be extracted in the enhanced black blood image. The region contains the common scanning range of a bright blood sequence and a black blood sequence in an intracranial vascular magnetic resonance image, and useful information can be focused more quickly by determining the region to be extracted.

The two-step preprocessing process of the embodiment of the invention plays a very important role, the preprocessed image can pay more attention to useful information and exclude irrelevant information, and in actual use, the image preprocessing can be used for improving the reliability of intracranial blood vessel image registration and identification.

An image registration module 300, configured to perform image registration on each first bright blood image by using the corresponding first black blood image as a reference and using a registration method based on mutual information of gaussian distribution sampling and an image pyramid to obtain a post-registration bright blood image group including K post-registration bright blood images.

In an alternative embodiment, the registration method of the image registration module 300 may include S31 to S34:

s31, sampling by adopting Gaussian distribution to select a part of preprocessed image pair as a test image pair;

the test image pair of the embodiment of the invention is the image pair to be registered, and the random selection of the image pair to be registered of the embodiment of the invention adopts Gaussian distribution sampling. The scanning directions of the bright blood image and the enhanced black blood image are different, and in the image preprocessing process, in order to observe the bright blood image and the enhanced black blood image on the same imaging layer, the bright blood image is subjected to coordinate transformation and interpolation, so that each bright blood image corresponds to the enhanced black blood image on the current layer; meanwhile, due to the fact that the scanning ranges of the bright blood image and the enhanced black blood image are different, data of the edge layer of the bright blood image may not be complete. In summary, the bright blood data and the enhanced black blood data of the scanned middle layer are most abundant, so that the gaussian mean μ is selected to be half of the total number of the images to be registered, and the probability of registration of the images in the middle layer selected by gaussian random is the largest.

S32, performing image registration on the first bright blood image and the first black blood image in each test image pair by adopting a registration method based on mutual information and an image pyramid to obtain a rotation matrix corresponding to the first bright blood image in the test image pair after registration; in an optional embodiment, S32 may specifically include steps S321 to S324:

s321, aiming at each test image pair, obtaining a bright blood Gaussian pyramid from the first bright blood image based on downsampling processing, and obtaining a black blood Gaussian pyramid from the first black blood image; the bright blood Gaussian pyramid and the black blood Gaussian pyramid comprise m images with resolution ratios which are sequentially reduced from bottom to top; m is a natural number greater than 3;

in order to improve the accuracy of image registration and avoid the convergence of an image to a local maximum value in the registration process, a multi-resolution strategy can be used for solving the problem of a local extreme value, and meanwhile, the multi-resolution strategy can improve the execution speed of the algorithm and increase the robustness under the condition of meeting the image registration precision. The method is an effective way to improve the registration accuracy and speed by increasing the complexity of the model, namely, in the registration process, the registration is performed in the order from coarse registration to fine registration, firstly, the registration is performed on the low-resolution image, and then, on the basis of the completion of the registration of the low-resolution image, the registration is performed on the high-resolution image.

In an alternative embodiment, the step S321 may include:

obtaining an input image of an ith layer, filtering the input image of the ith layer by using a Gaussian kernel, and deleting even rows and even columns of the filtered image to obtain an image G of the ith layer of the Gaussian pyramid_iAnd the ith layer image G_iObtaining an i +1 layer image G of a Gaussian pyramid as an i +1 layer input image_i+1；

Wherein i is 1, 2, …, m-1; when the gaussian pyramid is a bright blood gaussian pyramid, the input image of the 1 st layer is a first bright blood image, and when the gaussian pyramid is a black blood gaussian pyramid, the input image of the 1 st layer is a first black blood image.

Specifically, the multiple images in the gaussian pyramid are corresponding to the same original image with different resolutions. The Gaussian pyramid acquires an image through Gaussian filtering and downsampling, and each layer of construction steps can be divided into two steps: firstly, smoothing filtering is carried out on an image by using Gaussian filtering, namely filtering is carried out by using a Gaussian kernel; and then deleting even rows and even columns of the filtered image, namely reducing the width and height of the lower layer image by half to obtain the current layer image, so that the current layer image is one fourth of the size of the lower layer image, and finally obtaining the Gaussian pyramid by continuously iterating the steps.

In this step, the first bright blood image and the first black blood image after the preprocessing are subjected to the processing, so that a bright blood gaussian pyramid and a black blood gaussian pyramid can be obtained. As shown in fig. 4(a), fig. 4(a) is a bright blood gaussian pyramid and a black blood gaussian pyramid of an intracranial vascular magnetic resonance image according to an embodiment of the present invention.

These resolutions are gradually reduced, and the images from the same image combined at different resolutions are arranged to resemble a pyramid, and are therefore referred to as an image pyramid, where the highest resolution image is located at the bottom of the pyramid and the lowest resolution image is located at the top of the pyramid. In the aspect of image information processing, the multi-resolution images can more easily acquire the essential characteristics of the images compared with the traditional single-resolution images.

S322, based on the upsampling processing, obtaining a bright blood Laplacian pyramid by using a bright blood Gaussian pyramid, and obtaining a black blood Laplacian pyramid by using a black blood Gaussian pyramid; wherein the bright blood Laplacian pyramid and the black blood Laplacian pyramid comprise m-1 images with resolution which is sequentially reduced from bottom to top;

since the gaussian pyramid is downsampled, i.e., the image is reduced, a portion of the data of the image is lost. Therefore, in order to avoid data loss of the image in the zooming process and recover detailed data, the embodiment of the invention uses the Laplacian pyramid to realize image reconstruction together with the Gaussian pyramid, and details are highlighted on the basis of the Gaussian pyramid image.

In an alternative embodiment, the step S322 may include:

for the i +1 layer image G of the Gaussian pyramid_i+1Performing upsampling, and filling the newly added rows and columns with data 0 to obtain a filled image;

performing convolution on the filling image by utilizing a Gaussian kernel to obtain an approximate value of the filling pixel to obtain an amplified image;

the ith layer image G of the Gaussian pyramid_iSubtracting the amplified image to obtain the ith layer image L of the Laplacian pyramid_i；

When the gaussian pyramid is the bright blood gaussian pyramid, the laplacian pyramid is the bright blood laplacian pyramid, and when the gaussian pyramid is the black blood laplacian pyramid, the laplacian pyramid is the black blood laplacian pyramid.

Since the laplacian pyramid is a residual between the image and the original image after downsampling, the laplacian pyramid is compared from bottom to top, and the laplacian pyramid has one layer of higher-level image less than the laplacian pyramid structure.

Specifically, the mathematical formula for generating the Laplacian pyramid structure is shown as (1), wherein L_iIndicating the Laplacian pyramid (bright blood Laplacian pyramid or black blood Laplacian pyramid) of the i-th layer G_iRepresenting the i-th level gaussian pyramid (bright blood gaussian pyramid or black blood gaussian pyramid), and the UP operation is an UP-sampled magnified image, symbol

Is a sign of the convolution of the symbols,

is the gaussian kernel used in constructing the gaussian pyramid.

Corresponding to the gaussian pyramid with 4 layers, the step can obtain a bright blood laplacian pyramid and a black blood laplacian pyramid with 3 image layers. As shown in fig. 4(b), fig. 4(b) is a bright blood laplacian pyramid and a black blood laplacian pyramid of an intracranial vascular magnetic resonance image according to an embodiment of the present invention. The image display uses gamma correction to achieve a clearer effect, and the gamma value is 0.5.

S323, registering images of corresponding layers in the bright blood Laplacian pyramid and the black blood Laplacian pyramid to obtain a registered bright blood Laplacian pyramid;

in an alternative embodiment, the step S323 may include:

aiming at each layer of the bright blood Laplacian pyramid and the black blood Laplacian pyramid, taking the corresponding black blood Laplacian image of the layer as a reference image, taking the corresponding bright blood Laplacian image of the layer as a floating image, using a similarity measure based on mutual information, and adopting a preset search strategy to realize image registration to obtain the registered bright blood Laplacian image of the layer;

forming a registered Laplacian pyramid of the bright blood from bottom to top according to the sequence of the sequential reduction of the resolution by the registered multilayer Laplacian images of the bright blood;

the black blood laplacian image is an image in the black blood laplacian pyramid, and the bright blood laplacian image is an image in the bright blood laplacian pyramid.

The registration process in this step is similar to the pre-registration process, and the image registration is realized by performing coordinate transformation and image interpolation on the bright blood laplacian image and using the similarity measure and the predetermined search strategy, so that the registered bright blood laplacian image can be obtained. The coordinate transformation, the image interpolation, the similarity measurement and the predetermined search strategy are not repeated.

As shown in fig. 5, fig. 5 is a registration result of laplacian pyramid images of an intracranial vascular magnetic resonance image according to an embodiment of the present invention, where the left image is a reference image in a black blood laplacian pyramid, the middle image is a registered image in a bright blood laplacian pyramid, the right image is an effect image obtained by directly superimposing the left and middle images, and the superimposed image displays a montage effect, and the black blood image and the bright blood image are enhanced by using pseudo-color transparency processing, where purple is the enhanced black blood laplacian pyramid image, and green is the bright blood laplacian pyramid image (the image is an image of an original image subjected to gray processing, and the color is not shown).

And S324, registering the images of all layers in the bright blood Gaussian pyramid and the black blood Gaussian pyramid from top to bottom by using the registered bright blood Laplacian pyramid as superposition information to obtain a registered bright blood Gaussian pyramid, and obtaining a rotation matrix corresponding to the first bright blood image in the test image pair after registration.

In the registration of the step, images with different resolutions in the Gaussian pyramid need to be registered, and the registration of the low-resolution images can easily hold essential characteristics of the images, so that the embodiment of the invention registers the high-resolution images on the basis of the registration of the low-resolution images, namely, the images of the Gaussian pyramid are registered from top to bottom, and the registration result of the image of the upper layer is used as the registration input of the image of the lower layer.

In an optional embodiment, in S324, the registering of the blood-brightening gaussian pyramid and the black blood gaussian pyramid from top to bottom is performed by using the registered blood-brightening laplacian pyramid as the overlay information, so as to obtain the registered blood-brightening gaussian pyramid, which may include:

for the j-th layer from top to bottom in the bright blood Gaussian pyramid and the black blood Gaussian pyramid, taking the black blood Gaussian image corresponding to the layer as a reference image, taking the bright blood Gaussian image corresponding to the layer as a floating image, using similarity measurement based on mutual information, and adopting a preset search strategy to realize image registration to obtain a registered j-th layer bright blood Gaussian image;

performing up-sampling operation on the registered jth layer of bright blood Gaussian image, adding the up-sampling operation to the registered corresponding layer of bright blood Laplacian image, and replacing the jth +1 layer of bright blood Gaussian image in the bright blood Gaussian pyramid by using the added image;

taking the black blood Gaussian image of the j +1 th layer as a reference image, taking the replaced bright blood Gaussian image of the j +1 th layer as a floating image, and using a preset similarity measure and a preset search strategy to realize image registration to obtain a registered bright blood Gaussian image of the j +1 th layer;

where j is 1, 2, …, m-1, the black blood gaussian image is an image in the black blood gaussian pyramid, and the bright blood gaussian image is an image in the bright blood gaussian pyramid.

And repeating the operations until the high-resolution registration of the bottom layer Gaussian pyramid image is completed to obtain the registered bright blood Gaussian pyramid. In the registration process, the pre-registration process is similar to the one described above. The coordinate transformation, the image interpolation, the similarity measurement and the predetermined search strategy are not repeated.

The specific steps of mutual information-based gaussian pyramid image registration are shown in fig. 6, and fig. 6 is a schematic diagram of mutual information-based gaussian pyramid image registration steps of an intracranial vascular magnetic resonance image according to an embodiment of the present invention. Firstly, registering the low-resolution black blood Gaussian image of the top layer and the low-resolution bright blood Gaussian image of the top layer based on mutual information; then, performing up-sampling operation on the registered bright blood Gaussian image, and adding the up-sampled bright blood Gaussian image and the bright blood Laplacian image of the corresponding layer which retains high-frequency information and is registered according to the operation to be used as a next layer of bright blood Gaussian image; and then, taking the bright blood Gaussian image obtained by the operation as an input image, registering the input image with the black blood Gaussian image of the corresponding layer, and repeating the operation until the high-resolution registration of the bottom layer Gaussian pyramid image is completed.

In the registration of Gaussian pyramid images based on mutual information, the registration of each layer of bright blood Gaussian image and black blood Gaussian image is carried out by taking normalized mutual information as similarity measurement, and the NMI of the two images is calculated through loop iteration until the NMI reaches the maximum. Fig. 7 is normalized mutual information under different iteration times of the embodiment of the present invention, and when the registration of the first-layer image, that is, the bottom-layer image with the highest resolution in the gaussian pyramid reaches the maximum NMI value and the data is stable, the iteration is stopped.

Thus, a registered bright blood Gaussian pyramid is obtained, the coordinate system of the bright blood image is consistent with the coordinate system of the enhanced black blood image, and the images have high similarity, so that the blood vessel image registration process of the embodiment of the invention can be completed. And after registration, a rotation matrix corresponding to the first bright blood image in the test image pair after registration can be obtained.

In order to verify the effectiveness and the practicability of the mutual information and image pyramid-based registration method (referred to as the mutual information pyramid method for short) in the embodiment of the invention, a comparison experiment is also performed, and intracranial vascular magnetic resonance images of five patients are used together, wherein the enhanced black blood image and the bright blood image of the patient A, B, C, D are 160 respectively, and the enhanced black blood image and the bright blood image of the patient E are 150 respectively; meanwhile, an algorithm which only uses DICOM image orientation label information for registration and a registration algorithm based on mutual information measurement are selected and compared with the mutual information pyramid method in the embodiment of the invention, wherein the algorithm based on mutual information measurement is to search the optimal transformation between a reference image and a floating image by a multi-parameter optimization method, so that the mutual information value of the two images is maximum, and the image pyramid algorithm is not used.

The experimental platform was Matlab R2016 b. And combining qualitative analysis and quantitative analysis according to the image registration result of the experiment. In the aspect of qualitative analysis, because large gray scale difference exists between the multi-modal medical images, a difference image obtained by subtracting the registration image from the reference image cannot effectively reflect the registration result of the multi-modal medical images, the embodiment of the invention obtains a color overlapping image capable of reflecting the alignment degree of the registration image and the reference image by overlapping the registration image with the reference image, qualitatively analyzes the registration effect of the multi-modal registration algorithm by the color overlapping image, displays the registration result of the multi-modal intracranial vascular magnetic resonance image in fig. 8, and displays the registration result of the intracranial vascular magnetic resonance image of a plurality of registration methods including a mutual information pyramid method in fig. 8. Wherein, (a) is a reference image; (b) is a floating image; (c) is an overlay image based on image orientation label information; (d) is an overlay image based on a mutual information metric; (e) the invention discloses a superposed image of a mutual information pyramid method. The figures are gray scale images of the original image, not shown in color. In the aspect of quantitative analysis, since the root mean square error RMSE and the peak signal-to-noise ratio PSNR of the evaluation indexes are not suitable for evaluating images with large gray changes, in order to better evaluate the registration result of the multi-modal medical image, the normalized cross-correlation coefficient NCC is adopted, the normalized mutual information NMI is used as the evaluation index, when the values of the normalized cross-correlation coefficient NCC and the normalized mutual information NMI are larger, the higher the image registration accuracy is, and table 1 shows the evaluation index result analysis of different registration algorithms.

Table 1 analysis of the results of different registration methods

The value in a is the mean value of the evaluation index +/-mean square error based on the registration of a plurality of images of a patient

And (3) qualitative analysis: as is apparent from the overlaid images of fig. 8, the method based on mutual information metric has a large registration shift, and the analysis reason may be that it is easy to fall into a local optimum value rather than a global optimum value only using the method based on mutual information metric; the registration effect based on the image orientation label information is not good enough, and the images are partially not overlapped; the mutual information pyramid method has good image registration effect, the images are displayed more clearly, and the images are almost completely overlapped.

Quantitative analysis: as can be seen from table 1, from the two evaluation indexes NCC and NMI, compared with the registration algorithm using only the orientation tag information of the DICOM image and the registration algorithm based on the mutual information measurement, the mutual information pyramid method according to the embodiment of the present invention is improved in registration accuracy, which shows that the registration method based on the mutual information and the image pyramid according to the embodiment of the present invention can well process the registration of the multi-modal intracranial vascular magnetic resonance image.

S33, obtaining the mean value of the rotation matrix of all the test image pairs;

in the last step, the rotation matrix corresponding to the first bright blood image after registration in each test image pair can be obtained, and then the mean value of the rotation matrices of all the test image pairs can be calculated and obtained.

And S34, performing coordinate transformation on the first bright blood image in the other preprocessed image pairs except the test image pair by using the mean value of the rotation matrix, completing image registration, and obtaining a plurality of registered image pairs.

Considering that when a patient uses a magnetic resonance bright blood sequence scan, if slight movement occurs, the coordinate position of an intracranial blood vessel image obtained by the bright blood sequence scan slightly changes, and then each bright blood image needs to be subjected to a spatial coordinate transformation operation so as to keep the same coordinate position as that of an enhanced black blood image. Mutual information of every two images to be registered needs to be continuously and iteratively calculated in the registration process of the registration method based on the mutual information and the image pyramid, when the size and the number of the images are large, time consumption is overlarge, and if the registration method based on the mutual information and the image pyramid is used for all the images to be registered, the calculation speed is slow. The inventor considers that the intracranial blood vessel can be regarded as a rigid body, which is different from organs such as heart or lung and the like which change along with the movement of human breath and the like, so the space coordinate transformation operation of each bright blood image is almost consistent, namely almost the same rotation matrix is used. Referring to table 2, table 2 shows the mean and mean square error of the rotation matrix calculated by using the mutual information pyramid method, the mean square error of the rotation matrix is very small as can be seen from data, and the rotation matrix is obtained by registering 160 400 × 400 enhanced black blood images and 160 400 × 400 bright blood images derived from patient a by using the mutual information pyramid method. Then, the calculated rotation matrix can be registered by a few bright blood images of the patient to perform the same spatial coordinate transformation on all the bright blood images without the need of solving the rotation matrix for each bright blood image, thereby accelerating the image registration process.

TABLE 2 mean and mean square error of rotation matrix

In the step, the mean value of the rotation matrix, namely a new rotation matrix, is used for carrying out coordinate transformation on the first bright blood image in the rest of the preprocessed image pairs, so that the registration of all images can be completed quickly, and the registration speed is improved greatly. For the processes of implementing coordinate transformation of the bright blood image by using the rotation matrix, image interpolation, using the similarity measurement based on mutual information, and implementing image registration by using a predetermined search strategy, reference may be made to the foregoing, and it may also be understood by combining with the related art, and details are not described herein again.

After the step, a plurality of registered bright blood images can be obtained, and the bright blood images and the corresponding enhanced black blood images are in the same coordinate system and have higher similarity.

In order to verify the feasibility of the registration method based on the mutual information of gaussian distribution sampling and the image pyramid in the embodiment of the present invention, intracranial vascular magnetic resonance images of five patients were used together for registration, wherein the number of the enhanced black blood images and the number of the bright blood images of patient A, B, C, D were 160, and the number of the enhanced black blood images and the number of the bright blood images of patient E were 150, respectively. For the image registration result of an experiment, because the multi-mode magnetic resonance images are different in acquisition principle and different in presented information, a unified gold standard is not available at present to evaluate which registration algorithm is the best, and the quality of the registration result is evaluated according to a specific registration object and an application purpose, so that qualitative analysis and quantitative analysis are combined. In terms of qualitative analysis, the registration algorithm results are qualitatively analyzed by color overlay images that reflect the degree of alignment of the registered image and the reference image, and fig. 9 shows a comparison of the registration results of the multi-modality intracranial vascular magnetic resonance images. Fig. 9 is a result of the registration of the mutual information based on gaussian distribution sampling and the image pyramid method and the intracranial vascular magnetic resonance image by the mutual information pyramid method according to the embodiment of the present invention. Wherein (a) is a reference image; (b) is a floating image; (c) an overlay image for mutual information pyramid method; (d) for the overlapped images of the method of the invention, the standard deviation sigma is taken as 1; (e) for the overlapped images of the method of the invention, the standard deviation sigma is taken as 2; (f) for the overlapped images of the method of the invention, the standard deviation sigma is taken as 3; (g) for the overlapped images of the method of the invention, the standard deviation sigma is taken as 4; (h) for the overlapped images of the method of the invention, the standard deviation sigma is taken as 5; (i) for the overlaid images of the method of the invention, the standard deviation σ is taken to be 6. Each image is a processed gray scale image, not shown in color. In the aspect of quantitative analysis, a normalized cross-correlation coefficient NCC is adopted, normalized mutual information NMI is used as an evaluation index, and the higher the value of NCC and NMI is, the higher the image registration precision is. Table 3 shows the registration results of all image pairs of one patient using the mutual information and image pyramid-based registration method (abbreviated as mutual information pyramid method), and the mutual information and image pyramid-based registration method based on gaussian distribution sampling (abbreviated as the present invention method) proposed in the present embodiment (the rest of the patient data is not shown by space limitation), and the experimental platform is Matlab R2016 b. As the method of the invention does not need to register all images, only needs to randomly select a few images for registration, the experiment sets the Gaussian distribution mean value mu to be half of the total number of the images to be registered, and randomly extracts 20 enhanced black blood images to register with the corresponding bright blood images when the standard deviation sigma is 1, 2, 3, 4, 5 and 6 respectively.

TABLE 3 analysis of results of different registration algorithms

^aThe value in (1) is based on the mean value of the evaluation indexes of the registration of 160 bright blood images and 160 enhanced black blood images +/-mean square error

As is apparent from the overlapped images of fig. 9, the registered images of the mutual information pyramid method and the registered images of the method of the present invention have good performance, and the images are almost completely overlapped together; as can be seen from table 3, from the two evaluation indexes of NCC and NMI, although the accuracy of the method of the present invention is lower than that of the mutual information pyramid method, the difference between them is not too large under different gaussian distribution function settings. When the size of the images participating in registration is large and the number of the images is large, the mutual information pyramid method has a large calculation amount. The method improves the algorithm aiming at the rigid space transformation characteristics of the intracranial blood vessels, accelerates the image registration by utilizing the similarity of the transformation matrix, and the experimental result proves that the time consumed by the improved algorithm registration is only one fifth of the registration time of the mutual information pyramid method, so that the registration speed can be greatly improved, and the registration of the multi-mode intracranial blood vessel magnetic resonance image can be well realized.

In the registration scheme provided by the embodiment of the invention, the intracranial blood vessel can be regarded as a rigid body, and the space coordinate transformation operation of each bright blood image is almost consistent, so that the same rotation matrix can be used. Therefore, on one hand, a small number of image pairs are selected for carrying out image registration of the bright blood images, the average value of the rotation matrix of the registered small number of bright blood images is utilized, the same space coordinate transformation is carried out on the bright blood images of the rest image pairs, and the rotation matrix of each of the rest bright blood images is not required to be solved, so that the image registration process can be accelerated. On the other hand, in the image registration process, mutual information is used as similarity measurement, and an image pyramid algorithm is adopted to increase the complexity of the model, so that the registration accuracy and speed can be improved. Compared with the prior art, the method needs doctors to observe the bright blood image and the black blood image of the intracranial blood vessel according to spatial imagination and subjective experience. The embodiment of the invention adopts the image registration method to unify the bright blood image and the enhanced black blood image in the same coordinate system, so that doctors can conveniently understand the intracranial blood vessel images corresponding to the black blood sequence and the bright blood sequence, the comprehensive information required by diagnosis can be simply, conveniently and quickly obtained, and accurate and reliable reference information can be provided for subsequent medical diagnosis, operation plan formulation, radiotherapy plan and the like. Meanwhile, the image registration is an important step of subsequent flow null artifact elimination. The registration scheme provided by the embodiment of the invention can provide a better reference mode for the registration of other medical images, and has great clinical application value. Meanwhile, the image registration process of the embodiment of the invention is an important basis for eliminating the flow-space artifact subsequently.

After image registration, flow and empty artifacts in the black blood image enhanced after registration can be eliminated, wherein the flow and empty artifacts occur because blood vessels are too small, the blood flow velocity at the tortuous part is slow, and peripheral blood and tissue fluid may have signal pollution and other problems during imaging of blood vessel walls, so that in the image obtained by scanning the black blood sequence, blood information which should be black is instead bright, thereby simulating wall thickening or plaque appearance of normal individuals and exaggerating the degree of blood vessel stenosis. The embodiment of the invention considers that the blood information in the bright blood image after registration is utilized to correct the blood information with incorrect signal display in the enhanced black blood image after registration, and the blood information in the bright blood image after registration is embedded into the enhanced black blood image after registration so as to achieve the effect of image fusion. The method can be realized by the following steps:

and a flow-empty artifact removing module 400, configured to perform a flow-empty artifact removing operation on the enhanced black blood image in the enhanced black blood image group by using the registered bright blood image group, so as to obtain an artifact-removed enhanced black blood image group including K target enhanced black blood images.

In an alternative embodiment, the flow-empty artifact removing method of the flow-empty artifact removing module 400 may include steps S41 to S44:

s41, aiming at each post-registration bright blood image, improving the contrast of the post-registration bright blood image to obtain a contrast enhanced bright blood image;

in an implementation mode with optional steps, according to the characteristic that blood in the bright blood image is high-signal and peripheral brain tissue is low-signal, the gray scale linear transformation is performed on the bright blood image after registration, the gray scale range of the image is adjusted, and the purpose of improving the image contrast is achieved.

For example, a specific gray scale linear transformation and parameter setting used for the registered bright blood image is shown in fig. 10, and fig. 10 is a schematic diagram of the gray scale linear transformation and parameter setting provided by the embodiment of the present invention. By using the gray scale linear transformation shown in fig. 10, the smaller gray scale value change interval in the original post-registration bright blood image f can be expanded to the larger gray scale value change interval in the new post-registration bright blood image f1 (contrast enhanced bright blood image), and the image gray scale range can be adjusted to achieve the purpose of improving the contrast of the post-registration bright blood image. By this step, a contrast-enhanced bright blood image can be obtained.

S42, extracting blood information from the contrast enhanced bright blood image to obtain a bright blood characteristic diagram;

in an alternative embodiment, S42 may include the following steps:

s421, determining a first threshold value by using a preset image binarization method;

s422, extracting blood information from the contrast enhanced bright blood image by using a first threshold value;

the method used in this step is called threshold segmentation.

S423, a bright blood feature map is obtained from the extracted blood information.

According to the embodiment of the invention, the blood information in the contrast enhanced bright blood image can be highlighted as white and the irrelevant information can be displayed as black through a preset image binarization method, so that a bright blood characteristic diagram corresponding to the blood information can be extracted conveniently. The preset image binarization method in the embodiment of the invention can comprise a maximum inter-class variance method OTSU, kittle and the like.

The formula for extracting blood information is shown in (2), where T (x, y) is the gray-level value of the contrast-enhanced bright blood image, F (x, y) is the gray-level value of the bright blood feature map, and T is the first threshold.

In an optional implementation manner, the maximum inter-class variance method OTSU is adopted, and the result is shown in fig. 11, where fig. 11 is an image binarization result diagram of the embodiment of the present invention, a left diagram is a contrast enhanced bright blood image, and a right diagram is blood information obtained after the contrast enhanced bright blood image is subjected to threshold extraction. It can be seen that the portion of the right image that appears bright is only blood related information.

S43, carrying out image fusion on the bright blood characteristic image and the enhanced black blood image corresponding to the bright blood image after registration according to a preset fusion formula to obtain a target enhanced black blood image with the flow space artifact eliminated corresponding to the enhanced black blood image;

in the step, firstly, a spatial mapping relation between the bright blood characteristic diagram and the corresponding enhanced black blood image is established, the bright blood characteristic diagram is mapped into the corresponding enhanced black blood image, and image fusion is performed according to a preset fusion formula, wherein the preset fusion formula is as follows:

wherein, F (x, y) is the gray value of the bright blood feature map, R (x, y) is the gray value of the corresponding enhanced black blood image, and g (x, y) is the gray value of the fused target enhanced black blood image.

Through the above operations, the gray value of the flow-space artifact which is supposed to be black but appears as bright color in the corresponding enhanced black blood image can be changed into black, so that the purpose of eliminating the flow-space artifact is achieved.

Referring to fig. 12, fig. 12 is a flow-null artifact removal result obtained by a different method for an intracranial blood vessel in an embodiment of the present invention, wherein, the arrow shows the flowing and empty artifact, the left image is the original image of the encephalic blood vessel enhanced black blood image with the flowing and empty artifact, the left two images are the results obtained by the flowing and empty artifact eliminating method based on the mutual information and image pyramid registering method, the left three images are the results obtained by the flowing and empty artifact eliminating method based on the mutual information of Gaussian distribution sampling and the image pyramid registering method, the standard deviation sigma of the gaussian distribution is 3, and it can be seen that the elimination effect of the flow-space artifact elimination method based on the mutual information of the gaussian distribution sampling and the registration method of the image pyramid adopted in the embodiment of the present invention is better than the elimination effect of the flow-space artifact elimination method based on the mutual information and the registration method of the image pyramid. However, it can be understood that the flow-space artifact removing method based on the mutual information of gaussian distribution sampling and the registration method of the image pyramid adopted in the embodiment of the present invention has a faster processing speed than the flow-space artifact removing method based on the mutual information and the pyramid, and experiments prove that about 80% of time can be saved.

And S44, obtaining an artifact-eliminated enhanced black blood image group according to the target enhanced black blood images corresponding to the K enhanced black blood images.

After all the enhanced black blood images are subjected to the flow-space artifact elimination, an artifact eliminated enhanced black blood image group can be obtained.

In the scheme provided by the embodiment of the invention, the bright blood image and the enhanced black blood image obtained by scanning the magnetic resonance blood vessel imaging technology are subjected to image registration based on the mutual information of Gaussian distribution sampling and the registration method of the image pyramid, so that the registration precision and the registration speed can be improved. Blood information is extracted from the registered bright blood image through threshold segmentation and is fused into the registered enhanced black blood image, so that the blood information with incorrect signal display in the registered enhanced black blood image is corrected, and the gray value of the flow-space artifact expressed as bright color is changed into black, so that the aim of eliminating the flow-space artifact is fulfilled, and the intracranial blood vessel image which is displayed more accurately and comprehensively is obtained. The scheme provided by the embodiment of the invention is to eliminate the flow-space artifact from the angle of image post-processing without using a new imaging technology, an imaging mode or a pulse sequence, so that the flow-space artifact can be simply, accurately and quickly eliminated, and the better popularization can be realized in clinical application.

The blood three-dimensional model establishing module 500 is used for establishing a blood three-dimensional model by using the registered bright blood image group and adopting a transfer learning method;

in an alternative embodiment, the method for modeling the blood three-dimensional model building module 500 may include the following steps:

s51, projecting the registered bright blood image group in three preset directions by using a maximum intensity projection method to obtain MIP (maximum intensity projection) images in all directions; the MIP can reflect the X-ray attenuation value of the corresponding pixel, small density change can be displayed on the MIP image, and stenosis, expansion and filling defects of the blood vessel can be well displayed, and calcification on the blood vessel wall and contrast agents in the blood vessel cavity can be well distinguished.

It will be understood by those skilled in the art that the group of registered bright blood images is actually a three-dimensional volume data, and the three-dimensional volume data can be projected in three predetermined directions by using the above MIP method to obtain a two-dimensional MIP map in each direction, where the three predetermined directions include: axial, coronal, and sagittal.

For the MIP method, please refer to the related description of the prior art, which is not repeated herein, and refer to fig. 13, where fig. 13 is an exemplary MIP diagram according to an embodiment of the present invention.

And S52, taking the MIP maps in all directions as target domains and the fundus blood vessel map as a source domain, and obtaining two-dimensional blood vessel segmentation maps corresponding to the MIP maps in all directions by using a migration learning method.

The inventor finds out through research that the MIP map of the intracranial vascular bright blood sequence has a distribution of a vascular tree similar to that of the fundus blood vessel. Therefore, the inventor considers that a model pre-trained by a fundus blood vessel (source domain) segmentation task is migrated into an intracranial blood vessel segmentation task by means of a migration learning method, particularly by means of feature migration. Feature based TL (Feature based TL) is to transform the features of the source domain and the target domain into the same space by Feature transformation, assuming that the source domain and the target domain contain some common cross features, so that the source domain data and the target domain data in the space have the same distributed data distribution, and then perform conventional machine learning.

For S52, an alternative embodiment may include S621 to S623:

s521, obtaining a pre-trained target neural network aiming at the fundus blood vessel map segmentation task;

the target neural network is obtained by pre-training according to the fundus blood vessel map data set and the improved U-net network model.

As described above, the embodiment of the present invention intends to migrate a pre-trained model of a fundus blood vessel (source domain) segmentation task into an intracranial blood vessel segmentation task by means of a feature migration learning manner. Therefore, it is necessary to obtain a mature network model for the vessel segmentation of the fundus blood vessel map. Specifically, obtaining the target neural network may be performed by the following steps:

step 1, obtaining an original network model;

in the embodiment of the invention, the structure of the existing U-net network model can be improved, and each sub-module of the U-net network model is respectively replaced by a residual module with a residual connection form, so that the improved U-net network model is obtained. According to the embodiment of the invention, the residual error module is introduced into the U-net network model, so that the problem that the training error does not decrease or inversely increase due to the disappearance of the gradient caused by the deepening of the layer number of the neural network can be effectively solved.

Step 2, obtaining sample data of the fundus blood vessel map;

embodiments of the present invention acquire a fundus angiogram dataset, the DRIVE dataset, which is a dataset that has been labeled.

And 3, training the original network model by using the sample data of the fundus blood vessel map to obtain the trained target neural network.

The following summary describes some parameter characteristics of the target neural network of embodiments of the present invention:

the improved U-net network model in the embodiment of the invention has 5 levels, and a 2.5M parameter ladder network is formed. Each residual module uses 0.25 droout rate (droout means that the neural network unit is temporarily discarded from the network according to a certain probability in the training process of the deep learning network, generally, the droout rate can be set to be 0.3-0.5); and Batch Normalization (BN) is used, the variance size and the mean position are changed by optimization, so that the new distribution is more suitable for the real distribution of data, and the nonlinear expression capability of the model is ensured. The activating function adopts LeakyRelu; the last layer of the network model is activated using Softmax.

Moreover, because of the problem of uneven foreground and background distribution of the medical image sample, the loss function uses a common Dice coefficient (Dice coefficient) loss function for medical image segmentation, and specifically uses an improved Dice loss function, so as to solve the unstable condition of Dice loss function training.

In the aspect of neural network optimization, an Adam optimization algorithm and default parameters are adopted, and the batch size is 256. 250 epochs are trained using the "reduced learning rate" strategy, setting the learning rates at epochs 0, 20, and 150 to 0.01, 0.001, and 0.0001, respectively, and the total learning rate to 250. And the data enhancement is carried out by using a random clipping mode, and the training sample in the DRIVE data set is enlarged by 20000 times.

The process of obtaining the target neural network is briefly introduced, and the trained target neural network can realize the blood vessel segmentation of the fundus blood vessel map to obtain a corresponding two-dimensional blood vessel segmentation map.

S522, respectively carrying out gray inversion processing and contrast enhancement processing on the MIP images in all directions to obtain corresponding characteristic MIP images;

the realization of the feature transfer learning requires that a source domain (fundus blood vessel image) and a target domain (intracranial blood vessel bright blood sequence MIP image) have high similarity and realize the same data distribution.

Therefore, in step S522, the MIP map is subjected to the gradation inversion processing and the contrast enhancement processing, and the characteristic MIP map is obtained so as to be closer to the fundus blood vessel image.

In an alternative embodiment, S522 may include S5221 and S5222:

s5221, carrying out pixel transformation on the MIP by utilizing a gray inversion formula to obtain an inversion graph; wherein, the grayscale inversion formula is t (x) 255-x, x is the pixel value in the MIP map, and t (x) is the pixel value in the inversion map;

the step can be understood in a popular way as grayscale inversion processing, since the pixel range of the MIP map is between 0 and 255, the original brighter region can be darkened and the original darker region can be lightened through the step, specifically, the pixel transformation can be performed through the grayscale inversion formula, the obtained inversion map please refer to the left map in fig. 14, and the left map in fig. 14 is the inversion map corresponding to the MIP map in the embodiment of the present invention.

S5222, contrast of the inversion graph is enhanced by using a contrast-limited adaptive histogram equalization method, and a characteristic MIP graph is obtained.

The main purpose of this step is to enhance the contrast of the inversion map to show a clearer vascularity. As for the way of enhancing the Contrast, any one of the prior arts can be used, and in an alternative embodiment, this step may employ a Contrast Limited Adaptive Histogram Equalization (CLAHE) to enhance the Contrast. For the CLAHE method, reference is made to the prior art for understanding, and no further description is given here. Please refer to the right diagram in fig. 14, where the right diagram in fig. 14 is a characteristic MIP diagram corresponding to the MIP diagram of the embodiment of the present invention. It can be seen that the contrast of the characteristic MIP map is significantly enhanced and the blood vessels are clearer compared to the inversion map.

After S5222, corresponding characteristic MIP maps can be obtained for the MIP maps in each direction.

In the embodiment of the invention, the cross characteristics of the intracranial blood vessel bright blood sequence MIP and the fundus blood vessel image are considered, so that the MIP image characteristics are mapped to the fundus blood vessel image by adopting a characteristic migration learning method, and the intracranial blood vessel input sample and the fundus blood vessel input sample corresponding to the target neural network have the same sample distribution. Wherein, S521 and S522 may not be in sequence.

S523, respectively inputting the feature MIP images in all directions into a target neural network to obtain corresponding two-dimensional blood vessel segmentation images;

and respectively inputting the characteristic MIP images of all directions into a target neural network to obtain a two-dimensional blood vessel segmentation image corresponding to each direction, wherein the obtained two-dimensional blood vessel segmentation image is a binary image, namely pixels are only 0 and 255, white represents a blood vessel, and black represents a background.

S53, synthesizing the two-dimensional vessel segmentation maps in the three directions by using a back projection method to obtain first three-dimensional vessel volume data;

the principle of the back projection method is to evenly distribute measured projection values to each passing point according to the original projection path, back-project the projection values in all directions, and accumulate the back-projected images at all angles to estimate the original image. By synthesizing the two-dimensional vessel segmentation maps in the three directions by using a back projection method, three-dimensional volume data can be obtained, which is referred to as first three-dimensional vessel volume data in the embodiment of the invention. The back projection method in the embodiment of the present invention may be a direct back projection method, a filtered back projection method, a convolution back projection method, and the like, which is not limited herein.

In the embodiment of the present invention, the voxel value of the blood vessel portion in the obtained first three-dimensional blood vessel volume data is 0, and the voxel value of the non-blood vessel portion is minus infinity through the pixel control of the back projection method.

And S54, obtaining an intracranial blood vessel simulation three-dimensional model based on the first three-dimensional blood vessel volume data and the second three-dimensional blood vessel volume data corresponding to the registered bright blood image group.

In an alternative embodiment, S54 may include S541 and S542:

s541, adding the first three-dimensional blood vessel volume data and the second three-dimensional blood vessel volume data to obtain third three-dimensional blood vessel volume data;

the method can be used for directly correspondingly adding each voxel value in the first three-dimensional blood vessel volume data and the second three-dimensional blood vessel volume data to obtain third three-dimensional blood vessel volume data, and cerebrospinal fluid and fat signals with the same intracranial and blood vessel signal intensity can be eliminated through the step.

And S542, processing the third three-dimensional blood vessel volume data by using a threshold segmentation method to obtain an intracranial blood vessel simulation three-dimensional model.

In an alternative implementation manner, the embodiment of the present invention may adopt a maximum inter-class variance method. The maximum inter-class variance method (or referred to as "Otsu" for short) is a method for automatically calculating a threshold value suitable for a bimodal situation, and performing S642 by using OTSU may include the following steps:

firstly, calculating a first threshold corresponding to centered fourth three-dimensional blood vessel volume data in third three-dimensional blood vessel volume data by using the OTSU; in this step, one threshold corresponding to a plurality of images in one small cube (referred to as fourth three-dimensional blood vessel volume data) located near the middle of the large three-dimensional cube of the third three-dimensional blood vessel volume data is determined as a first threshold by using the OTSU method. Because the blood information is substantially concentrated in the middle of the image in the third three-dimensional blood vessel volume data, the small cube data (fourth three-dimensional blood vessel volume data) in the middle is selected to determine the first threshold value in the third three-dimensional blood vessel volume data, so that the calculation amount of the threshold value can be reduced, the calculation speed can be improved, and the first threshold value can be accurately applied to all the blood information in the third three-dimensional blood vessel volume data. For the size of the fourth three-dimensional blood vessel volume data, the central point of the third three-dimensional blood vessel volume data can be determined firstly, and then the preset side length extends in six directions corresponding to the cube, so that the size of the fourth three-dimensional blood vessel volume data is determined; the preset side length may be determined according to an empirical value including a Willis ring, such as 1/4 that is the side length of the cube of the third three-dimensional blood vessel volume data. The Willis loop is the most important collateral circulation pathway in the cranium, linking the bilateral hemisphere with the anterior and posterior circulation.

And then, threshold segmentation of the third three-dimensional blood vessel volume data is realized by utilizing the first threshold, and an intracranial blood vessel simulation three-dimensional model is obtained.

It can be understood by those skilled in the art that, by threshold segmentation, the gray-scale value of the point on the image corresponding to the third three-dimensional blood vessel volume data can be set to 0 or 255, that is, the whole image exhibits a distinct black-and-white effect, the blood information is highlighted as white, and the irrelevant information is displayed as black. For the processing procedure of threshold segmentation, please refer to the prior art, and will not be described herein. And finally, obtaining the intracranial blood vessel simulation three-dimensional model. Referring to fig. 15, fig. 15 is a diagram illustrating the effect of the three-dimensional simulation model of the intracranial blood vessel according to the embodiment of the invention. The map is grey-scale processed and the colours are not shown, in practice the vessel regions may be displayed in colour, such as red.

In the scheme provided by the embodiment of the invention, firstly, the bright blood image and the enhanced black blood image obtained by the magnetic resonance blood vessel imaging technology are subjected to image registration by adopting a mutual information and image pyramid registration method based on Gaussian distribution sampling, so that the registration efficiency can be improved, and the registration accuracy of the images is improved layer by layer from low resolution to high resolution. The bright blood image and the enhanced black blood image can be unified under the same coordinate system through the image registration, so that subsequent unified observation is facilitated. In the field, the bright blood images after registration are two-dimensional images, and although the registration is performed, and the corresponding enhanced black blood images are in the same coordinate system, the difficulty of observation by a doctor is reduced, the two-dimensional images have limitations, the doctor needs to combine a plurality of two-dimensional images to imagine the specific form of the blood vessel, and the integral state of the intracranial blood vessel cannot be obtained simply, quickly and intuitively in clinic. According to the embodiment of the invention, by utilizing the maximum intensity projection method to obtain the MIP (maximum intensity projection) images in all directions of the registered bright blood images, and utilizing the characteristic that the intracranial blood vessel bright blood sequence MIP images have similarity with the fundus blood vessel images, on one hand, a network model for fundus blood vessel segmentation is trained by utilizing the labeled sample of the fundus blood vessel images, on the other hand, the characteristic transformation is carried out on the intracranial blood vessel bright blood sequence MIP images to obtain the characteristic MIP images with the same sample distribution as the fundus blood vessel images, and the network model pre-trained in the fundus blood vessel segmentation task is migrated into the intracranial blood vessel segmentation task by adopting a characteristic migration mode to obtain the two-dimensional blood vessel segmentation images in all directions corresponding to the intracranial blood vessel bright blood sequence MIP images. The embodiment of the invention applies the research idea of transfer learning to the field of the segmentation of intracranial blood vessels, and can obtain more accurate blood vessel segmentation effect. And then, obtaining first three-dimensional blood vessel volume data by using a back projection method, and realizing an intracranial blood vessel simulation three-dimensional model by using second three-dimensional blood vessel volume data corresponding to the bright blood image group after registration. The intracranial blood vessel simulation three-dimensional model can simulate the intracranial three-dimensional blood vessel form, realizes the three-dimensional visualization of the intracranial blood vessel, does not need a doctor to restore the blood vessel tissue structure, the disease characteristics and the like through imagination, can facilitate the doctor to observe and analyze the morphological characteristics of the intracranial blood vessel from any interested angle and layer, can provide the intracranial blood vessel three-dimensional space information with image, is convenient for visual observation, and is convenient for positioning and displaying a focus area. The intracranial vascular integral state can be simply, conveniently, quickly and intuitively obtained clinically to carry out intracranial vascular lesion analysis.

A blood vessel three-dimensional model establishing module 600, configured to establish a blood vessel three-dimensional model with blood boundary expansion by using the registered bright blood image group;

the three-dimensional model of blood obtained in the blood three-dimensional model establishing module 500 is actually the flow direction and the regional distribution of intracranial blood, and because there is a blood vessel wall at the periphery of blood in practice, the three-dimensional model of blood cannot completely represent the real intracranial blood vessel condition.

Therefore, in the blood vessel three-dimensional model building module 600, the blood boundary in the bright blood image after registration can be expanded, so that the expanded blood boundary can cover the range of the intracranial blood vessel wall to form the effect of a hollow tube, and then the three-dimensional model is generated by the three-dimensional reconstruction method for the two-dimensional image after the blood boundary is expanded, so as to obtain the blood vessel three-dimensional model which is closer to the real intracranial blood vessel condition than the blood three-dimensional model in the blood three-dimensional model building module 500.

The expansion of the blood boundary can be realized by detecting blood boundary pixel points in the registered bright blood image and expanding the detected pixel points to preset pixel points in a preset direction, and the preset pixel points can be selected according to experience values obtained by a large amount of intracranial vessel diameter and vessel wall thickness data. Of course, the manner of expanding the blood boundary in the embodiment of the present invention is not limited thereto.

In an optional embodiment, the model building method of the blood vessel three-dimensional model building module 600 may include steps S61 to S65:

s61, obtaining K bright blood characteristic graphs;

namely, the K bright blood feature maps obtained in step S42 are obtained.

S62, expanding the boundary of the blood in each bright blood characteristic map by utilizing an expansion operation to obtain an expanded bright blood characteristic map corresponding to the bright blood characteristic map;

the expansion operation is one of morphological operations, and the expansion operation can fill the holes in the image and expand the protruding points of the object at the edge outwards, so that the final expanded object has a larger area than the original one. The expansion operation can be recorded as

Is defined as

Wherein B is a structural element and A is an original drawing. The original image a here is a bright blood feature map, in which only two pixel values, 0 and 255, are present, 0 corresponding to black and 255 corresponding to white.

S63, obtaining a difference characteristic diagram corresponding to the bright blood characteristic diagram by subtracting the expanded bright blood characteristic diagram corresponding to the bright blood characteristic diagram from the bright blood characteristic diagram;

the difference feature map obtained by this step for each bright blood feature map is a two-dimensional plan similar to a hollow blood vessel. Similarly, the pixel values of the difference feature map are only 0 and 255.

S64, determining a third threshold;

this step may select a pixel value as the third threshold value for all difference feature maps according to empirical values, for example, any value between 100 and 200, for example, 128, may be selected as the third threshold value.

And S65, taking the third threshold as an input threshold of the moving cube method, and processing the K difference feature maps by using the moving cube method to obtain the blood vessel three-dimensional model with the blood boundary expanded.

The moving cube method uses the third threshold as an input threshold, and a blood vessel three-dimensional model of blood boundary expansion can be obtained from the K difference feature maps. The specific implementation process of the method for moving cubes is not described herein.

The contrast enhanced three-dimensional model establishing module 700 is configured to subtract the artifact-removed enhanced black blood image group from the corresponding image in the black blood image group to obtain K contrast enhanced images; and establishing a contrast enhanced three-dimensional model by using the K contrast enhanced images. Subtracting the corresponding black blood image from each target enhanced black blood image to obtain a contrast enhanced image with a contrast enhanced effect, and subtracting the corresponding black blood image from all the target enhanced black blood images to obtain K contrast enhanced images.

The model building method of the contrast enhanced three-dimensional model building module 700 may be implemented by using a moving cube method, which is specifically referred to as S5 and S6, and will not be described herein again.

The intracranial angiography enhancing three-dimensional model establishing module 800 is used for obtaining an angiography enhancing three-dimensional model based on the blood three-dimensional model, the blood vessel three-dimensional model and the angiography enhancing three-dimensional model.

In an alternative embodiment, the modeling method of the intracranial angiography enhancing three-dimensional model building module 800 may include the following steps:

s81, reserving the overlapped part of the contrast enhanced three-dimensional model and the blood vessel three-dimensional model to obtain a reserved contrast enhanced three-dimensional model;

since the contrast enhanced three-dimensional model obtained by the contrast enhanced three-dimensional model establishing module 700 does not only contain the contrast enhancement of blood vessels, and the enhancement characteristics of unrelated tissues need to be eliminated, the search range of the vascular wall contrast enhancement characteristics in the vascular three-dimensional model obtained by the vascular three-dimensional model establishing module 600 is used to judge whether the contrast enhanced three-dimensional model obtained by the intracranial angiography enhanced three-dimensional model establishing module 800 is located in the vascular wall region near blood, that is, whether the overlap part with the vascular three-dimensional model exists in the contrast enhanced three-dimensional model, if so, the overlap part is required to be reserved, and thus, the reserved contrast enhanced three-dimensional model is obtained.

And S82, fusing the reserved contrast enhanced three-dimensional model with the blood three-dimensional model to obtain the intracranial angiography enhanced three-dimensional model.

The reserved contrast enhanced three-dimensional model representing angiography enhancement is fused with the blood three-dimensional model representing blood information, so that the blood vessel wall with obvious contrast enhancement can be visually displayed, the contrast enhancement effect in which part range of the intracranial blood vessel is most obvious can be clearly seen, and then atherosclerosis or vulnerable plaques possibly appear in the region.

In an optional embodiment, a contrast enhancement quantitative analysis may be obtained in the intracranial angiography enhancement three-dimensional model, and specifically, a plaque enhancement index CE may be obtained for any one point on a blood vessel wall in the intracranial angiography enhancement three-dimensional model, where CE is defined as:

wherein，S_preBBMRAnd S_postBBMRSignal intensity in the black blood image and the contrast enhanced black blood image, respectively.

As will be understood by those skilled in the art, S_preBBMRAnd S_postBBMRThe information carried in the images after the black blood image and the contrast enhanced black blood image are taken, respectively. The plaque enhancement index CE of each point of the edge of the intracranial blood vessel wall is obtained by utilizing the information and is embodied in the intracranial angiography enhancement three-dimensional model, so that more detailed blood vessel information can be conveniently obtained by a doctor, and particularly, when the CE is greater than a plaque threshold value, such as 0.5, the plaque enhancement index CE indicates that plaque appears on the blood vessel wall, so that the plaque enhancement index CE is helpful for identifying responsible intracranial arterial plaque and the like by measuring the plaque enhancement index of the blood vessel wall area, and valuable diagnosis auxiliary information can be provided. The fusion technique of the two three-dimensional models can be implemented by using the prior art, and is not described herein. Specific results referring to fig. 16, fig. 16 is a diagram illustrating the effect of the intracranial angiography enhanced three-dimensional model according to the embodiment of the present invention. Wherein the image is grey scale processed. In practice, different colors can be used for the distinction in fig. 16, for example, blue is the blood vessel part where no contrast enhancement appears, and red is the blood vessel part where contrast enhancement appears. In the attached drawings of the specification, the bright-colored part in the white coil is an intracranial vascular part with contrast enhancement, namely, intracranial atherosclerosis diseases or vulnerable plaques possibly appear at the part, the other part is a vascular part without contrast enhancement, and the angiography enhancement three-dimensional model can realize basic functions of rotation, amplification and reduction and the like, so that a doctor is assisted to position a focus area and make a more accurate judgment.

The intracranial angiography enhanced three-dimensional narrowing analysis model establishing module 900 is used for obtaining the numerical value of the target parameter representing the angiostenosis degree of each section of blood vessel in the angiography enhanced three-dimensional model, and marking the angiography enhanced three-dimensional model by using the numerical value of the target parameter of each section of blood vessel to obtain the intracranial angiography enhanced three-dimensional narrowing analysis model.

In an alternative embodiment, the modeling method of the intracranial angiography enhanced three-dimensional narrowing analysis modeling module may include S91 to S94:

s91, segmenting each segment of blood vessel in the angiography enhanced three-dimensional model from three preset directions to obtain two-dimensional sectional diagrams of each direction;

in this step, the blood vessels in the angiography enhanced three-dimensional model may be divided, and for each segment of blood vessel, the segmentation may be performed from three preset orientations to obtain two-dimensional sectional views in each orientation.

Wherein, three preset positions include: axial, coronal, and sagittal.

The segmentation of a certain orientation of the angiography enhanced three-dimensional model to obtain a two-dimensional sectional view of the orientation can be realized by adopting the prior art, and details are not repeated here.

S92, carrying out corrosion operation on the blood vessel in the two-dimensional sectional diagram of each direction, and recording the target corrosion times when the blood vessel is corroded to a single pixel;

the corrosion operation is one of morphological operations, the corrosion operation can eliminate edge data of an object, the corroded object has a smaller area than the original area and even completely disappears, and corrosion can break some small and long communication areas.

When the blood vessel is thick, a plurality of corrosion operations can be carried out, and when the blood vessel is thin, only a few corrosion operations can be carried out. It will be appreciated by those skilled in the art that the blood vessel erodes to a single pixel, i.e., to the thinnest state, which may be a point or a line. The specific process of the etching operation can be referred to the related art, and is not described herein.

In step S92, performing erosion operation on the blood vessel in the axial two-dimensional sectional view, and recording the target erosion times n corresponding to the erosion of the blood vessel in the axial two-dimensional sectional view to a single pixel₁(ii) a Performing erosion operation on the blood vessel in the two-dimensional sectional diagram of the coronal position, and recording the erosion of the blood vessel in the two-dimensional sectional diagram of the coronal position until the blood vessel is eroded to a single positionTarget corrosion times n corresponding to pixel₂(ii) a Carrying out corrosion operation on the blood vessel in the two-dimensional sectional diagram of the sagittal position, and recording the corresponding target corrosion times n when the blood vessel in the two-dimensional sectional diagram of the azimuth corrodes to a single pixel₃。

S93, obtaining the value of the target parameter representing the stenosis degree of the section of the blood vessel according to the target corrosion times of the section of the blood vessel corresponding to the three directions respectively;

in an alternative embodiment, the target parameter includes stenosis rate and/or flatness; those skilled in the art will appreciate that both of these parameters may be indicative of the degree of vascular stenosis.

When the target parameter includes a stenosis rate, S83 may include:

according to n₁、n₂、n₃Obtaining the value of the stenosis rate of the section of blood vessel by using a stenosis rate formula of the blood vessel; wherein, the stenosis rate formula is:

wherein, the resolution is the resolution of each azimuth two-dimensional sectional image (the resolution of the three azimuth two-dimensional sectional images is the same), and the smaller the numerical value of the stenosis rate is, the narrower the blood vessel is.

When the target parameter includes flatness, S83 may include:

according to n₁、n₂、n₃Obtaining the value of the flatness of the section of the blood vessel by using a blood vessel flatness formula; wherein, the flatness formula is as follows:

a larger value of the degree of flattening indicates a narrower vessel.

S94, marking the angiography enhanced three-dimensional model by using the numerical value of the target parameter of each section of blood vessel to obtain the intracranial angiography enhanced three-dimensional stenosis analysis model.

Through the steps, the numerical value of the target parameter of each segment of blood vessel can be obtained, and then the numerical values of each segment of blood vessel can be marked on the angiography enhanced three-dimensional model to obtain the intracranial angiography enhanced three-dimensional stenosis analysis model. The numerical value of the target parameter of each point is embedded into the intracranial angiography enhanced three-dimensional stenosis analysis model, so that the numerical value of the target parameter of each point can be extracted and displayed when needed, a doctor can conveniently obtain the data of the vascular stenosis degree of each position in time when observing the overall three-dimensional vascular state, for example, when the intracranial angiography enhanced three-dimensional stenosis analysis model is displayed on a display screen of a computer, the numerical value of the stenosis rate and/or the flatness of the mouse position point can be displayed in a blank area of the model.

In an alternative embodiment, S94 may include:

and marking the angiography enhancement three-dimensional model by using the numerical values of the target parameters of each section of blood vessel and adopting the color corresponding to each numerical value to obtain the intracranial angiography enhancement three-dimensional stenosis analysis model.

For convenience of visual display, different numerical values can be marked on the angiography enhanced three-dimensional model by different colors to obtain the angiography enhanced three-dimensional stenosis analysis model, for example, multiple colors from light to dark can be correspondingly marked for stenosis rate numerical values from small to large, and for flatness numerical values, because the numerical values are fewer and only 2 numerical values are possible, two color corresponding marks distinguished from the stenosis rate can be adopted. The narrowing degree of the blood vessel can be more intuitively shown by adopting the color display of different tones, so that the attention of a doctor can be attracted.

Fig. 17 is a diagram showing the effect of the angiography enhanced three-dimensional stenosis analysis model of the intracranial blood vessel according to the embodiment of the present invention. Wherein the left graph is the stenosis rate marking effect and the right graph is the flatness marking effect. In practice, different colors are displayed on the model, so that the degree of narrowing can be distinguished, for example, a thinner part of a blood vessel is warm, the narrowest part is red, a thicker part of the blood vessel is cool, the thickest part is green, and the like, a white arrow indicates abrupt narrowing of the intracranial blood vessel, and color display with different colors can more intuitively show the narrowing of the blood vessel. In the figure are the effects of the grey scale processing, the colours not being shown.

In a preferred embodiment, the stenosis rate values can be marked by colors corresponding to different values on one intracranial angiography enhanced three-dimensional stenosis analysis model, and the flatness values can be marked by colors corresponding to different values on the other intracranial angiography enhanced three-dimensional stenosis analysis model, so that a doctor can observe the stenosis rate condition and the flatness condition respectively.

Furthermore, since doctors are used to observe the two-dimensional medical images of the tangent plane, the embodiment of the invention can provide the simulated three-dimensional vascular stenosis analysis model and simultaneously provide the two-dimensional tangent plane images of three directions, i.e. the images of the coronal plane, the sagittal plane and the axial plane where the current point corresponding to each point in the simulated three-dimensional vascular stenosis analysis model is located can be displayed. Referring to fig. 18, fig. 18 is a diagram showing the effect of an angiographic enhanced three-dimensional stenosis analysis model and a sectional view of an intracranial vessel according to an embodiment of the present invention. In fig. 18, there may be a blood vessel narrowing at the warm tone of the blood vessel, there is no obvious blood vessel narrowing at the cold tone, and the three two-dimensional images on the right side of the image are respectively imaged from top to bottom on the axial plane, the sagittal plane and the coronal plane where the current point is located; when the simulated three-dimensional vascular stenosis analysis model is displayed, the functions of measuring the distance by two points and measuring the angle by three points can be realized by using the points with three colors such as red, green and blue, the three points are displayed on the left lower side of the display screen, and the volume size of the currently selected model is displayed on the right lower side of the display screen. So that the doctor can obtain more detailed data of the intracranial blood vessel.

And the intracranial blood vessel three-dimensional display module 1000 is used for displaying the angiography enhanced three-dimensional narrowing analysis model.

The angiography enhanced three-dimensional stenosis analysis model for marking the vascular stenosis obtained in the steps can be directly displayed on a computer display screen through software, and of course, other more intuitive methods can also be adopted for displaying.

Referring to fig. 19, fig. 19 is a naked eye 3D holographic visualization image of an angiography enhanced three-dimensional narrowing analysis model of an intracranial blood vessel according to an embodiment of the present invention, in which four views, namely, a front view, a rear view, a left view and a right view, are combined together to implement naked eye 3D holographic visualization. As an embodiment of the present invention, the angiography enhanced three-dimensional stenosis analysis model is displayed, and specifically, the display may be performed by using a naked eye 3D holographic display system. According to the scheme of the invention, no wearable equipment such as VR or MR glasses is required, but a naked eye 3D holographic display system is adopted, images at four angles of front, back, left and right are respectively projected onto pyramid holographic glass through software, so that a plurality of doctors can conveniently surround the pyramid holographic glass, and the three-dimensional structure and lesion positions of intracranial blood vessels can be clearly seen; and the method has the advantages of large imaging space, high resolution, silence, convenient discussion, lower cost and the like.

Referring to fig. 20, fig. 20 is a schematic diagram of gesture recognition performed on a naked eye 3D holographic display result of an angiography enhanced three-dimensional stenosis analysis model of an intracranial blood vessel according to an embodiment of the present invention. In order to further enhance the stereoscopic feeling of the obtained blood vessel model and increase the viewing substitution feeling of a doctor, on the basis of naked eye 3D holographic display, gesture recognition can be further adopted to operate the angiography enhanced three-dimensional narrowing analysis model of the naked eye 3D holographic display, for example, the gesture recognition can adopt a Leap Motion somatosensory controller to perform operations such as manual zooming, rotation, cutting, virtual surgery and the like. The gesture recognition technology adopted by the scheme of the invention can acquire data of both hands by using an infrared LED + gray-scale camera; the former measures depth by using the principle of binocular vision, and the latter extracts key points, thereby reconstructing information of the palm in the real three-dimensional world.

Of course, the operations such as manual scaling, rotation, cutting, virtual surgery and the like can also be directly performed on the angiography enhanced three-dimensional narrowing analysis model output on the computer display screen by adopting gesture recognition. The gesture recognition has the advantages of small size, high recognition precision, no limitation of an ambient light source and capability of measuring distance.

Referring to fig. 21, fig. 21 is a 3D printed result diagram of an angiography-enhanced three-dimensional stenosis analysis model of intracranial vessels according to an embodiment of the present invention. In another embodiment of the present invention, the angiography-enhanced three-dimensional stenosis analysis model is displayed, and specifically, the angiography-enhanced three-dimensional stenosis analysis model may be exported as an STL file and displayed by 3D printing. The finally obtained blood vessel model is subjected to 3D printing display, and compared with a normal blood vessel three-dimensional model, the position of the blood vessel with stenosis can be visually seen, and lesion occurs.

It should be noted that, the naked eye 3D holographic display, the gesture recognition, and the 3D printing for display may all adopt corresponding technologies in the prior art, and are not described herein again.

In the scheme provided by the embodiment of the invention, firstly, the bright blood image and the enhanced black blood image which are obtained by scanning the magnetic resonance blood vessel imaging technology are subjected to image registration by adopting a mutual information and image pyramid registration method based on Gaussian distribution sampling, so that the registration efficiency can be improved, and the registration accuracy of the images is improved layer by layer from low resolution to high resolution. The bright blood image and the enhanced black blood image can be unified under the same coordinate system through the image registration. And secondly, the registered bright blood image is used for carrying out flow-space artifact elimination operation on the enhanced black blood image, so that more accurate and comprehensive blood vessel information can be displayed. The scheme provided by the embodiment of the invention is to eliminate the flow-space artifact from the angle of image post-processing without using a new imaging technology, an imaging mode or a pulse sequence, so that the flow-space artifact can be simply, accurately and quickly eliminated, and the better popularization can be realized in clinical application. Thirdly, establishing a blood three-dimensional model by using the registered bright blood image and a migration learning method, establishing a blood vessel three-dimensional model with blood boundary expansion by using the registered bright blood image, and subtracting the artifact-removed enhanced black blood image and the black blood image to obtain a contrast enhanced three-dimensional model with a contrast enhancement effect; then based on the blood three-dimensional model, the blood vessel three-dimensional model and the contrast enhancement three-dimensional model, obtaining an intracranial angiography enhancement three-dimensional model corresponding to the blood vessel wall with a contrast enhancement effect; further marking by using the numerical value of a target parameter for representing the angiostenosis degree in the angiography enhanced three-dimensional model to obtain an intracranial angiography enhanced three-dimensional stenosis analysis model; and finally, visually displaying the three-dimensional model for marking the stenosis. The encephalic angiography enhanced three-dimensional model can simulate the encephalic three-dimensional blood vessel form, realizes the three-dimensional visualization of the encephalic blood vessel, does not need a doctor to restore the tissue structure, the disease characteristics and the like of the encephalic blood vessel through imagination, can facilitate the doctor to observe and analyze the blood vessel form characteristics from any interested angle and layer, can provide the blood vessel three-dimensional space information with image, is convenient for visual observation, and is convenient for positioning and displaying a focus area. The intracranial vascular integral state can be simply, conveniently, quickly and intuitively obtained clinically to carry out intracranial vascular lesion analysis.

Note: the patient experimental data in the embodiment of the invention are all from people hospitals in Shaanxi province, and the images can be used for general scientific research. The above description is only for the preferred embodiment of the present invention, and is not intended to limit the scope of the present invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention shall fall within the protection scope of the present invention.

Claims

1. An intracranial vascular lesion marking and three-dimensional display method based on intelligent medical treatment is characterized by comprising the following steps:

2. The system of claim 1, wherein the registration method of the image registration module comprises:

adopting Gaussian distribution sampling to select a part of preprocessed image pair as a test image pair;

performing image registration on the first bright blood image and the first black blood image in each test image pair by adopting a registration method based on mutual information and an image pyramid to obtain a rotation matrix corresponding to the first bright blood image in the test image pair after registration;

obtaining the mean value of the rotation matrix of all the test image pairs;

and performing coordinate transformation on the first bright blood image in the other preprocessed image pairs except the test image pair by using the mean value of the rotation matrix to complete image registration to obtain a registered bright blood image group comprising K registered bright blood images.

3. The system according to claim 2, wherein the performing image registration on the first bright blood image and the first black blood image in each test image pair by using a registration method based on mutual information and an image pyramid to obtain a rotation matrix corresponding to the first bright blood image in the test image pair after registration comprises:

aiming at each test image pair, based on down-sampling processing, obtaining a bright blood Gaussian pyramid from the first bright blood image, and obtaining a black blood Gaussian pyramid from the first black blood image; the bright blood Gaussian pyramid and the black blood Gaussian pyramid comprise m images with resolution becoming smaller in sequence from bottom to top; m is a natural number greater than 3;

based on the upsampling processing, obtaining a bright blood Laplacian pyramid by using the bright blood Gaussian pyramid, and obtaining a black blood Laplacian pyramid by using the black blood Gaussian pyramid; the bright blood Laplacian pyramid and the black blood Laplacian pyramid comprise m-1 images with resolution which is sequentially reduced from bottom to top;

registering images of corresponding layers in the bright blood Laplacian pyramid and the black blood Laplacian pyramid to obtain a registered bright blood Laplacian pyramid;

and registering the images of all layers in the bright blood Gaussian pyramid and the black blood Gaussian pyramid from top to bottom by using the registered bright blood Laplacian pyramid as superposition information to obtain a registered bright blood Gaussian pyramid, and obtaining a rotation matrix corresponding to the first bright blood image in the registered test image pair.

4. The system of claim 1, wherein the flow-empty artifact removal method of the flow-empty artifact removal module comprises:

for each post-registration bright blood image, improving the contrast of the post-registration bright blood image to obtain a contrast enhanced bright blood image;

extracting blood information from the contrast enhanced bright blood image to obtain a bright blood characteristic diagram;

carrying out image fusion on the bright blood characteristic graph and the enhanced black blood image corresponding to the registered bright blood image according to a preset fusion formula to obtain a target enhanced black blood image with the air artifact removed corresponding to the enhanced black blood image;

and enhancing the black blood image by using the targets corresponding to the K enhanced black blood images to obtain an artifact-eliminated enhanced black blood image group.

5. The system of claim 1, wherein the method for establishing the three-dimensional model of blood comprises:

projecting the registered bright blood image group in three preset directions by using a maximum intensity projection method to obtain MIP (maximum intensity projection) images in all directions;

taking the MIP images in all directions as target domains and the fundus blood vessel images as source domains, and obtaining two-dimensional blood vessel segmentation images corresponding to the MIP images in all directions by using a migration learning method;

synthesizing the two-dimensional vessel segmentation maps in the three directions by using a back projection method to obtain first three-dimensional vessel volume data; wherein the voxel value of the blood vessel part in the first three-dimensional blood vessel volume data is 0, and the voxel value of the non-blood vessel part is minus infinity;

and obtaining a blood three-dimensional model based on the first three-dimensional blood vessel volume data and the second three-dimensional blood vessel volume data corresponding to the registered bright blood image group.

6. The system according to claim 5, wherein the MIP map in each direction is used as a target domain, the fundus blood vessel map is used as a source domain, and a migration learning method is used for obtaining a two-dimensional blood vessel segmentation map corresponding to the MIP map in each direction; the method comprises the following steps:

obtaining a pre-trained target neural network aiming at the eye fundus blood vessel map segmentation task; the target neural network is obtained by pre-training according to the fundus blood vessel map data set and the improved U-net network model;

respectively carrying out gray level inversion processing and contrast enhancement processing on the MIP images in all directions to obtain corresponding characteristic MIP images; wherein the characteristic MIP map has the same sample distribution as the fundus blood vessel map;

and respectively inputting the characteristic MIP maps of all directions into the target neural network to obtain corresponding two-dimensional vessel segmentation maps.

7. The system of claim 1, wherein the method for building the angiography-enhanced three-dimensional model comprises:

reserving an overlapped part of the contrast enhanced three-dimensional model and the blood vessel three-dimensional model to obtain a reserved contrast enhanced three-dimensional model;

and fusing the reserved contrast enhanced three-dimensional model with the blood three-dimensional model to obtain an angiography enhanced three-dimensional model.

8. The system of claim 1, wherein the method for establishing the intracranial angiography-enhanced three-dimensional stenosis analysis model comprises:

segmenting each section of blood vessel in the angiography enhanced three-dimensional model from three preset directions to obtain two-dimensional sectional graphs of all directions;

carrying out corrosion operation on the blood vessel in the two-dimensional sectional diagram of each direction, and recording the target corrosion times when the blood vessel is corroded to a single pixel;

obtaining a numerical value of a target parameter representing the stenosis degree of the section of the blood vessel according to the target corrosion times of the section of the blood vessel in the three directions respectively;

and marking the angiography enhanced three-dimensional model by using the numerical value of the target parameter of each section of blood vessel to obtain an intracranial angiography enhanced three-dimensional stenosis analysis model.

9. The system according to claim 1, wherein the display method of the intracranial blood vessel three-dimensional display module comprises the following steps:

displaying the angiography enhanced three-dimensional narrowing analysis model through a computer display screen; or displaying by adopting a naked eye 3D holographic display system; or exporting the angiography enhanced three-dimensional narrowing analysis model as an STL file and displaying the STL file through 3D printing.

10. The system of claim 9, further comprising, after the angiographic enhanced three-dimensional stenosis analysis model is displayed by a computer screen or by a naked eye 3D holographic display system:

and performing manual scaling, rotation, cutting and virtual operation on the displayed angiography enhanced three-dimensional narrowing analysis model by adopting gesture recognition.