CN117198514B - Vulnerable plaque identification method and system based on CLIP model - Google Patents

Vulnerable plaque identification method and system based on CLIP model Download PDF

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CN117198514B
CN117198514B CN202311473361.3A CN202311473361A CN117198514B CN 117198514 B CN117198514 B CN 117198514B CN 202311473361 A CN202311473361 A CN 202311473361A CN 117198514 B CN117198514 B CN 117198514B
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vulnerable plaque
text
plaque identification
model
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CN117198514A (en
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王怡宁
易妍
徐橙
钱真
刘晓鸣
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Beijing Lianying Intelligent Imaging Technology Research Institute
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Beijing Lianying Intelligent Imaging Technology Research Institute
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Abstract

The invention relates to the field of medical engineering, and provides a vulnerable plaque identification method and a vulnerable plaque identification system based on a CLIP model aiming at the influence of vulnerable plaque on main cardiovascular adverse events and the current situation of the current research of automatically identifying vulnerable plaque based on the image field. The vulnerable plaque identification network model constructed by the invention is based on the CLIP model, and a BN layer and a Dropout layer are introduced to respectively process text features and image features, so that the overfitting is reduced. In addition, considering that the characteristic judgment of partial vulnerable plaque is very subjective, the gold standard label is easy to mix with noise, bootstrapping loss is adopted to replace a standard cross entropy loss function, a predictive label is introduced into a bootstrapping loss formula, the loss value of a noise sample is reduced, the update of the noise sample is indirectly influenced, if the predictive value is a true value, the loss is 0, and the normal sample can still be effectively trained.

Description

Vulnerable plaque identification method and system based on CLIP model
Technical Field
The invention relates to the field of medical engineering, in particular to a vulnerable plaque identification method and a vulnerable plaque identification system based on a CLIP model.
Background
Patients with acute coronary syndromes have a high risk of death, and the main pathological basis is unstable plaque rupture or thrombosis secondary to plaque surface erosion. While unstable plaque rupture is closely related to plaque surface erosion (also known as vulnerable plaque or high risk plaque) and major cardiovascular adverse events (major adverse cardiovascular event, MACE). Thus, early identification of vulnerable plaque and, accordingly, enhanced intervention is of great importance in reducing MACE. Traditional invasive coronary angiography only can display vascular lumen conditions, and cannot directly display plaque and characteristics thereof. The coronary artery CTA (CCTA) can reliably evaluate the lumen stenosis and the functional significance thereof, can accurately evaluate the form and the composition of plaque, can identify vulnerable plaque, and has extremely important significance for guiding the clinical management of coronary heart disease patients.
In recent years, research into image histology and machine learning in the cardiovascular field has been increasing. The image histology reduces human measurement errors through an automatic plaque segmentation and quantization technology, can integrate clinical and image data simultaneously to comprehensively analyze diseases, and greatly improves the application value of a CCTA high-dimensional plaque quantitative analysis technology. For exploring the value of machine learning in coronary plaque, recent studies have shown that lesion features extracted with machine learning (including minimum luminal area, percent of atherosclerotic volume, fibrous fat and necrotic core volume, plaque volume, left anterior descending lesions, and reconstitution index) show higher prognostic value in MACEs within 5 years of prediction than the current predictive capabilities of cardiovascular risk score, coronary calcification score, and luminal stenosis severity, etc. Moreover, machine learning techniques can also be used for extraction of high-risk plaque features, identifying patients at risk of plaque progression. However, the current research of automatically identifying vulnerable plaques and guiding clinical treatment decisions and prognosis evaluation based on the image field is less, and the method is worthy of deep exploration and research, so that the method plays a greater value.
Disclosure of Invention
Aiming at the influence of vulnerable plaque on main cardiovascular adverse events and the current situation of the current research of automatically identifying vulnerable plaque based on the image field, the invention provides a vulnerable plaque identification method and system based on a CLIP model.
In order to achieve the above purpose, the present invention adopts the following technical scheme:
in a first aspect, the present invention provides a vulnerable plaque identification method based on a CLIP model, comprising the steps of:
s1, preprocessing an image;
s2, constructing and training a vulnerable plaque identification network model;
s3, inputting the preprocessed images and the preprocessed texts into a trained model, and completing identification and classification of vulnerable plaques.
Further, the specific process of image preprocessing in S1 is: CPR images with the known vessel center line and focus range are generated into CPR images with the spacing of 0.3 x 0.3, because vulnerable plaque symptoms are mainly lipid components, window width needs to be widened, window level 350HU is defined and used for normalization, window width 1500HU is used for normalization, focus box crop is taken from the normalized CPR images, and the size of 64 x 64 is resampled.
Further, the vulnerable plaque identification network model in the S2 comprises an image coding module, a text coding module, an image feature processing layer, a text feature processing layer, a feature splicing layer and a classifier; the image coding module is used for extracting picture features; the text coding module is used for extracting text characteristics; the image feature processing layer is used for processing the image features extracted by the image encoding module; the text feature processing layer is used for processing the text features extracted by the text encoding module; the feature splicing layer is used for splicing the processed image features and the text features; the classifier is used for outputting a recognition classification result.
Further, the image encoding module is a vision transformer or ResNet50 network; the image feature processing layer and the text feature processing layer are respectively a BN layer and a Dropout layer.
Further, the model training in the S2 adopts an AdamW parameter optimization method.
Further, the training is specifically:
considering that the characteristic judgment of partial vulnerable plaque is very subjective, the gold standard label is easy to mix with noise, and bootstrapping loss is adopted to replace a standard cross entropy loss function;
bootstrapping loss is shown below:
wherein:is a real label->Is a predictive tag,/->Is a predicted probability value,/>Is the weight of the noise and,Nis the number of samples.
Further, the text in S3 is a description of plaque in a general report, such as: plaque location, type, morphology, stenosis degree.
In a second aspect, the present invention provides a vulnerable plaque identification system based on a CLIP model, where the system is configured to implement the vulnerable plaque identification method based on the CLIP model described above, and the system includes an image preprocessing unit and a vulnerable plaque identification unit, where the image preprocessing unit is configured to generate CPR images with a spacing of 0.3×0.3 for MPR images with known vessel center lines and lesion ranges, normalize the CPR images with a window level of 350HU and a window width of 1500HU, take a lesion box crop for the normalized CPR images, and resample the lesion box crop to a size of 64×64; the vulnerable plaque identification unit comprises a vulnerable plaque identification network model, and mainly performs feature extraction, feature processing and feature splicing, so that vulnerable plaque identification classification results are obtained.
In a third aspect, the invention provides an electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, the processor implementing a vulnerable plaque identification method based on a CLIP model as described above when executing the computer program.
In a fourth aspect, the present invention provides a non-transitory computer readable storage medium having stored thereon a computer program for implementing a vulnerable plaque identification method based on a CLIP model as described above when executed by a processor.
Compared with the prior art, the invention has the following advantages:
aiming at the influence of vulnerable plaque on main cardiovascular adverse events and the current situation of the current research of automatically identifying vulnerable plaque based on the image field, the invention provides a vulnerable plaque identification method and system based on a CLIP model. The vulnerable plaque identification network model constructed by the invention is based on the CLIP model, and a BN layer and a Dropout layer are introduced to respectively process text features and image features, so that the overfitting is reduced. In addition, considering that the characteristic judgment of partial vulnerable plaque is very subjective, the gold standard label is easy to mix with noise, bootstrapping loss is adopted to replace a standard cross entropy loss function, a predictive label is introduced into a bootstrapping loss formula, the loss value of a noise sample is reduced, the update of the noise sample is indirectly influenced, if the predictive value is a true value, the loss is 0, and the normal sample can still be effectively trained.
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FIG. 1 is a flow chart of the method of the present invention.
Fig. 2 is a flowchart of image preprocessing.
FIG. 3 is a diagram of a vulnerable plaque identification network model of the present invention.
Fig. 4 is a schematic diagram of CNN architecture of a CLIP model image encoding module.
Fig. 5 is a schematic diagram of a CLIP model text encoder architecture.
Detailed Description
The technical scheme of the invention is specifically and specifically described below with reference to the embodiment of the invention and the attached drawings. It should be noted that the following examples are only for illustrating the present invention and are not intended to limit the scope of the present invention. The technical means used in the examples are conventional means well known to those skilled in the art unless otherwise indicated.
As shown in fig. 1, a vulnerable plaque identification method based on a CLIP model includes the following steps:
1. image preprocessing: CPR images with spacing of 0.3 x 0.3 are generated from MPR images with known vessel center lines and lesion ranges, because vulnerable plaque symptoms are mainly lipid components, a window width needs to be widened, the window width is defined as using window level 350HU and window width 1500HU for normalization, a patch is taken from a lesion box crop of the normalized CPR images, and the CPR images are resampled to 64 x 64 (the original aspect ratio is maintained, and the redundant place is supplemented with 0), as shown in figure 2.
2. Constructing and training a vulnerable plaque identification network model;
as shown in FIG. 3, the vulnerable plaque identification network model of the invention comprises an image coding module, a text coding module, an image feature processing layer, a text feature processing layer, a feature splicing layer and a classifier consisting of two full-connection layers; the image coding module is used for extracting picture features, the text coding module is used for extracting text features, the image feature processing layer is used for processing the image features extracted by the image coding module, the text feature processing layer is used for processing the text features extracted by the text coding module, the feature splicing layer splices the processed image features and the text features, and the classifier formed by the two fully-connected layers is used for outputting a recognition classification result.
The CLIP model is a visual model that trains a strong migration capability using a textual supervisory signal. The device consists of two coding modules which are respectively used for coding text data and image data. For the image coding module, a plurality of different model architectures are explored, two options of the traditional CNN architecture are shown in fig. 4, but training calculation efficiency of ViT variant of CLIP is 3 times higher, so ViT variant of CLIP is selected as the image encoder architecture. The text encoder is just a decoder-only transform, meaning that masking self-attention is used in each layer, and the Masked self-attention ensures that the representation of each marker in the sequence by the converter depends only on the marker preceding it. Fig. 5 is a basic description of a text encoder architecture.
The image coding module and the text coding module of the present invention are respectively an image coding module of a CLIP model (ViT variant of CLIP) and a text coding module. The image coding module may be a network such as vision transformer, resNet50, etc., and the text coding module inputs text as a description of the plaque in the report, possibly including plaque location, type, morphology, stenosis degree, etc.
In addition, in order to reduce the overfitting, the method introduces a BN layer and a Dropout layer to respectively process text features and image features, splice the obtained two features, and pass through a classifier of two full-connection layers.
The model training adopts an AdamW parameter optimization method, and the calculation efficiency of the AdamW parameter optimization method is higher than that of a traditional Adam optimizer.
The training is specifically as follows:
considering that the characteristic judgment of partial vulnerable plaque is very subjective, the gold standard label is easy to mix with noise, and bootstrapping loss is adopted to replace a standard cross entropy loss function;
cross entropy loss formula:
bootstrapping loss is shown below:
wherein:is a real label->Is a predictive tag,/->Is a predicted probability value,/>Is the weight of the noise and,Nis the number of samples.
The invention bootstrapping loss carries out loss correction on the basis of second-order cross entropy, and can be understood that the loss value calculated by a noise sample is larger, so that the influence of the noise sample on a model is larger, a predictive label is introduced into a bootstrapping loss formula, the loss value of the noise sample is reduced, the update of the influence is indirectly carried out, if the predictive value is a true value, the loss is 0, and the normal sample can still be effectively trained.
3. And inputting the preprocessed image and the text into a trained vulnerable plaque recognition network model to finish the recognition and classification of vulnerable plaque.
In another embodiment of the present invention, a vulnerable plaque identification system based on a CLIP model is provided, where the system is configured to implement the vulnerable plaque identification method based on the CLIP model described above, and the system includes an image preprocessing unit and a vulnerable plaque identification unit, where the image preprocessing unit is configured to generate CPR images with a spacing of 0.3×0.3 for MPR images with known vessel center lines and lesion ranges, normalize the CPR images with a window level of 350HU and a window width of 1500HU, take a lesion box crop for the normalized CPR images, and resample the lesion box crop to a size of 64×64; the vulnerable plaque identification unit comprises a vulnerable plaque identification network model, and performs feature extraction, feature processing and feature stitching, so that vulnerable plaque identification classification results are obtained.
In a third embodiment of the present invention, an electronic device is provided, including a memory, a processor, and a computer program stored on the memory and executable on the processor, the processor implementing a vulnerable plaque identification method based on a CLIP model as described above when executing the computer program.
A fourth embodiment of the present invention provides a non-transitory computer readable storage medium having stored thereon a computer program for implementing a vulnerable plaque identification method based on a CLIP model as described above when executed by a processor.
While the invention has been described in detail in the foregoing general description and with reference to specific embodiments thereof, it will be apparent to one skilled in the art that modifications and improvements can be made thereto. Accordingly, such modifications or improvements may be made without departing from the spirit of the invention and are intended to be within the scope of the invention as claimed.

Claims (7)

1. The vulnerable plaque identification method based on the CLIP model is characterized by comprising the following steps of:
s1, preprocessing an image;
s2, constructing and training a vulnerable plaque identification network model;
s3, inputting the preprocessed images and the preprocessed texts into a trained model to finish identification and classification of vulnerable plaques;
the specific process of the image preprocessing in the S1 is as follows: generating a curved surface reconstruction image from the multi-plane reconstruction image with known vessel center line and focus range, normalizing the window level and window width, taking an image block corresponding to a cuboid space region where the focus is located from the normalized curved surface reconstruction image, and resampling the image block;
the vulnerable plaque identification network model in the S2 comprises an image coding module, a text coding module, an image feature processing layer, a text feature processing layer, a feature splicing layer and a classifier; the image coding module is used for extracting picture features, the text coding module is used for extracting text features, the image feature processing layer is used for processing the image features extracted by the image coding module, the text feature processing layer is used for processing the text features extracted by the text coding module, the feature splicing layer splices the processed image features with the text features, and the classifier is used for outputting a recognition classification result;
the vulnerable plaque identification network model in the S2 is trained by adopting an AdamW parameter optimization method;
the training of the vulnerable plaque identification network model in the S2 specifically comprises the following steps:
bootstrapping loss is adopted to replace the standard cross entropy loss function;
the formula of bootstrapping loss is shown below:
wherein:is a real label->Is a predictive tag,/->Is a predicted probability value,/>Is the weight of the noise and,Nis the number of samples.
2. The method for identifying vulnerable plaque based on CLIP model as claimed in claim 1, wherein the specific process of image preprocessing in S1 is: generating a curved surface reconstruction image with the pixel spacing of 0.3 x 0.3 from a multi-plane reconstruction image with a known blood vessel center line and focus range, normalizing the normalized curved surface reconstruction image by using a window level 350HU and a window width 1500HU, taking an image block corresponding to a cuboid space region where a focus is located from the normalized curved surface reconstruction image, and resampling to 64 x 64 size.
3. The CLIP model based vulnerable plaque identification method of claim 1 wherein the image coding module is a vision transformer or res net50 network; the text feature processing layer and the image feature processing layer are respectively a BN layer and a Dropout layer.
4. The method for identifying vulnerable plaque based on CLIP model as claimed in claim 1, wherein the text in S3 is a description of plaque in report: plaque location, type, morphology, stenosis degree.
5. A vulnerable plaque identification system based on a CLIP model, which is characterized in that the system is used for realizing the vulnerable plaque identification method based on the CLIP model as claimed in any one of claims 1-4, the system comprises an image preprocessing unit and a vulnerable plaque identification unit, wherein the image preprocessing unit is used for generating a curved surface reconstruction image from a multi-plane reconstruction image with a known blood vessel center line and a focus range, normalizing window level and window width, taking an image block corresponding to a cuboid space region where a focus is located from the normalized curved surface reconstruction image, and resampling the image block; the vulnerable plaque identification unit comprises a vulnerable plaque identification network model, and mainly performs feature extraction, feature processing and feature splicing, so that vulnerable plaque identification classification results are obtained.
6. An electronic device, characterized in that: comprising a memory, a processor and a computer program stored on the memory and executable on the processor, said processor implementing the vulnerable plaque identification method based on the CLIP model as claimed in any one of claims 1-4 when said computer program is executed.
7. A non-transitory computer readable storage medium characterized by: the medium has stored thereon a computer program for implementing a vulnerable plaque identification method based on a CLIP model as claimed in any of claims 1-4 when executed by a processor.
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