WO2020093971A1 - Method and apparatus for coronary stenosis assessment, storage medium, and electronic device - Google Patents

Method and apparatus for coronary stenosis assessment, storage medium, and electronic device Download PDF

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WO2020093971A1
WO2020093971A1 PCT/CN2019/115347 CN2019115347W WO2020093971A1 WO 2020093971 A1 WO2020093971 A1 WO 2020093971A1 CN 2019115347 W CN2019115347 W CN 2019115347W WO 2020093971 A1 WO2020093971 A1 WO 2020093971A1
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blood flow
target branch
quadratic function
blood
pressure
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PCT/CN2019/115347
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French (fr)
Chinese (zh)
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张宇
刘健
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北京三普威盛科技有限公司
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00Image analysis
    • G06T7/0002Inspection of images, e.g. flaw detection
    • G06T7/0012Biomedical image inspection
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/30Subject of image; Context of image processing
    • G06T2207/30004Biomedical image processing
    • G06T2207/30101Blood vessel; Artery; Vein; Vascular
    • G06T2207/30104Vascular flow; Blood flow; Perfusion

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  • the present disclosure relates to the technical field of medical image processing, and in particular, to a method, device, storage medium, and electronic equipment for coronary artery stenosis evaluation.
  • related technologies can be based on medical CT (Computed Tomography, electronic computer tomography) images and MRI (MagneticResonanceImaging, magnetic resonance imaging) contrast, reconstruction of the three-dimensional coronary vessel shape, and can be further based on three-dimensional coronary image calculation FFR (Fractional Flow Reserve, coronary blood flow reserve fraction).
  • medical CT Computer Tomography
  • MRI MagneticResonanceImaging, magnetic resonance imaging
  • FFR Fractional Flow Reserve, coronary blood flow reserve fraction
  • the prior art calculates FFR from a three-dimensional coronary image based on a series of assumptions, including but not limited to: hypothesis of coronary blood flow, hypothesis of blood flow of coronary branches, hypothesis of coronary inlet pressure, injection of gland The hypothesis that peripheral vascular resistance decreases after glycosides. Because this series of assumptions may not be satisfied in actual situations, there is still a large deviation between the calculated FFR and the measured FFR, especially in the critical state of coronary stenosis (ie, FFR is near 0.8) There are often differences between calculations and actual measurements.
  • the present disclosure provides a method, device, storage medium, and electronic equipment for coronary stenosis evaluation.
  • a first aspect of the embodiments of the present disclosure provides a method for coronary stenosis assessment, the method includes:
  • a pressure drop test is performed on the three-dimensional blood vessel model to obtain a quadratic function relationship between blood flow and blood pressure of the target branch, wherein the target branch is the Any branch of the coronary artery;
  • the coronary stenosis is evaluated.
  • performing a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch includes:
  • the least square method is used to fit the curve to obtain the quadratic function relationship.
  • the adjusting the blood flow of the target branch and recording the blood flow pressure under each blood flow includes:
  • Dp is the blood flow pressure
  • Q is the blood flow
  • A is the quadratic constant coefficient
  • B is the linear constant coefficient
  • the evaluation of the coronary stenosis according to the constant coefficient of the quadratic function relationship includes:
  • the FFR value of the target branch is determined according to the correspondence between the combination of the preset value interval between A and B and the FFR value of the blood flow reserve fraction.
  • a second aspect of an embodiment of the present disclosure provides a device for coronary stenosis evaluation, the device includes:
  • the acquisition module is used to acquire coronary angiography images
  • a three-dimensional reconstruction module configured to perform three-dimensional reconstruction of blood vessels based on the angiography image to obtain a three-dimensional blood vessel model of the coronary artery;
  • the pressure drop test module is configured to perform a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch, wherein,
  • the target branch is any branch of the coronary artery;
  • the evaluation module is configured to evaluate the coronary stenosis according to the constant coefficient of the quadratic function relationship.
  • the voltage drop test module includes:
  • Curve drawing submodule used to draw the curve relationship between blood flow and blood flow pressure based on multiple sets of sample data
  • the fitting submodule is used to fit the curve by least square method to obtain the quadratic function relationship.
  • the blood flow pressure of the blood vessel is a quadratic function of blood flow
  • the evaluation module includes:
  • the first determining submodule is used to determine the preset value interval where the values of A and B are respectively located;
  • the second determination submodule is used to determine the FFR value of the target branch according to the correspondence between the combination of the preset value interval between A and B and the blood flow reserve FFR value.
  • a third aspect of an embodiment of the present disclosure provides a computer-readable storage medium on which a computer program is stored, which when executed by a processor implements the steps of the method of the first aspect.
  • a fourth aspect of the embodiments of the present disclosure provides an electronic device, including:
  • a processor is configured to execute the computer program in the memory to implement the steps of the method in the first aspect.
  • the blood flow pressure of a blood vessel is a quadratic function of blood flow.
  • a quadratic function relationship between the blood flow pressure and blood flow of a normal coronary artery that is, a coronary artery with a measured FFR value within a reasonable range
  • the constant coefficient of the quadratic function relationship should be in the numerical range.
  • the pressure drop test is used to obtain the quadratic function relationship between the blood pressure of the coronary artery branch and the blood flow, and it is determined whether the constant of the quadratic function relationship is within a reasonable numerical range.
  • the degree of coronary stenosis can be determined according to the judgment result.
  • the technical solution provided by the present disclosure is not based on any theoretical assumption, and is closer to the measured FFR value, so the assessment of coronary stenosis is more accurate than the prior art.
  • FIG. 1 is a schematic flowchart of a method for evaluating coronary stenosis provided by an embodiment of the present disclosure
  • FIG. 2 is a schematic diagram of a three-dimensional model of a blood vessel provided by an embodiment of the present disclosure
  • FIG. 3 is a schematic flowchart of a method for obtaining a quadratic function relationship between blood flow pressure and blood flow through a pressure drop test provided by an embodiment of the present disclosure
  • FIG. 4 is a curve relationship between a blood flow and blood flow pressure of a normal blood vessel provided by an embodiment of the present disclosure, and a corresponding quadratic function relationship;
  • 5 is a curve relationship between a blood flow rate and blood flow pressure of a narrow blood vessel provided by an embodiment of the present disclosure, and a corresponding quadratic function relationship;
  • FIG. 6 is a schematic structural diagram of a device for evaluating coronary stenosis provided by an embodiment of the present disclosure
  • FIG. 7 is a schematic structural diagram of another apparatus for evaluating coronary stenosis provided by an embodiment of the present disclosure.
  • FIG. 8 is a schematic structural diagram of an electronic device provided by an embodiment of the present disclosure.
  • An embodiment of the present disclosure provides a method for evaluating coronary stenosis, as shown in FIG. 1, including:
  • Angiography is an interventional detection method.
  • the developer is injected into the blood vessel. Since the X-ray cannot penetrate the developer, the developer can show the image of the blood vessel under the X-ray.
  • CTA CT angiography
  • the blood vessel can be regarded as a special kind of pipe, and the surface of the pipe can be regarded as the envelope formed by rolling the ball center along a certain curve (central axis), and the central axis of the blood vessel has only one intersection with the blood vessel slice. Therefore, based on the multiple parallel slice images of the blood vessel, the three-dimensional shape of the blood vessel is represented by drawing the projection of the central axis in the XY, YZ, and ZX planes to obtain a three-dimensional blood vessel model.
  • FIG. 2 is a schematic diagram of a three-dimensional blood vessel model shown in an embodiment of the present disclosure.
  • the target branch is any branch of the coronary artery.
  • a pressure drop test can be performed on the three-dimensional blood vessel model to obtain data (blood flow and corresponding blood flow pressure), and further obtain the blood flow of the blood vessel branch according to the adopted data A quadratic function relationship with blood pressure.
  • the constant coefficient in the specific quadratic function relationship between blood flow and blood pressure can be used as the flow resistance coefficient of the blood vessel.
  • the flow resistance coefficient can objectively reflect the degree of stenosis, fineness and curvature of the blood vessel, so that The effect of coronary stenosis on myocardial blood supply.
  • the quadratic function relationship between the blood pressure and blood flow of the normal coronary artery (that is, the coronary artery with the measured FFR value within a reasonable range) can be established in advance, so that the quadratic function relationship corresponding to the normal coronary artery
  • the constant coefficient should be in the numerical range. In this way, for a coronary artery to be tested, the pressure drop test is used to obtain the quadratic function relationship between the blood pressure of the coronary branch and the blood flow. If the constant is within a reasonable numerical range, the degree of coronary stenosis can be determined according to the judgment result.
  • the technical solution provided by the present disclosure is not based on any theoretical assumption, and is closer to the measured FFR value, so the assessment of coronary stenosis is more accurate than the prior art.
  • the method for obtaining the quadratic function relationship of the target branch may specifically include:
  • the blood flow of the target branch is adjusted to gradually change from 0 to 100 ml per minute, and the blood flow pressure of the target branch is calculated every time the blood flow changes by 10 ml per minute.
  • Dp is the blood flow pressure
  • Q is the blood flow
  • A is the quadratic constant coefficient
  • B is the linear constant coefficient.
  • 4 and 5 respectively show the curve relationship between the blood flow and blood flow pressure of normal blood vessels and narrow blood vessels, and the corresponding quadratic function relationship.
  • the A value of the quadratic function relationship of normal blood vessels can be obtained in advance should be in the numerical range [0.0039-2.7e-5, 0.0039 + 2.7e-5], and the B value should be in the value Within the interval [0.079-0.0025, 0.079 + 0.0025]. In this way, for a blood vessel to be tested, if the calculated A value or B value in the quadratic function relationship between the blood flow and the blood flow pressure is not within the preset numerical range, the blood vessel may be considered to be narrowed.
  • the correspondence between the combination of the preset value interval where the A value and the B value are located and the blood flow reserve FFR value may also be established in advance, so that the above step S14
  • evaluating the stenosis of the coronary artery may specifically include: separately determining a preset numerical interval where the values of A and B are located; according to a combination of the preset numerical intervals where A and B are located.
  • the correspondence between the FFR value of the blood flow reserve fraction and the FFR value of the target branch are determined.
  • the relationship between the combination of A's preset value interval [0.0039-2.7e-5,0.0039 + 2.7e-5] and B's preset value interval [0.079-0.0025,0.079 + 0.0025] and FFR value 0.8 is established in advance , Indicating that the measured A value is within the preset numerical range [0.0039-2.7e-5,0.0039 + 2.7e-5], and the measured B value is within the preset numerical range [0.079-0.0025,0.079 + 0.0025] In this case, the FFR value of the blood vessel is 0.8. That is, the FFR value objectively reflects the degree of stenosis of blood vessels.
  • the embodiment of the present disclosure may also output an evaluation result showing the degree of stenosis of the blood vessel, and the evaluation result may be conclusion information about whether the blood vessel is narrowed, or may be the FFR value of the blood vessel. This disclosure does not limit this.
  • an embodiment of the present disclosure also provides an apparatus for coronary stenosis assessment, which is used to implement the steps of the method for coronary stenosis assessment provided by the above method embodiments, as shown in FIG. 6,
  • the device 60 includes:
  • the obtaining module 61 is used to obtain coronary angiography image CTA;
  • the three-dimensional reconstruction module 62 is configured to perform three-dimensional reconstruction of blood vessels according to the CTA to obtain a three-dimensional blood vessel model of the coronary artery;
  • the pressure drop test module 63 is configured to perform a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch, where ,
  • the target branch is any branch of the coronary artery;
  • the evaluation module 64 is configured to evaluate the coronary stenosis according to the constant coefficient of the quadratic function relationship.
  • the device can preliminarily establish the quadratic function relationship between the blood pressure of the normal coronary artery (that is, the coronary artery whose measured FFR value is within a reasonable range) and the blood flow, thereby obtaining the quadratic function relationship corresponding to the normal coronary artery
  • the constant coefficient of should be in the numerical range, so that for a certain coronary artery to be tested, the pressure drop test is used to obtain the quadratic function relationship between the blood flow pressure of the coronary artery branch and the blood flow, and then the quadratic function relationship is judged If the constant is within a reasonable numerical range, the degree of coronary stenosis can be determined according to the judgment result.
  • the technical solution provided by the present disclosure is not based on any theoretical assumption, and is closer to the measured FFR value, so the assessment of coronary stenosis is more accurate than the prior art.
  • the voltage drop test module 63 includes:
  • the sampling submodule 631 is used to adjust the blood flow of the target branch and record the blood flow pressure under each blood flow to obtain multiple sets of sample data including the blood flow and the blood flow pressure corresponding to the blood flow;
  • the curve drawing sub-module 632 is used to draw a curve relationship between blood flow and blood flow pressure according to multiple sets of sample data
  • the fitting sub-module 633 is used to fit the curve by least square method to obtain the quadratic function relationship.
  • the blood flow pressure of the blood vessel is a quadratic function of blood flow
  • the evaluation module 64 includes:
  • the first determining sub-module 641 is configured to determine the preset value interval where the values of A and B are respectively located;
  • the second determination submodule 642 is configured to determine the FFR value of the target branch according to the correspondence between the combination of the preset value interval between A and B and the FFR value of the blood flow reserve fraction.
  • Embodiments of the present disclosure also provide a computer-readable storage medium on which a computer program is stored, which when executed by a processor implements the steps of the above method for coronary stenosis assessment.
  • An embodiment of the present disclosure also provides an electronic device, including:
  • Fig. 8 is a block diagram of an electronic device 70 according to an exemplary embodiment.
  • the electronic device 70 may include: a processor 701 and a memory 702.
  • the electronic device 70 may also include one or more of a multimedia component 703, an input / output (I / O) interface 704, and a communication component 705.
  • the processor 701 is used to control the overall operation of the electronic device 70 to complete all or part of the steps in the above method for coronary stenosis assessment.
  • the memory 702 is used to store various types of data to support operation on the electronic device 70, and the data may include, for example, instructions for any application or method for operating on the electronic device 70, and application-related data.
  • the memory 702 may be implemented by any type of volatile or non-volatile storage device or a combination thereof, such as static random access memory (Static Random Access Memory, SRAM for short), electrically erasable programmable read-only memory ( Electrically Erasable Programmable Read-Only Memory (EEPROM), Erasable Programmable Read-Only Memory (EPROM), Programmable Read-Only Memory (PROM), read-only Memory (Read-Only Memory, ROM for short), magnetic memory, flash memory, magnetic disk or optical disk.
  • the multimedia component 703 may include a screen and an audio component.
  • the screen may be, for example, a touch screen, and the audio component is used to output and / or input audio signals.
  • the audio component may include a microphone for receiving external audio signals.
  • the received audio signal may be further stored in the memory 702 or transmitted through the communication component 705.
  • the audio component also includes at least one speaker for outputting audio signals.
  • the I / O interface 704 provides an interface between the processor 701 and other interface modules.
  • the other interface modules may be a keyboard, a mouse, a button, and so on. These buttons can be virtual buttons or physical buttons.
  • the communication component 705 is used for wired or wireless communication between the electronic device 70 and other devices. Wireless communication, such as Wi-Fi, Bluetooth, Near Field Communication (NFC), 2G, 3G, or 4G, or a combination of one or more of them, so the corresponding communication component 705 may include: Wi-Fi module, Bluetooth module, NFC module.
  • the electronic device 70 may be one or more application specific integrated circuits (Application Specific Integrated Circuit (ASIC for short), digital signal processor (DSP for short), digital signal processing device (Digital for short) Signal Processing (Device DSP), Programmable Logic Device (PLD), Field Programmable Gate Array (FPGA), controller, microcontroller, microprocessor or other electronic components Implementation, for performing the above method for coronary stenosis assessment.
  • ASIC Application Specific Integrated Circuit
  • DSP digital signal processor
  • DSP digital signal processing device
  • PLD Programmable Logic Device
  • FPGA Field Programmable Gate Array
  • controller microcontroller, microprocessor or other electronic components Implementation, for performing the above method for coronary stenosis assessment.
  • the computer-readable storage medium provided by the embodiment of the present disclosure may be the above-mentioned memory 702 including program instructions, and the above-mentioned program instructions may be executed by the processor 701 of the electronic device 70 to complete the above method for coronary stenosis assessment.

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Abstract

The present disclosure relates to a method and apparatus for coronary stenosis assessment, a storage medium, and an electronic device. The method comprises: obtaining an angiographic image of a coronary artery; performing vessel three-dimensional reconstruction according to the angiographic image to obtain a three-dimensional vessel model of the coronary artery; for a target branch of the coronary artery, performing a pressure drop test on the three-dimensional vessel model to obtain a quadratic function relationship between a blood flow rate and a blood flow pressure of the target branch, the target branch being any branch of the coronary artery; and assessing a stenosis condition of the coronary artery according to a constant coefficient of the quadratic function relationship. Embodiments of the present disclosure are used for assessing the stenosis degree of a vessel.

Description

用于冠脉狭窄评估的方法,装置,存储介质及电子设备Method, device, storage medium and electronic equipment for evaluating coronary stenosis 技术领域Technical field
本公开涉及医学图像处理技术领域,具体地,涉及一种用于冠脉狭窄评估的方法,装置,存储介质及电子设备。The present disclosure relates to the technical field of medical image processing, and in particular, to a method, device, storage medium, and electronic equipment for coronary artery stenosis evaluation.
背景技术Background technique
目前,相关技术可以基于医学CT(Computed Tomography,电子计算机断层扫描)图像和MRI(Magnetic Resonance Imaging,磁共振成像)造影,重建冠脉的三维血管形状,并且,还可以进一步基于三维冠脉图像计算FFR(Fractional Flow Reserve,冠状动脉血流储备分数)。At present, related technologies can be based on medical CT (Computed Tomography, electronic computer tomography) images and MRI (MagneticResonanceImaging, magnetic resonance imaging) contrast, reconstruction of the three-dimensional coronary vessel shape, and can be further based on three-dimensional coronary image calculation FFR (Fractional Flow Reserve, coronary blood flow reserve fraction).
然而,现有技术通过三维冠状图像计算FFR是基于了一系列的假设,这些假设包括但不限于:对于冠脉血流量的假设,冠脉各分支血流量假设,冠脉入口压力假设,注射腺苷之后外周血管阻力下降的假设等。由于该一系列假设在实际情况中不一定都能满足,从而导致计算得到的FFR和实测FFR之间仍然存在着较大的偏差,特别是在冠脉狭窄的临界状态(即FFR在0.8附近),计算和实测经常出现分歧。However, the prior art calculates FFR from a three-dimensional coronary image based on a series of assumptions, including but not limited to: hypothesis of coronary blood flow, hypothesis of blood flow of coronary branches, hypothesis of coronary inlet pressure, injection of gland The hypothesis that peripheral vascular resistance decreases after glycosides. Because this series of assumptions may not be satisfied in actual situations, there is still a large deviation between the calculated FFR and the measured FFR, especially in the critical state of coronary stenosis (ie, FFR is near 0.8) There are often differences between calculations and actual measurements.
发明内容Summary of the invention
为克服相关技术中存在的问题,本公开提供一种用于冠脉狭窄评估的方法,装置,存储介质及电子设备。In order to overcome the problems in the related art, the present disclosure provides a method, device, storage medium, and electronic equipment for coronary stenosis evaluation.
为了实现上述目的,本公开实施例第一方面提供一种用于冠脉狭窄评估的方法,所述方法包括:In order to achieve the above objective, a first aspect of the embodiments of the present disclosure provides a method for coronary stenosis assessment, the method includes:
获取冠脉的血管造影图像;Obtain coronary angiography images;
根据所述血管造影图像进行血管的三维重建,得到所述冠脉的三维血管 模型;Performing three-dimensional reconstruction of the blood vessel according to the angiography image to obtain the three-dimensional blood vessel model of the coronary artery;
针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,其中,所述目标分支为所述冠脉的任一分支;For the target branch of the coronary artery, a pressure drop test is performed on the three-dimensional blood vessel model to obtain a quadratic function relationship between blood flow and blood pressure of the target branch, wherein the target branch is the Any branch of the coronary artery;
根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况。According to the constant coefficient of the quadratic function relationship, the coronary stenosis is evaluated.
可选地,所述针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,包括:Optionally, performing a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch includes:
调整所述目标分支的血流量,并记录每一血流量下的血流压力,得到多组包括血流量以及该血流量对应的血流压力的样本数据;Adjusting the blood flow of the target branch, and recording the blood flow pressure under each blood flow to obtain multiple sets of sample data including blood flow and blood flow pressure corresponding to the blood flow;
根据多组样本数据绘制血流量与血流压力之间的曲线关系;Draw the curve relationship between blood flow and blood flow pressure based on multiple sets of sample data;
采用最小二乘法拟合所述曲线,得到所述二次函数关系。The least square method is used to fit the curve to obtain the quadratic function relationship.
可选地,所述调整所述目标分支的血流量,并记录每一血流量下的血流压力,包括:Optionally, the adjusting the blood flow of the target branch and recording the blood flow pressure under each blood flow includes:
调整所述目标分支的血流量从0逐渐变化至100毫升每分钟,并且血流量每变化10毫升每分钟计算一次所述目标分支的血流压力。Adjust the blood flow of the target branch to gradually change from 0 to 100 ml per minute, and calculate the blood flow pressure of the target branch every time the blood flow changes by 10 ml per minute.
可选地,血管的血流压力是血流量的二次函数,所述目标分支的血流量与血流压力之间的二次函数关系为:Dp=A*Q 2+BQ; Optionally, the blood flow pressure of the blood vessel is a quadratic function of blood flow, and the quadratic function relationship between the blood flow of the target branch and the blood flow pressure is: Dp = A * Q 2 + BQ;
其中,Dp为血流压力,Q为血流量,A为二次常数系数,B为线性常数系数。Among them, Dp is the blood flow pressure, Q is the blood flow, A is the quadratic constant coefficient, and B is the linear constant coefficient.
可选地,所述根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况,包括:Optionally, the evaluation of the coronary stenosis according to the constant coefficient of the quadratic function relationship includes:
分别确定A和B的数值所处的预设数值区间;Determine the preset value interval of the values of A and B respectively;
根据A和B所处预设数值区间的组合与血流储备分数FFR数值之间的对应关系,确定所述目标分支的FFR数值。The FFR value of the target branch is determined according to the correspondence between the combination of the preset value interval between A and B and the FFR value of the blood flow reserve fraction.
本公开实施例第二方面提供一种用于冠脉狭窄评估的装置,所述装置包 括:A second aspect of an embodiment of the present disclosure provides a device for coronary stenosis evaluation, the device includes:
获取模块,用于获取冠脉的血管造影图像;The acquisition module is used to acquire coronary angiography images;
三维重建模块,用于根据所述血管造影图像进行血管的三维重建,得到所述冠脉的三维血管模型;A three-dimensional reconstruction module, configured to perform three-dimensional reconstruction of blood vessels based on the angiography image to obtain a three-dimensional blood vessel model of the coronary artery;
压降测试模块,用于针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,其中,所述目标分支为所述冠脉的任一分支;The pressure drop test module is configured to perform a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch, wherein, The target branch is any branch of the coronary artery;
评估模块,用于根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况。The evaluation module is configured to evaluate the coronary stenosis according to the constant coefficient of the quadratic function relationship.
可选地,所述压降测试模块包括:Optionally, the voltage drop test module includes:
采样子模块,用于调整所述目标分支的血流量,并记录每一血流量下的血流压力,得到多组包括血流量以及该血流量对应的血流压力的样本数据;A sampling sub-module for adjusting the blood flow of the target branch and recording the blood flow pressure under each blood flow to obtain multiple sets of sample data including the blood flow and the blood flow pressure corresponding to the blood flow;
曲线绘制子模块,用于根据多组样本数据绘制血流量与血流压力之间的曲线关系;Curve drawing submodule, used to draw the curve relationship between blood flow and blood flow pressure based on multiple sets of sample data;
拟合子模块,用于采用最小二乘法拟合所述曲线,得到所述二次函数关系。The fitting submodule is used to fit the curve by least square method to obtain the quadratic function relationship.
可选地,血管的血流压力是血流量的二次函数,所述目标分支的血流量与血流压力之间的二次函数关系为:Dp=A*Q 2+BQ,其中,Dp为血流压力,Q为血流量,A为二次常数系数,B为线性常数系数; Optionally, the blood flow pressure of the blood vessel is a quadratic function of blood flow, and the quadratic function relationship between the blood flow of the target branch and the blood flow pressure is: Dp = A * Q 2 + BQ, where Dp is Blood flow pressure, Q is the blood flow, A is the quadratic constant coefficient, and B is the linear constant coefficient;
所述评估模块包括:The evaluation module includes:
第一确定子模块,用于分别确定A和B的数值所处的预设数值区间;The first determining submodule is used to determine the preset value interval where the values of A and B are respectively located;
第二确定子模块,用于根据A和B所处预设数值区间的组合与血流储备分数FFR数值之间的对应关系,确定所述目标分支的FFR数值。The second determination submodule is used to determine the FFR value of the target branch according to the correspondence between the combination of the preset value interval between A and B and the blood flow reserve FFR value.
本公开实施例第三方面提供一种计算机可读存储介质,其上存储有计算机程序,该程序被处理器执行时实现第一方面所述方法的步骤。A third aspect of an embodiment of the present disclosure provides a computer-readable storage medium on which a computer program is stored, which when executed by a processor implements the steps of the method of the first aspect.
本公开实施例第四方面提供一种电子设备,包括:A fourth aspect of the embodiments of the present disclosure provides an electronic device, including:
存储器,其上存储有计算机程序;Memory, on which computer programs are stored;
处理器,用于执行所述存储器中的所述计算机程序,以实现第一方面所述方法的步骤。A processor is configured to execute the computer program in the memory to implement the steps of the method in the first aspect.
采用上述技术方案,至少能够达到如下技术效果:Using the above technical solutions can at least achieve the following technical effects:
血管的血流压力是血流量的二次函数,通过建立正常冠脉(即实测FFR值处于合理范围的冠脉)的血流压力与血流量的二次函数关系,可以得到正常冠脉对应的二次函数关系的常数系数应处于的数值区间。这样,针对某一待检测的冠脉,通过压降测试,得到该冠脉分支的血流压力与血流量的二次函数关系后,判断该二次函数关系的常数是否处于合理的数值区间,即可根据判断结果确定该冠脉的狭窄程度。本公开提供的技术方案未基于任何理论假设,更接近于实测FFR值,因此相比现有技术,对冠脉狭窄情况的评估更加精确。The blood flow pressure of a blood vessel is a quadratic function of blood flow. By establishing a quadratic function relationship between the blood flow pressure and blood flow of a normal coronary artery (that is, a coronary artery with a measured FFR value within a reasonable range), the corresponding value of the normal coronary artery can be obtained. The constant coefficient of the quadratic function relationship should be in the numerical range. In this way, for a certain coronary artery to be tested, the pressure drop test is used to obtain the quadratic function relationship between the blood pressure of the coronary artery branch and the blood flow, and it is determined whether the constant of the quadratic function relationship is within a reasonable numerical range. The degree of coronary stenosis can be determined according to the judgment result. The technical solution provided by the present disclosure is not based on any theoretical assumption, and is closer to the measured FFR value, so the assessment of coronary stenosis is more accurate than the prior art.
本公开的其他特征和优点将在随后的具体实施方式部分予以详细说明。Other features and advantages of the present disclosure will be described in detail in the detailed description section that follows.
附图说明BRIEF DESCRIPTION
附图是用来提供对本公开的进一步理解,并且构成说明书的一部分,与下面的具体实施方式一起用于解释本公开,但并不构成对本公开的限制。在附图中:The drawings are used to provide a further understanding of the present disclosure, and constitute a part of the specification, together with the following specific embodiments to explain the present disclosure, but do not constitute a limitation of the present disclosure. In the drawings:
图1是本公开实施例提供的一种用于冠脉狭窄评估的方法的流程示意图;FIG. 1 is a schematic flowchart of a method for evaluating coronary stenosis provided by an embodiment of the present disclosure;
图2是本公开实施例提供的一种血管三维模型的示意图;2 is a schematic diagram of a three-dimensional model of a blood vessel provided by an embodiment of the present disclosure;
图3是本公开实施例提供的通过压降测试得到血流压力与血流量的二次函数关系的方法流程示意图;3 is a schematic flowchart of a method for obtaining a quadratic function relationship between blood flow pressure and blood flow through a pressure drop test provided by an embodiment of the present disclosure;
图4是本公开实施例提供的正常血管的一种血流量与血流压力之间的曲线关系,以及对应的二次函数关系;4 is a curve relationship between a blood flow and blood flow pressure of a normal blood vessel provided by an embodiment of the present disclosure, and a corresponding quadratic function relationship;
图5是本公开实施例提供的狭窄血管的一种血流量与血流压力之间的曲线关系,以及对应的二次函数关系;5 is a curve relationship between a blood flow rate and blood flow pressure of a narrow blood vessel provided by an embodiment of the present disclosure, and a corresponding quadratic function relationship;
图6是本公开实施例提供的一种用于冠脉狭窄评估的装置的结构示意图;6 is a schematic structural diagram of a device for evaluating coronary stenosis provided by an embodiment of the present disclosure;
图7是本公开实施例提供的另一种用于冠脉狭窄评估的装置的结构示意图;7 is a schematic structural diagram of another apparatus for evaluating coronary stenosis provided by an embodiment of the present disclosure;
图8是本公开实施例提供的一种电子设备的结构示意图。8 is a schematic structural diagram of an electronic device provided by an embodiment of the present disclosure.
具体实施方式detailed description
以下结合附图对本公开的具体实施方式进行详细说明。应当理解的是,此处所描述的具体实施方式仅用于说明和解释本公开,并不用于限制本公开。The specific embodiments of the present disclosure will be described in detail below with reference to the drawings. It should be understood that the specific embodiments described herein are only used to illustrate and explain the present disclosure, and are not intended to limit the present disclosure.
本公开实施例提供一种用于冠脉狭窄评估的方法,如图1所示,包括:An embodiment of the present disclosure provides a method for evaluating coronary stenosis, as shown in FIG. 1, including:
S11、获取冠脉的血管造影图像。S11. Acquire an angiography image of a coronary artery.
血管造影是一种介入检测方法,将显影剂注入血管里,由于X光无法穿透显影剂,因此显影剂在X光下能呈现出血管的影像。Angiography is an interventional detection method. The developer is injected into the blood vessel. Since the X-ray cannot penetrate the developer, the developer can show the image of the blood vessel under the X-ray.
示例地,利用CT血管造影(CTA,CT angiography)技术,将CT增强技术与薄层、大范围、快速扫描技术相结合,通过合理的后处理,可以清晰显示血管细节,具有无创和操作简便的特点。Exemplarily, CT angiography (CTA) technology is used to combine CT enhancement technology with thin layer, large-scale and fast scanning technology. Through reasonable post-processing, the details of blood vessels can be clearly displayed, which is non-invasive and easy to operate. Features.
S12、根据所述血管造影图像进行血管的三维重建,得到所述冠脉的三维血管模型。S12. Perform three-dimensional reconstruction of the blood vessel according to the angiography image to obtain a three-dimensional blood vessel model of the coronary artery.
血管可视为一种特殊的管道,管道的表面可视为由球心沿着某一曲线(中轴线)的球滚动包络而成,并且,血管中轴线与血管切片有且只有一个交点,因此,基于血管的多张平行切片图像,通过绘制中轴线在XY,YZ,ZX平面的投影图,以将血管的三位形态表现出来,得到三维血管模型。参照图2,图2是本公开实施例示出的一种三维血管模型的示意图。The blood vessel can be regarded as a special kind of pipe, and the surface of the pipe can be regarded as the envelope formed by rolling the ball center along a certain curve (central axis), and the central axis of the blood vessel has only one intersection with the blood vessel slice. Therefore, based on the multiple parallel slice images of the blood vessel, the three-dimensional shape of the blood vessel is represented by drawing the projection of the central axis in the XY, YZ, and ZX planes to obtain a three-dimensional blood vessel model. Referring to FIG. 2, FIG. 2 is a schematic diagram of a three-dimensional blood vessel model shown in an embodiment of the present disclosure.
S13、针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试, 得到所述目标分支的血流量与血流压力之间的二次函数关系。S13. Perform a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch.
其中,所述目标分支为所述冠脉的任一分支。Wherein, the target branch is any branch of the coronary artery.
也就是说,针对冠脉的任一血管分支,可以在三维血管模型上进行压降测试,采样得到数据(血流量及对应的血流压力),并进一步根据采用数据得到该血管分支的血流量与血流压力之间的二次函数关系。In other words, for any blood vessel branch of the coronary artery, a pressure drop test can be performed on the three-dimensional blood vessel model to obtain data (blood flow and corresponding blood flow pressure), and further obtain the blood flow of the blood vessel branch according to the adopted data A quadratic function relationship with blood pressure.
值得说明的是,下述公式(1)可以证明血流压力Pa是血流量Q的二次函数:It is worth noting that the following formula (1) can prove that the blood flow pressure Pa is a quadratic function of the blood flow Q:
Figure PCTCN2019115347-appb-000001
Figure PCTCN2019115347-appb-000001
这样,血流量与血流压力之间具体地二次函数关系中的常数系数即可作为血管的流阻系数,该流阻系数可以客观反应该血管的狭窄程度,细小程度以及弯曲程度,从而客观的反应冠脉血管狭窄对于心肌供血的影响。In this way, the constant coefficient in the specific quadratic function relationship between blood flow and blood pressure can be used as the flow resistance coefficient of the blood vessel. The flow resistance coefficient can objectively reflect the degree of stenosis, fineness and curvature of the blood vessel, so that The effect of coronary stenosis on myocardial blood supply.
S14、根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况。S14. Assess the stenosis of the coronary artery according to the constant coefficient of the quadratic function relationship.
在具体实施时,可以预先通过建立正常冠脉(即实测FFR值处于合理范围的冠脉)的血流压力与血流量的二次函数关系,从而可以得到正常冠脉对应的二次函数关系的常数系数应处于的数值区间,这样,针对某一待检测的冠脉,通过压降测试,得到该冠脉分支的血流压力与血流量的二次函数关系后,判断该二次函数关系的常数是否处于合理的数值区间,即可根据判断结果确定该冠脉的狭窄程度。本公开提供的技术方案未基于任何理论假设,更接近于实测FFR值,因此相比现有技术,对冠脉狭窄情况的评估更加精确。In specific implementation, the quadratic function relationship between the blood pressure and blood flow of the normal coronary artery (that is, the coronary artery with the measured FFR value within a reasonable range) can be established in advance, so that the quadratic function relationship corresponding to the normal coronary artery The constant coefficient should be in the numerical range. In this way, for a coronary artery to be tested, the pressure drop test is used to obtain the quadratic function relationship between the blood pressure of the coronary branch and the blood flow. If the constant is within a reasonable numerical range, the degree of coronary stenosis can be determined according to the judgment result. The technical solution provided by the present disclosure is not based on any theoretical assumption, and is closer to the measured FFR value, so the assessment of coronary stenosis is more accurate than the prior art.
为了使本领域技术人员能够更加理解本公开实施例提供的技术方案,下面对上述步骤进行详细说明。In order to enable those skilled in the art to better understand the technical solutions provided by the embodiments of the present disclosure, the above steps will be described in detail below.
可选地,如图3所示,得到目标分支的二次函数关系的方法(即上述步骤S13)具体可以包括:Optionally, as shown in FIG. 3, the method for obtaining the quadratic function relationship of the target branch (that is, step S13 above) may specifically include:
S31、调整所述目标分支的血流量,并记录每一血流量下的血流压力, 得到多组包括血流量以及该血流量对应的血流压力的样本数据。S31. Adjust the blood flow of the target branch, and record the blood flow pressure under each blood flow to obtain multiple sets of sample data including the blood flow and the blood flow pressure corresponding to the blood flow.
示例地,调整所述目标分支的血流量从0逐渐变化至100毫升每分钟,并且血流量每变化10毫升每分钟计算一次所述目标分支的血流压力。For example, the blood flow of the target branch is adjusted to gradually change from 0 to 100 ml per minute, and the blood flow pressure of the target branch is calculated every time the blood flow changes by 10 ml per minute.
S32、根据多组样本数据绘制血流量与血流压力之间的曲线关系。S32. Draw a curve relationship between blood flow and blood flow pressure according to multiple sets of sample data.
S33、采用最小二乘法拟合所述曲线,得到所述二次函数关系。S33. Fit the curve by least square method to obtain the quadratic function relationship.
示例地,由于血管的血流压力是血流量的二次函数,因此所述目标分支的血流量与血流压力之间的二次函数关系可以表达为:Dp=A*Q 2+BQ; For example, since the blood flow pressure of the blood vessel is a quadratic function of blood flow, the quadratic function relationship between the blood flow of the target branch and the blood flow pressure can be expressed as: Dp = A * Q 2 + BQ;
其中,Dp为血流压力,Q为血流量,A为二次常数系数,B为线性常数系数。通过拟合曲线可以得到A和B的具体数值大小。Among them, Dp is the blood flow pressure, Q is the blood flow, A is the quadratic constant coefficient, and B is the linear constant coefficient. By fitting the curve, the specific values of A and B can be obtained.
图4和图5分别示出了正常血管和狭窄血管的血流量与血流压力之间的曲线关系,以及对应的二次函数关系。4 and 5 respectively show the curve relationship between the blood flow and blood flow pressure of normal blood vessels and narrow blood vessels, and the corresponding quadratic function relationship.
由图4可知,示例的正常血管,其血流量与血流压力之间的二次函数关系为:Dp=1.0e-3*Q 2+0.044Q; It can be seen from FIG. 4 that the quadratic function relationship between the blood flow and the blood flow pressure of the example normal blood vessel is: Dp = 1.0e-3 * Q 2 + 0.044Q;
由图5可知,示例的狭窄血管,其血流量与血流压力之间的二次函数关系为:Dp=2.5e-3*Q 2+0.222Q。 It can be seen from FIG. 5 that the quadratic function relationship between blood flow and blood flow pressure of the exemplary narrow blood vessel is: Dp = 2.5e-3 * Q 2 + 0.222Q.
值得说明的是,通过大量的数据样本,可以预先得到正常血管的二次函数关系的A值应处于数值区间[0.0039-2.7e-5,0.0039+2.7e-5]内,B值应处于数值区间[0.079-0.0025,0.079+0.0025]内。这样,针对一待测血管,若计算得到的其血流量与血流压力之间的二次函数关系中的A值或者B值不处于预设的数值区间内,则可认为该血管狭窄。It is worth noting that through a large number of data samples, the A value of the quadratic function relationship of normal blood vessels can be obtained in advance should be in the numerical range [0.0039-2.7e-5, 0.0039 + 2.7e-5], and the B value should be in the value Within the interval [0.079-0.0025, 0.079 + 0.0025]. In this way, for a blood vessel to be tested, if the calculated A value or B value in the quadratic function relationship between the blood flow and the blood flow pressure is not within the preset numerical range, the blood vessel may be considered to be narrowed.
在本公开实施例的一种可能的实现方式中,还可以预先建立A值和B值所处的预设数值区间的组合与血流储备分数FFR数值之间的对应关系,这样,上述步骤S14根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况具体可以包括:分别确定A和B的数值所处的预设数值区间;根据A和B所处预设数值区间的组合与血流储备分数FFR数值之间的对应关系, 确定所述目标分支的FFR数值。In a possible implementation manner of the embodiment of the present disclosure, the correspondence between the combination of the preset value interval where the A value and the B value are located and the blood flow reserve FFR value may also be established in advance, so that the above step S14 According to the constant coefficient of the quadratic function relationship, evaluating the stenosis of the coronary artery may specifically include: separately determining a preset numerical interval where the values of A and B are located; according to a combination of the preset numerical intervals where A and B are located The correspondence between the FFR value of the blood flow reserve fraction and the FFR value of the target branch are determined.
例如,预先建立A的预设数值区间[0.0039-2.7e-5,0.0039+2.7e-5]与B的预设数值区间[0.079-0.0025,0.079+0.0025]的组合与FFR数值0.8的对应关系,表明在实测得到的A值处于预设数值区间[0.0039-2.7e-5,0.0039+2.7e-5]内,且实测得到B值处于预设数值区间[0.079-0.0025,0.079+0.0025]的情况下,血管的FFR值为0.8。即通过FFR值客观的反应血管的狭窄程度。For example, the relationship between the combination of A's preset value interval [0.0039-2.7e-5,0.0039 + 2.7e-5] and B's preset value interval [0.079-0.0025,0.079 + 0.0025] and FFR value 0.8 is established in advance , Indicating that the measured A value is within the preset numerical range [0.0039-2.7e-5,0.0039 + 2.7e-5], and the measured B value is within the preset numerical range [0.079-0.0025,0.079 + 0.0025] In this case, the FFR value of the blood vessel is 0.8. That is, the FFR value objectively reflects the degree of stenosis of blood vessels.
进一步地,本公开实施例还可以输出显示对血管狭窄程度的评估结果,该评估结果可以是血管是否狭窄的结论信息,也可以是血管的FFR值。本公开对此不做限定。Further, the embodiment of the present disclosure may also output an evaluation result showing the degree of stenosis of the blood vessel, and the evaluation result may be conclusion information about whether the blood vessel is narrowed, or may be the FFR value of the blood vessel. This disclosure does not limit this.
基于相同的发明构思,本公开实施例还提供一种用于冠脉狭窄评估的装置,用于实施上述方法实施例提供的用于冠脉狭窄评估的方法的步骤,如图6所示,所述装置60包括:Based on the same inventive concept, an embodiment of the present disclosure also provides an apparatus for coronary stenosis assessment, which is used to implement the steps of the method for coronary stenosis assessment provided by the above method embodiments, as shown in FIG. 6, The device 60 includes:
获取模块61,用于获取冠脉的血管造影图像CTA;The obtaining module 61 is used to obtain coronary angiography image CTA;
三维重建模块62,用于根据所述CTA进行血管的三维重建,得到所述冠脉的三维血管模型;The three-dimensional reconstruction module 62 is configured to perform three-dimensional reconstruction of blood vessels according to the CTA to obtain a three-dimensional blood vessel model of the coronary artery;
压降测试模块63,用于针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,其中,所述目标分支为所述冠脉的任一分支;The pressure drop test module 63 is configured to perform a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch, where , The target branch is any branch of the coronary artery;
评估模块64,用于根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况。The evaluation module 64 is configured to evaluate the coronary stenosis according to the constant coefficient of the quadratic function relationship.
采用上述装置,该装置可以预先通过建立正常冠脉(即实测FFR值处于合理范围的冠脉)的血流压力与血流量的二次函数关系,从而可以得到正常冠脉对应的二次函数关系的常数系数应处于的数值区间,这样,针对某一待检测的冠脉,通过压降测试,得到该冠脉分支的血流压力与血流量的二次函数关系后,判断该二次函数关系的常数是否处于合理的数值区间,即可根 据判断结果确定该冠脉的狭窄程度。本公开提供的技术方案未基于任何理论假设,更接近于实测FFR值,因此相比现有技术,对冠脉狭窄情况的评估更加精确。With the above device, the device can preliminarily establish the quadratic function relationship between the blood pressure of the normal coronary artery (that is, the coronary artery whose measured FFR value is within a reasonable range) and the blood flow, thereby obtaining the quadratic function relationship corresponding to the normal coronary artery The constant coefficient of should be in the numerical range, so that for a certain coronary artery to be tested, the pressure drop test is used to obtain the quadratic function relationship between the blood flow pressure of the coronary artery branch and the blood flow, and then the quadratic function relationship is judged If the constant is within a reasonable numerical range, the degree of coronary stenosis can be determined according to the judgment result. The technical solution provided by the present disclosure is not based on any theoretical assumption, and is closer to the measured FFR value, so the assessment of coronary stenosis is more accurate than the prior art.
可选地,如图7所示,所述压降测试模块63包括:Optionally, as shown in FIG. 7, the voltage drop test module 63 includes:
采样子模块631,用于调整所述目标分支的血流量,并记录每一血流量下的血流压力,得到多组包括血流量以及该血流量对应的血流压力的样本数据;The sampling submodule 631 is used to adjust the blood flow of the target branch and record the blood flow pressure under each blood flow to obtain multiple sets of sample data including the blood flow and the blood flow pressure corresponding to the blood flow;
曲线绘制子模块632,用于根据多组样本数据绘制血流量与血流压力之间的曲线关系;The curve drawing sub-module 632 is used to draw a curve relationship between blood flow and blood flow pressure according to multiple sets of sample data;
拟合子模块633,用于采用最小二乘法拟合所述曲线,得到所述二次函数关系。The fitting sub-module 633 is used to fit the curve by least square method to obtain the quadratic function relationship.
可选地,血管的血流压力是血流量的二次函数,所述目标分支的血流量与血流压力之间的二次函数关系为:Dp=A*Q 2+BQ,其中,Dp为血流压力,Q为血流量,A为二次常数系数,B为线性常数系数; Optionally, the blood flow pressure of the blood vessel is a quadratic function of blood flow, and the quadratic function relationship between the blood flow of the target branch and the blood flow pressure is: Dp = A * Q 2 + BQ, where Dp is Blood flow pressure, Q is the blood flow, A is the quadratic constant coefficient, and B is the linear constant coefficient;
如图7所示,所述评估模块64包括:As shown in FIG. 7, the evaluation module 64 includes:
第一确定子模块641,用于分别确定A和B的数值所处的预设数值区间;The first determining sub-module 641 is configured to determine the preset value interval where the values of A and B are respectively located;
第二确定子模块642,用于根据A和B所处预设数值区间的组合与血流储备分数FFR数值之间的对应关系,确定所述目标分支的FFR数值。The second determination submodule 642 is configured to determine the FFR value of the target branch according to the correspondence between the combination of the preset value interval between A and B and the FFR value of the blood flow reserve fraction.
关于上述实施例中的装置,其中各个模块执行操作的具体方式已经在有关该方法的实施例中进行了详细描述,此处将不做详细阐述说明。Regarding the device in the above embodiment, the specific manner in which each module performs operations has been described in detail in the embodiment related to the method, and will not be elaborated here.
本公开实施例还提供一种计算机可读存储介质,其上存储有计算机程序,该程序被处理器执行时实现上述用于冠脉狭窄评估的方法的步骤。Embodiments of the present disclosure also provide a computer-readable storage medium on which a computer program is stored, which when executed by a processor implements the steps of the above method for coronary stenosis assessment.
本公开实施例还提供一种电子设备,包括:An embodiment of the present disclosure also provides an electronic device, including:
存储器,其上存储有计算机程序;Memory, on which computer programs are stored;
处理器,用于执行所述存储器中的所述计算机程序,以实现上述用于冠 脉狭窄评估的方法的步骤A processor for executing the computer program in the memory to implement the steps of the above method for coronary stenosis evaluation
图8是根据一示例性实施例示出的一种电子设备70的框图。如图8所示,该电子设备70可以包括:处理器701,存储器702。该电子设备70还可以包括多媒体组件703,输入/输出(I/O)接口704,以及通信组件705中的一者或多者。Fig. 8 is a block diagram of an electronic device 70 according to an exemplary embodiment. As shown in FIG. 8, the electronic device 70 may include: a processor 701 and a memory 702. The electronic device 70 may also include one or more of a multimedia component 703, an input / output (I / O) interface 704, and a communication component 705.
其中,处理器701用于控制该电子设备70的整体操作,以完成上述用于冠脉狭窄评估的方法中的全部或部分步骤。存储器702用于存储各种类型的数据以支持在该电子设备70的操作,这些数据例如可以包括用于在该电子设备70上操作的任何应用程序或方法的指令,以及应用程序相关的数据。该存储器702可以由任何类型的易失性或非易失性存储设备或者它们的组合实现,例如静态随机存取存储器(Static Random Access Memory,简称SRAM),电可擦除可编程只读存储器(Electrically Erasable Programmable Read-Only Memory,简称EEPROM),可擦除可编程只读存储器(Erasable Programmable Read-Only Memory,简称EPROM),可编程只读存储器(Programmable Read-Only Memory,简称PROM),只读存储器(Read-Only Memory,简称ROM),磁存储器,快闪存储器,磁盘或光盘。多媒体组件703可以包括屏幕和音频组件。其中屏幕例如可以是触摸屏,音频组件用于输出和/或输入音频信号。例如,音频组件可以包括一个麦克风,麦克风用于接收外部音频信号。所接收的音频信号可以被进一步存储在存储器702或通过通信组件705发送。音频组件还包括至少一个扬声器,用于输出音频信号。I/O接口704为处理器701和其他接口模块之间提供接口,上述其他接口模块可以是键盘,鼠标,按钮等。这些按钮可以是虚拟按钮或者实体按钮。通信组件705用于该电子设备70与其他设备之间进行有线或无线通信。无线通信,例如Wi-Fi,蓝牙,近场通信(Near Field Communication,简称NFC),2G、3G或4G,或它们中的一种或几种的组合,因此相应的该通信组件705可以包括:Wi-Fi 模块,蓝牙模块,NFC模块。The processor 701 is used to control the overall operation of the electronic device 70 to complete all or part of the steps in the above method for coronary stenosis assessment. The memory 702 is used to store various types of data to support operation on the electronic device 70, and the data may include, for example, instructions for any application or method for operating on the electronic device 70, and application-related data. The memory 702 may be implemented by any type of volatile or non-volatile storage device or a combination thereof, such as static random access memory (Static Random Access Memory, SRAM for short), electrically erasable programmable read-only memory ( Electrically Erasable Programmable Read-Only Memory (EEPROM), Erasable Programmable Read-Only Memory (EPROM), Programmable Read-Only Memory (PROM), read-only Memory (Read-Only Memory, ROM for short), magnetic memory, flash memory, magnetic disk or optical disk. The multimedia component 703 may include a screen and an audio component. The screen may be, for example, a touch screen, and the audio component is used to output and / or input audio signals. For example, the audio component may include a microphone for receiving external audio signals. The received audio signal may be further stored in the memory 702 or transmitted through the communication component 705. The audio component also includes at least one speaker for outputting audio signals. The I / O interface 704 provides an interface between the processor 701 and other interface modules. The other interface modules may be a keyboard, a mouse, a button, and so on. These buttons can be virtual buttons or physical buttons. The communication component 705 is used for wired or wireless communication between the electronic device 70 and other devices. Wireless communication, such as Wi-Fi, Bluetooth, Near Field Communication (NFC), 2G, 3G, or 4G, or a combination of one or more of them, so the corresponding communication component 705 may include: Wi-Fi module, Bluetooth module, NFC module.
在一示例性实施例中,电子设备70可以被一个或多个应用专用集成电路(Application Specific Integrated Circuit,简称ASIC)、数字信号处理器(Digital Signal Processor,简称DSP)、数字信号处理设备(Digital Signal Processing Device,简称DSPD)、可编程逻辑器件(Programmable Logic Device,简称PLD)、现场可编程门阵列(Field Programmable Gate Array,简称FPGA)、控制器、微控制器、微处理器或其他电子元件实现,用于执行上述用于冠脉狭窄评估的方法。In an exemplary embodiment, the electronic device 70 may be one or more application specific integrated circuits (Application Specific Integrated Circuit (ASIC for short), digital signal processor (DSP for short), digital signal processing device (Digital for short) Signal Processing (Device DSP), Programmable Logic Device (PLD), Field Programmable Gate Array (FPGA), controller, microcontroller, microprocessor or other electronic components Implementation, for performing the above method for coronary stenosis assessment.
另外,本公开实施例提供的计算机可读存储介质即可以为上述包括程序指令的存储器702,上述程序指令可由电子设备70的处理器701执行以完成上述用于冠脉狭窄评估的方法。In addition, the computer-readable storage medium provided by the embodiment of the present disclosure may be the above-mentioned memory 702 including program instructions, and the above-mentioned program instructions may be executed by the processor 701 of the electronic device 70 to complete the above method for coronary stenosis assessment.
以上结合附图详细描述了本公开的优选实施方式,但是,本公开并不限于上述实施方式中的具体细节,在本公开的技术构思范围内,可以对本公开的技术方案进行多种简单变型,这些简单变型均属于本公开的保护范围。The preferred embodiments of the present disclosure have been described in detail above with reference to the drawings. However, the present disclosure is not limited to the specific details in the above embodiments. Within the scope of the technical concept of the present disclosure, various simple modifications can be made to the technical solutions of the present disclosure. These simple modifications all fall within the protection scope of the present disclosure.
另外需要说明的是,在上述具体实施方式中所描述的各个具体技术特征,在不矛盾的情况下,可以通过任何合适的方式进行组合,为了避免不必要的重复,本公开对各种可能的组合方式不再另行说明。In addition, it should be noted that the specific technical features described in the above specific embodiments can be combined in any suitable manner without contradictions. In order to avoid unnecessary repetition, the present disclosure The combination method will not be explained separately.
此外,本公开的各种不同的实施方式之间也可以进行任意组合,只要其不违背本公开的思想,其同样应当视为本公开所公开的内容。In addition, various combinations of various embodiments of the present disclosure can also be arbitrarily combined, as long as it does not violate the idea of the present disclosure, it should also be regarded as what is disclosed in the present disclosure.

Claims (10)

  1. 一种用于冠脉狭窄评估的方法,其特征在于,所述方法包括:A method for evaluating coronary stenosis, characterized in that the method includes:
    获取冠脉的血管造影图像;Obtain coronary angiography images;
    根据所述血管造影图像进行血管的三维重建,得到所述冠脉的三维血管模型;Performing three-dimensional reconstruction of the blood vessel according to the angiography image to obtain the three-dimensional blood vessel model of the coronary artery;
    针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,其中,所述目标分支为所述冠脉的任一分支;For the target branch of the coronary artery, a pressure drop test is performed on the three-dimensional blood vessel model to obtain a quadratic function relationship between blood flow and blood pressure of the target branch, wherein the target branch is the Any branch of the coronary artery;
    根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况。According to the constant coefficient of the quadratic function relationship, the coronary stenosis is evaluated.
  2. 根据权利要求1所述的方法,其特征在于,所述针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,包括:The method according to claim 1, wherein the target branch of the coronary artery is subjected to a pressure drop test on the three-dimensional blood vessel model to obtain the blood flow between the target branch and the blood flow pressure Of the quadratic function, including:
    调整所述目标分支的血流量,并记录每一血流量下的血流压力,得到多组包括血流量以及该血流量对应的血流压力的样本数据;Adjusting the blood flow of the target branch, and recording the blood flow pressure under each blood flow to obtain multiple sets of sample data including blood flow and blood flow pressure corresponding to the blood flow;
    根据多组样本数据绘制血流量与血流压力之间的曲线关系;Draw the curve relationship between blood flow and blood flow pressure based on multiple sets of sample data;
    采用最小二乘法拟合所述曲线,得到所述二次函数关系。The least square method is used to fit the curve to obtain the quadratic function relationship.
  3. 根据权利要求2所述的方法,其特征在于,所述调整所述目标分支的血流量,并记录每一血流量下的血流压力,包括:The method according to claim 2, wherein the adjusting the blood flow of the target branch and recording the blood flow pressure at each blood flow includes:
    调整所述目标分支的血流量从0逐渐变化至100毫升每分钟,并且血流量每变化10毫升每分钟计算一次所述目标分支的血流压力。Adjust the blood flow of the target branch to gradually change from 0 to 100 ml per minute, and calculate the blood flow pressure of the target branch every time the blood flow changes by 10 ml per minute.
  4. 根据权利要求1至3中任一项所述的方法,其特征在于,血管的血流压力是血流量的二次函数,所述目标分支的血流量与血流压力之间的二次 函数关系为:Dp=A*Q 2+BQ; The method according to any one of claims 1 to 3, wherein the blood flow pressure of the blood vessel is a quadratic function of blood flow, and the quadratic function relationship between the blood flow of the target branch and the blood flow pressure Is: Dp = A * Q 2 + BQ;
    其中,Dp为血流压力,Q为血流量,A为二次常数系数,B为线性常数系数。Among them, Dp is the blood flow pressure, Q is the blood flow, A is the quadratic constant coefficient, and B is the linear constant coefficient.
  5. 根据权利要求4所述的方法,其特征在于,所述根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况,包括:The method according to claim 4, wherein the assessing the coronary stenosis according to the constant coefficient of the quadratic function relationship includes:
    分别确定A和B的数值所处的预设数值区间;Determine the preset value interval of the values of A and B respectively;
    根据A和B所处预设数值区间的组合与血流储备分数FFR数值之间的对应关系,确定所述目标分支的FFR数值。The FFR value of the target branch is determined according to the correspondence between the combination of the preset value interval between A and B and the FFR value of the blood flow reserve fraction.
  6. 一种用于冠脉狭窄评估的装置,其特征在于,所述装置包括:A device for evaluating coronary stenosis, characterized in that the device includes:
    获取模块,用于获取冠脉的血管造影图像;The acquisition module is used to acquire coronary angiography images;
    三维重建模块,用于根据所述血管造影图像进行血管的三维重建,得到所述冠脉的三维血管模型;A three-dimensional reconstruction module, configured to perform three-dimensional reconstruction of blood vessels based on the angiography image to obtain a three-dimensional blood vessel model of the coronary artery;
    压降测试模块,用于针对所述冠脉的目标分支,在所述三维血管模型上进行压降测试,得到所述目标分支的血流量与血流压力之间的二次函数关系,其中,所述目标分支为所述冠脉的任一分支;The pressure drop test module is configured to perform a pressure drop test on the three-dimensional blood vessel model for the target branch of the coronary artery to obtain a quadratic function relationship between blood flow and blood flow pressure of the target branch, wherein, The target branch is any branch of the coronary artery;
    评估模块,用于根据所述二次函数关系的常数系数,评估所述冠脉的狭窄状况。The evaluation module is configured to evaluate the coronary stenosis according to the constant coefficient of the quadratic function relationship.
  7. 根据权利要求6所述的装置,其特征在于,所述压降测试模块包括:The device according to claim 6, wherein the voltage drop test module comprises:
    采样子模块,用于调整所述目标分支的血流量,并记录每一血流量下的血流压力,得到多组包括血流量以及该血流量对应的血流压力的样本数据;A sampling sub-module for adjusting the blood flow of the target branch and recording the blood flow pressure under each blood flow to obtain multiple sets of sample data including the blood flow and the blood flow pressure corresponding to the blood flow;
    曲线绘制子模块,用于根据多组样本数据绘制血流量与血流压力之间的曲线关系;Curve drawing submodule, used to draw the curve relationship between blood flow and blood flow pressure based on multiple sets of sample data;
    拟合子模块,用于采用最小二乘法拟合所述曲线,得到所述二次函数关系。The fitting submodule is used to fit the curve by least square method to obtain the quadratic function relationship.
  8. 根据权利要求6或7所述的装置,其特征在于,血管的血流压力是血流量的二次函数,所述目标分支的血流量与血流压力之间的二次函数关系为:Dp=A*Q 2+BQ,其中,Dp为血流压力,Q为血流量,A为二次常数系数,B为线性常数系数; The device according to claim 6 or 7, wherein the blood flow pressure of the blood vessel is a quadratic function of blood flow, and the quadratic function relationship between the blood flow of the target branch and the blood flow pressure is: Dp = A * Q 2 + BQ, where Dp is the blood flow pressure, Q is the blood flow, A is the quadratic constant coefficient, and B is the linear constant coefficient;
    所述评估模块包括:The evaluation module includes:
    第一确定子模块,用于分别确定A和B的数值所处的预设数值区间;The first determining submodule is used to determine the preset value interval where the values of A and B are respectively located;
    第二确定子模块,用于根据A和B所处预设数值区间的组合与血流储备分数FFR数值之间的对应关系,确定所述目标分支的FFR数值。The second determination submodule is used to determine the FFR value of the target branch according to the correspondence between the combination of the preset value interval between A and B and the blood flow reserve FFR value.
  9. 一种计算机可读存储介质,其上存储有计算机程序,其特征在于,该程序被处理器执行时实现权利要求1-5中任一项所述方法的步骤。A computer-readable storage medium on which a computer program is stored, characterized in that when the program is executed by a processor, the steps of the method according to any one of claims 1-5 are realized.
  10. 一种电子设备,其特征在于,包括:An electronic device, characterized in that it includes:
    存储器,其上存储有计算机程序;Memory, on which computer programs are stored;
    处理器,用于执行所述存储器中的所述计算机程序,以实现权利要求1-5中任一项所述方法的步骤。A processor, configured to execute the computer program in the memory, to implement the steps of the method according to any one of claims 1-5.
PCT/CN2019/115347 2018-11-06 2019-11-04 Method and apparatus for coronary stenosis assessment, storage medium, and electronic device WO2020093971A1 (en)

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Publication number Priority date Publication date Assignee Title
CN107123159A (en) * 2017-01-23 2017-09-01 上海联影医疗科技有限公司 blood flow state analysis system and method
CN108550388A (en) * 2018-01-12 2018-09-18 深圳科亚医疗科技有限公司 The device and system of calculating vascular flow parameter based on angiography
US20180271468A1 (en) * 2015-01-15 2018-09-27 Koninklijke Philips N.V Ifr-ct
CN109616200A (en) * 2018-11-06 2019-04-12 北京三普威盛科技有限公司 For the method for coronary stenosis assessment, device, storage medium and electronic equipment

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* Cited by examiner, † Cited by third party
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US8315812B2 (en) * 2010-08-12 2012-11-20 Heartflow, Inc. Method and system for patient-specific modeling of blood flow
CN107411767B (en) * 2017-06-28 2020-10-16 西北工业大学 Narrow focus blood flow resistance calculation method based on coronary artery CT angiography
CN107730540B (en) * 2017-10-09 2020-11-17 全景恒升(北京)科学技术有限公司 Coronary parameter calculation method based on high-precision matching model

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180271468A1 (en) * 2015-01-15 2018-09-27 Koninklijke Philips N.V Ifr-ct
CN107123159A (en) * 2017-01-23 2017-09-01 上海联影医疗科技有限公司 blood flow state analysis system and method
CN108550388A (en) * 2018-01-12 2018-09-18 深圳科亚医疗科技有限公司 The device and system of calculating vascular flow parameter based on angiography
CN109616200A (en) * 2018-11-06 2019-04-12 北京三普威盛科技有限公司 For the method for coronary stenosis assessment, device, storage medium and electronic equipment

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