WO2022109908A1 - Method and system for adjusting vascular stenosis zone, and storage medium - Google Patents

Method and system for adjusting vascular stenosis zone, and storage medium Download PDF

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WO2022109908A1
WO2022109908A1 PCT/CN2020/131704 CN2020131704W WO2022109908A1 WO 2022109908 A1 WO2022109908 A1 WO 2022109908A1 CN 2020131704 W CN2020131704 W CN 2020131704W WO 2022109908 A1 WO2022109908 A1 WO 2022109908A1
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Prior art keywords
stenosis
interval
point
curve
diameter
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PCT/CN2020/131704
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French (fr)
Chinese (zh)
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王之元
刘广志
王鹏
徐磊
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苏州润迈德医疗科技有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/50Clinical applications
    • A61B6/504Clinical applications involving diagnosis of blood vessels, e.g. by angiography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/02Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computerised tomographs
    • A61B6/032Transmission computed tomography [CT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/52Devices using data or image processing specially adapted for radiation diagnosis
    • A61B6/5205Devices using data or image processing specially adapted for radiation diagnosis involving processing of raw data to produce diagnostic data
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F17/00Digital computing or data processing equipment or methods, specially adapted for specific functions
    • G06F17/10Complex mathematical operations
    • G06F17/15Correlation function computation including computation of convolution operations

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  • the present invention relates to the technical field of coronary medicine, in particular to a method, a system and a storage medium for adjusting a vascular stenosis interval.
  • FFR is one of the coronary vascular evaluation parameters, and the microcirculation resistance index IMR belongs to the coronary vascular evaluation parameters.
  • the existing technology always tries to automatically determine the stenosis interval of blood vessels through algorithms.
  • due to the errors brought by the imaging equipment and the diversity of the patient's blood vessel conditions it is impossible to obtain the correct stenosis every time only through pixel information.
  • the user In the process of automatically judging the stenosis interval of the blood vessel through the algorithm, the user must reconfirm the result based on his own experience.
  • the invention provides a method, a system and a storage medium for adjusting the stenosis interval of blood vessels, so as to solve the problem that the stenosis interval of blood vessels cannot be automatically and accurately judged by algorithm alone, and provide a suitable manual interaction tool for users to adjust and confirm the results. .
  • the present application provides a method for adjusting a vascular stenosis interval, including:
  • a sliding rod is arranged on the corrected pipe diameter curve, one end of the sliding rod corresponds to the starting point, and one end of the sliding rod corresponds to the ending point;
  • the marks corresponding to the start point and the end point respectively slide corresponding distances on the corrected diameter curve, that is, the vascular stenosis interval is adjusted.
  • the method for obtaining a corrected diameter curve of a blood vessel includes:
  • the diameter curve obtained from the stenotic lesion vessel segment is a corrected diameter curve.
  • the method for obtaining a stenotic lesion vessel segment according to the fitted caliber curve and the true caliber curve includes:
  • the third stenosis lesion interval according to the stenosis point, that is, the precise stenosis lesion interval, the stenosis start point and the end point;
  • the diameter curve obtained in the third stenosis lesion interval is a corrected diameter curve.
  • the method for fitting a normal vascular diameter and obtaining a fitting diameter curve includes:
  • i represents the curve sampling point of the ith pipe diameter
  • n represents the sum of the number of pipe diameter curve sampling
  • xi represents the length of the curve sampling point of the ith pipe diameter
  • y i represents the pipe diameter at xi ;
  • the method for obtaining the first stenosis interval according to the fitted caliber curve and the true caliber curve includes:
  • the intersection is the first entry point of the narrow area, otherwise, the intersection is the first exit of the narrow area point;
  • the curve between the first entry point and the first exit point is the preliminarily determined stenosis position, that is, the first stenotic lesion interval.
  • the method for removing a misjudged stenosis area from the first stenotic lesion interval to obtain a second stenotic lesion interval includes;
  • a second stenotic lesion interval is obtained by removing a misjudged stenotic region from the first stenotic lesion interval according to the stenosis degree and/or the blood vessel centerline length.
  • the method for calculating a stenosis degree includes:
  • A represents the stenosis degree of the blood vessel
  • D min represents the minimum diameter of the blood vessel between the first entry point and the first exit point
  • D in and D out represent the vessel diameter of the first entry point and the first exit point, respectively vascular diameter.
  • the method for obtaining a second stenotic lesion interval by removing a misjudged stenotic area from the first stenotic lesion interval according to the stenosis degree and/or the length of the blood vessel centerline include:
  • the stenotic area obtained after removing the misjudged area is the second stenotic lesion interval.
  • the method for refitting a vessel diameter interval curve according to the second stenotic lesion interval, and the method for obtaining a stenosis point includes:
  • the point with the smallest pipe diameter in the refitted pipe diameter interval curve is obtained as the stenosis point.
  • the method for obtaining a third stenosis lesion interval according to the stenosis point includes:
  • the two points where the fitted pipe diameter interval curve and the real pipe diameter curve intersect are a second entry point and a second exit point, and the second entry point and the second The interval between the exit points is the third stenotic lesion interval, the second entry point is the stenosis start point, and the second exit point is the stenosis exit point.
  • the present application provides a system for adjusting a vascular stenosis interval, including: a device for obtaining a vessel diameter curve, a device for obtaining a vascular stenosis interval, a marking device and a sliding device;
  • the device for obtaining the diameter curve is used to obtain the corrected diameter curve of the obtained blood vessel
  • the vascular stenosis interval acquisition device is connected to the vessel diameter curve acquisition device, and is used for acquiring the vascular stenosis starting point, the ending point and the vascular stenosis interval;
  • the marking device which is connected to the vascular stenosis interval acquiring device, is used for setting markers on the starting point and the ending point respectively;
  • the sliding device is connected with the tube diameter curve acquisition device, the blood vessel stenosis interval acquisition device, and the marking device, and is used to set a sliding rod on the corrected tube diameter curve, and one end of the sliding rod corresponds to the The starting point, one end of the sliding rod corresponds to the ending point; if the sliding rod is slid, the marks corresponding to the starting point and the ending point respectively slide corresponding distances on the corrected pipe diameter curve, that is, The vascular stenosis interval is adjusted.
  • the device for obtaining a vascular stenosis interval includes a first stenosis lesion unit, a second stenosis lesion unit, a stenosis point unit and a third stenosis lesion unit;
  • the first stenosis lesion unit is connected to the vessel diameter curve obtaining device, and is configured to obtain the first stenosis lesion interval according to the fitted vessel diameter curve and the real vessel diameter curve;
  • the second stenotic lesion unit connected to the first stenotic lesion unit, and configured to remove a misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval;
  • the stenosis point unit is connected to the pipe diameter curve obtaining device, and is used for obtaining the stenosis point according to the fitted pipe diameter interval curve;
  • the third stenosis lesion unit is connected to the stenosis point unit and the vessel diameter curve acquisition device, and is used for acquiring a third stenosis lesion interval according to the stenosis point, that is, a precise stenosis lesion interval.
  • the present application provides a computer storage medium, and when the computer program is executed by a processor, the above-mentioned method for adjusting a blood vessel stenosis interval is implemented.
  • the present application provides a method for adjusting the vascular stenosis interval, a method for realizing manual interaction and automatic algorithm coordination through a sliding rod, integrating the concept of human factors engineering into the operation and design of adjusting the vascular stenosis interval, allowing users to quickly confirm the blood vessel Narrow range, reduce the difficulty of operation and improve work efficiency.
  • FIG. 1 is a flowchart of a method for adjusting a vascular stenosis interval according to the present application
  • Fig. 2 is the flow chart of S100 of this application.
  • FIG. 4 is a flowchart of S140 of the application.
  • FIG. 8 is a structural block diagram of a system for adjusting a vascular stenosis interval according to the present application.
  • FIG. 9 is a structural block diagram of the apparatus 200 for obtaining a vascular stenosis interval according to the present application.
  • the present application provides a method for adjusting a vascular stenosis interval, including:
  • i represents the curve sampling point of the ith pipe diameter
  • n represents the sum of the number of pipe diameter curve sampling
  • xi represents the length of the curve sampling point of the ith pipe diameter
  • y i represents the pipe diameter at xi ;
  • the diameter curve obtained from the stenotic lesion vessel segment is a corrected diameter curve, including:
  • a first stenosis lesion interval including:
  • the curve between the first entry point and the first exit point is the initially determined stenosis position, that is, the first stenotic lesion interval.
  • S1421 calculate the stenosis, the specific formula: Among them, A represents the stenosis degree of the blood vessel, D min represents the minimum diameter of the blood vessel between the first entry point and the first exit point, D in and D out represent the vessel diameter of the first entry point and the first exit point, respectively vascular diameter.
  • S1423 remove the misjudged stenosis region from the first stenosis lesion interval according to the stenosis degree and/or the length of the blood vessel centerline to obtain a second stenosis lesion interval, including:
  • the stenotic region obtained after removing the misjudged region is the second stenotic lesion interval.
  • a third stenosis lesion interval according to the stenosis point that is, an accurate stenosis lesion interval, a stenosis start point and an end point, including: on both sides of the stenosis point, the fitted diameter interval curve and the real tube diameter interval
  • the two points where the diameter curve intersects are the second entry point and the second exit point, the interval between the second entry point and the second exit point is the third stenotic lesion interval, and the second entry point is the stenosis
  • the starting point, the second exit point is the narrow exit point.
  • the diameter curve obtained in the third stenosis lesion interval is a corrected diameter curve.
  • the present application provides a system for adjusting a vascular stenosis interval, including: a vessel diameter curve obtaining device 100 , a vessel stenosis interval obtaining device 200 , a marking device 300 and a sliding device 400 ; the vessel diameter curve obtaining device 100, used to obtain the modified diameter curve of the obtained blood vessel; the vessel stenosis interval obtaining device 200, connected to the vessel diameter curve obtaining device 100, is used to obtain the starting point, the ending point and the vessel stenosis interval of the vessel stenosis; the The marking device 300 is connected to the vascular stenosis interval obtaining device 200, and is used to set markers on the starting point and the ending point respectively; the sliding device 400 is connected to the vessel diameter curve obtaining device 100, the The vascular stenosis interval acquisition device 200 is connected to the marking device 300, and is used to set a sliding rod on the corrected diameter curve, one end of the sliding rod corresponds to the starting point, and one end of the sliding rod
  • the device 200 for obtaining a vascular stenosis interval includes a first stenosis lesion unit 210 , a second stenosis lesion unit 220 , a stenosis point unit 230 and a third stenosis lesion unit 240 ;
  • a stenosis lesion unit 210 connected to the vessel diameter curve obtaining device 100, for obtaining a first stenosis lesion section according to the fitted vessel diameter curve and the real vessel diameter curve;
  • the second stenosis lesion unit 220 connected to The first stenotic lesion unit 210 is connected to remove the misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval;
  • the stenosis point unit 230 is connected to the vessel diameter curve acquisition device
  • the third stenosis lesion unit 240 is connected to the stenosis point unit 230 and the vessel diameter curve obtaining device 100, and is
  • the present application provides a computer storage medium, and when the computer program is executed by a processor, the above-mentioned method for adjusting a vascular stenosis interval is implemented.
  • aspects of the present invention may be embodied as a system, method or computer program product. Accordingly, various aspects of the present invention may be embodied in the form of an entirely hardware implementation, an entirely software implementation (including firmware, resident software, microcode, etc.), or a combination of hardware and software aspects, It may be collectively referred to herein as a "circuit,” "module,” or “system.” Furthermore, in some embodiments, various aspects of the present invention may also be implemented in the form of a computer program product on one or more computer-readable media having computer-readable program code embodied thereon. Implementation of the method and/or system of embodiments of the present invention may involve performing or completing selected tasks manually, automatically, or a combination thereof.
  • hardware for performing selected tasks according to embodiments of the invention may be implemented as a chip or a circuit.
  • selected tasks according to embodiments of the invention may be implemented as a plurality of software instructions executed by a computer using any suitable operating system.
  • one or more tasks according to exemplary embodiments of the method and/or system as herein are performed by a data processor, such as a computing platform for executing a plurality of instructions.
  • the data processor includes volatile storage for storing instructions and/or data and/or non-volatile storage for storing instructions and/or data, such as a magnetic hard disk and/or a Move media.
  • a network connection is also provided.
  • a display and/or user input device, such as a keyboard or mouse, is optionally also provided.
  • the computer-readable medium may be a computer-readable signal medium or a computer-readable storage medium.
  • the computer-readable storage medium can be, for example, but not limited to, an electrical, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus or device, or a combination of any of the above. More specific examples (non-exhaustive list) of computer-readable storage media would include the following:
  • a computer-readable storage medium can be any tangible medium that contains or stores a program that can be used by or in conjunction with an instruction execution system, apparatus, or device.
  • a computer-readable signal medium may include a propagated data signal in baseband or as part of a carrier wave, with computer-readable program code embodied thereon. Such propagated data signals may take a variety of forms, including but not limited to electromagnetic signals, optical signals, or any suitable combination of the foregoing.
  • a computer-readable signal medium can also be any computer-readable medium other than a computer-readable storage medium that can transmit, propagate, or transport the program for use by or in connection with the instruction execution system, apparatus, or device .
  • Program code embodied on a computer-readable medium may be transmitted using any suitable medium, including but not limited to wireless, wireline, optical fiber cable, RF, etc., or any suitable combination of the foregoing.
  • computer program code for performing operations for various aspects of the invention may be written in any combination of one or more programming languages, including object-oriented programming languages such as Java, Smalltalk, C++, and conventional procedural programming languages, such as The "C" programming language or similar programming language.
  • the program code may execute entirely on the user's computer, partly on the user's computer, as a stand-alone software package, partly on the user's computer and partly on a remote computer, or entirely on the remote computer or server.
  • the remote computer may be connected to the user's computer through any kind of network - including a local area network (LAN) or a wide area network (WAN) - or may be connected to an external computer (eg using an Internet service provider via Internet connection).
  • LAN local area network
  • WAN wide area network
  • These computer program instructions can also be stored on a computer readable medium, the instructions cause a computer, other programmable data processing apparatus, or other device to operate in a particular manner, whereby the instructions stored on the computer readable medium produce the An article of manufacture of instructions implementing the functions/acts specified in one or more blocks of the flowcharts and/or block diagrams.
  • Computer program instructions can also be loaded on a computer (eg, a coronary artery analysis system) or other programmable data processing device to cause a series of operational steps to be performed on the computer, other programmable data processing device or other device to produce a computer-implemented process , such that instructions executing on a computer, other programmable apparatus, or other device provide a process for implementing the functions/acts specified in the flowchart and/or one or more block diagram blocks.
  • a computer eg, a coronary artery analysis system
  • other programmable data processing device to produce a computer-implemented process , such that instructions executing on a computer, other programmable apparatus, or other device provide a process for implementing the functions/acts specified in the flowchart and/or one or more block diagram blocks.

Abstract

A method and a system for adjusting a vascular stenosis zone, and a storage medium. Said method comprises: acquiring a corrected tube diameter curve of a blood vessel (S100); acquiring a start point and an end point of a vascular stenosis and a vascular stenosis zone (S200); respectively providing marks on the start point and the end point (S300); providing a sliding rod on the corrected tube diameter curve, one end of the sliding rod corresponding to the start point, and the other end of the sliding rod corresponding to the end point (S400); and if the sliding rod is slid, said marks respectively corresponding to the start point and the end point slide by corresponding distances on the corrected tube diameter curve, i.e. adjusting the vascular stenosis zone (S500). In said method, distortion of direct definition of a vascular stenosis zone is avoided, and the concept of human factors engineering is integrated, by means of a sliding rod, into the operation and design for adjusting the vascular stenosis zone. The combination of manual interaction and automated determination effectively improves accuracy, reduces the risk of using the automated determination algorithm only, and increases the robustness of the whole system.

Description

调节血管狭窄区间的方法、系统及存储介质Method, system and storage medium for adjusting vascular stenosis interval 技术领域technical field
本发明涉及冠状动脉医学技术领域,特别是涉及一种调节血管狭窄区间的方法、系统及存储介质。The present invention relates to the technical field of coronary medicine, in particular to a method, a system and a storage medium for adjusting a vascular stenosis interval.
背景技术Background technique
人体血液中的脂类及糖类物质在血管壁上的沉积将在血管壁上形成斑块,继而导致血管狭窄;特别是发生在心脏冠脉附近的血管狭窄将导致心肌供血不足,诱发冠心病、心绞痛等病症,对人类的健康造成严重威胁。据统计,我国现有冠心病患者约1100万人,心血管介入手术治疗患者数量每年增长大于10%。The deposition of lipids and carbohydrates in human blood on the blood vessel wall will form plaques on the blood vessel wall, which will then lead to vascular stenosis; especially the vascular stenosis near the coronary arteries of the heart will lead to insufficient blood supply to the heart muscle and induce coronary heart disease. , angina pectoris and other diseases pose a serious threat to human health. According to statistics, there are about 11 million coronary heart disease patients in my country, and the number of patients treated with cardiovascular interventional surgery is increasing by more than 10% every year.
冠脉造影CAG、计算机断层扫描CT等常规医用检测手段虽然可以显示心脏冠脉血管狭窄的严重程度,但是并不能准确评价冠脉的缺血情况。为提高冠脉血管功能评价的准确性,1993年Pijls提出了通过压力测定推算冠脉血管功能的新指标——血流储备分数(Fractional Flow Reserve,FFR),经过长期的基础与临床研究,FFR已成为冠脉狭窄功能性评价的金标准。Although conventional medical detection methods such as coronary angiography (CAG) and computed tomography (CT) can display the severity of coronary artery stenosis, they cannot accurately evaluate coronary ischemia. In order to improve the accuracy of coronary vascular function evaluation, in 1993, Pijls proposed a new index for calculating coronary vascular function through pressure measurement - Fractional Flow Reserve (FFR). After long-term basic and clinical research, FFR It has become the gold standard for functional evaluation of coronary stenosis.
FFR是冠状动脉血管评定参数的一种,微循环阻力指数IMR等属于冠状动脉血管评定参数。FFR is one of the coronary vascular evaluation parameters, and the microcirculation resistance index IMR belongs to the coronary vascular evaluation parameters.
现有技术总是试图通过算法自动判断血管的狭窄区间,但由于成像设备带来的误差,以及患者血管血管情况的多样性等多种原有,单纯通过像素信息无法每次都得到正确的狭窄区间,造成使用者在通过算法自动判断血管的狭窄区间的过程中,必须对结果结合自己的经验进行再次确认。The existing technology always tries to automatically determine the stenosis interval of blood vessels through algorithms. However, due to the errors brought by the imaging equipment and the diversity of the patient's blood vessel conditions, it is impossible to obtain the correct stenosis every time only through pixel information. In the process of automatically judging the stenosis interval of the blood vessel through the algorithm, the user must reconfirm the result based on his own experience.
发明内容SUMMARY OF THE INVENTION
本发明提供了一种调节血管狭窄区间的方法、系统及存储介质,以解决单 纯通过算法无法自动精准判断血管的狭窄区间,给使用者提供一款合适的人工交互工具,对结果进行调整并确认。The invention provides a method, a system and a storage medium for adjusting the stenosis interval of blood vessels, so as to solve the problem that the stenosis interval of blood vessels cannot be automatically and accurately judged by algorithm alone, and provide a suitable manual interaction tool for users to adjust and confirm the results. .
为实现上述目的,第一方面,本申请提供了一种调节血管狭窄区间的方法,包括:In order to achieve the above objects, in a first aspect, the present application provides a method for adjusting a vascular stenosis interval, including:
获取血管的修正管径曲线;Obtain the corrected diameter curve of the blood vessel;
获取血管狭窄起始点、结束点以及血管狭窄区间;Obtain the start point, end point and stenosis interval of vascular stenosis;
在所述起始点、所述结束点上分别设置标记;respectively setting marks on the starting point and the ending point;
在所述修正管径曲线上设置滑动杆,所述滑动杆一端对应所述起始点,所述滑动杆一端对应所述结束点;A sliding rod is arranged on the corrected pipe diameter curve, one end of the sliding rod corresponds to the starting point, and one end of the sliding rod corresponds to the ending point;
如果滑动滑动杆,则所述起始点和所述结束点分别对应的标记在所述修正管径曲线上均发生相应距离的滑动,即调节了所述血管狭窄区间。If the sliding rod is slid, the marks corresponding to the start point and the end point respectively slide corresponding distances on the corrected diameter curve, that is, the vascular stenosis interval is adjusted.
可选地,上述的调节血管狭窄区间的方法,所述获取血管的修正管径曲线的方法包括:Optionally, in the above-mentioned method for adjusting a blood vessel stenosis interval, the method for obtaining a corrected diameter curve of a blood vessel includes:
从所述冠脉造影图像上获取真实管径曲线;Obtain the real diameter curve from the coronary angiography image;
拟合正常血管管径,获取拟合管径曲线;Fit the normal blood vessel diameter and obtain the fitted diameter curve;
根据所述拟合管径曲线和真实管径曲线,获取狭窄病变血管段;According to the fitted diameter curve and the real diameter curve, obtain the stenotic lesion vessel segment;
从所述狭窄病变血管段获取的管径曲线为修正管径曲线。The diameter curve obtained from the stenotic lesion vessel segment is a corrected diameter curve.
可选地,上述的调节血管狭窄区间的方法,所述根据所述拟合管径曲线和真实管径曲线,获取狭窄病变血管段的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for obtaining a stenotic lesion vessel segment according to the fitted caliber curve and the true caliber curve includes:
根据所述拟合管径曲线和真实管径曲线,获取第一狭窄病变区间;obtaining the first stenotic lesion interval according to the fitted diameter curve and the real diameter curve;
从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间;Remove the misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval;
根据所述第二狭窄病变区间重新拟合管径区间曲线,获取狭窄点;Re-fit the diameter interval curve according to the second stenosis lesion interval to obtain stenosis points;
根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间、狭窄起始点和结束点;Obtaining the third stenosis lesion interval according to the stenosis point, that is, the precise stenosis lesion interval, the stenosis start point and the end point;
所述第三狭窄病变区间内获取的管径曲线为修正管径曲线。The diameter curve obtained in the third stenosis lesion interval is a corrected diameter curve.
可选地,上述的调节血管狭窄区间的方法,所述拟合正常血管管径,获取拟合管径曲线的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for fitting a normal vascular diameter and obtaining a fitting diameter curve includes:
根据拟合代价函数,获取拟合管径,具体公式为
Figure PCTCN2020131704-appb-000001
According to the fitting cost function, the fitted pipe diameter is obtained, and the specific formula is:
Figure PCTCN2020131704-appb-000001
其中,i表示第i个管径的曲线采样点;n表示管径曲线采样数量的总和;x i表示第i个管径的曲线采样点的长度;y i表示在x i处的管径; Among them, i represents the curve sampling point of the ith pipe diameter; n represents the sum of the number of pipe diameter curve sampling; xi represents the length of the curve sampling point of the ith pipe diameter; y i represents the pipe diameter at xi ;
将每个所述拟合管径对应到坐标系中获得相应的管径点,将所述管径点依次平滑连接,获取所述拟合管径曲线。Corresponding each of the fitted pipe diameters to a coordinate system to obtain a corresponding pipe diameter point, and smoothly connecting the pipe diameter points in turn to obtain the fitted pipe diameter curve.
可选地,上述的调节血管狭窄区间的方法,所述根据所述拟合管径曲线和真实管径曲线,获取第一狭窄区间的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for obtaining the first stenosis interval according to the fitted caliber curve and the true caliber curve includes:
获取所述血管的真实管径;Obtain the true diameter of the blood vessel;
将所述真实管径对应到拟合管径曲线的坐标系中;Corresponding the real pipe diameter to the coordinate system of the fitted pipe diameter curve;
获取所述真实管径曲线,以及所述真实管径曲线与所述拟合管径曲线的交叉点;Obtain the true pipe diameter curve, and the intersection of the true pipe diameter curve and the fitted pipe diameter curve;
如果交叉点前一点的所述真实管径大于所述拟合管径,则所述交叉点为所述狭窄区域的第一入口点,反之,所述交叉点为所述狭窄区域的第一出口点;If the real pipe diameter at a point before the intersection is larger than the fitted pipe diameter, the intersection is the first entry point of the narrow area, otherwise, the intersection is the first exit of the narrow area point;
所述第一入口点和所述第一出口点之间的曲线为初步判定的狭窄位置,即所述第一狭窄病变区间。The curve between the first entry point and the first exit point is the preliminarily determined stenosis position, that is, the first stenotic lesion interval.
可选地,上述的调节血管狭窄区间的方法,所述从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间的方法包括;Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for removing a misjudged stenosis area from the first stenotic lesion interval to obtain a second stenotic lesion interval includes;
计算狭窄度;Calculate stenosis;
计算所述第一狭窄病变区间的血管中心线长度L;calculating the length L of the blood vessel centerline of the first stenotic lesion interval;
根据所述狭窄度和/或血管中心线长度从所述第一狭窄病变区间去除误判 的狭窄区域,获得第二狭窄病变区间。A second stenotic lesion interval is obtained by removing a misjudged stenotic region from the first stenotic lesion interval according to the stenosis degree and/or the blood vessel centerline length.
可选地,上述的调节血管狭窄区间的方法,所述计算狭窄度的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for calculating a stenosis degree includes:
Figure PCTCN2020131704-appb-000002
Figure PCTCN2020131704-appb-000002
其中,A表示血管的狭窄度,D min表示第一入口点与第一出口点之间的血管的最小管径,D 、D 分别表示第一入口点的血管管径和第一出口点的血管管径。 Among them, A represents the stenosis degree of the blood vessel, D min represents the minimum diameter of the blood vessel between the first entry point and the first exit point, D in and D out represent the vessel diameter of the first entry point and the first exit point, respectively vascular diameter.
可选地,上述的调节血管狭窄区间的方法,所述根据所述狭窄度和/或血管中心线长度从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for obtaining a second stenotic lesion interval by removing a misjudged stenotic area from the first stenotic lesion interval according to the stenosis degree and/or the length of the blood vessel centerline include:
如果A<0.2,则判断为误判区域,采用本区域的拟合管径曲线替代所述误判区域内的真实管径曲线;If A<0.2, it is judged as a misjudged area, and the fitted pipe diameter curve in this area is used to replace the real pipe diameter curve in the misjudged area;
如果L<5mm,则判断为误判区域,采用本区域的拟合管径曲线替代所述误判区域内的真实管径曲线;If L<5mm, it is judged as a misjudged area, and the fitted pipe diameter curve in this area is used to replace the real pipe diameter curve in the misjudged area;
去除误判区域后重新获得的狭窄区域,即为所述第二狭窄病变区间。The stenotic area obtained after removing the misjudged area is the second stenotic lesion interval.
可选地,上述的调节血管狭窄区间的方法,所述根据所述第二狭窄病变区间重新拟合管径区间曲线,获取狭窄点的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for refitting a vessel diameter interval curve according to the second stenotic lesion interval, and the method for obtaining a stenosis point includes:
取所述第一入口点前1~3cm,所述第一出口点后1~3cm之间的区域,根据所述拟合代价函数重新拟合管径区间曲线;Take the area between 1-3 cm before the first entry point and 1-3 cm after the first exit point, and re-fit the pipe diameter interval curve according to the fitting cost function;
获取所述重新拟合管径区间曲线中管径最小的点为狭窄点。The point with the smallest pipe diameter in the refitted pipe diameter interval curve is obtained as the stenosis point.
可选地,上述的调节血管狭窄区间的方法,所述根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间的方法包括:Optionally, in the above-mentioned method for adjusting a vascular stenosis interval, the method for obtaining a third stenosis lesion interval according to the stenosis point, that is, a precise stenosis lesion interval, includes:
在所述狭窄点两侧,所述拟合管径区间曲线与所述真实管径曲线交叉的两个点为第二入口点和第二出口点,所述第二入口点和所述第二出口点之间的区 间为第三狭窄病变区间,所述第二入口点为狭窄起始点,所述第二出口点为狭窄出口点。On both sides of the narrow point, the two points where the fitted pipe diameter interval curve and the real pipe diameter curve intersect are a second entry point and a second exit point, and the second entry point and the second The interval between the exit points is the third stenotic lesion interval, the second entry point is the stenosis start point, and the second exit point is the stenosis exit point.
第二方面,本申请提供了一种调节血管狭窄区间的系统,包括:管径曲线获取装置、血管狭窄区间获取装置、标记装置和滑动装置;In a second aspect, the present application provides a system for adjusting a vascular stenosis interval, including: a device for obtaining a vessel diameter curve, a device for obtaining a vascular stenosis interval, a marking device and a sliding device;
所述管径曲线获取装置,用于获取获取血管的修正管径曲线;The device for obtaining the diameter curve is used to obtain the corrected diameter curve of the obtained blood vessel;
所述血管狭窄区间获取装置,与所述管径曲线获取装置连接,用于获取血管狭窄起始点、结束点以及血管狭窄区间;The vascular stenosis interval acquisition device is connected to the vessel diameter curve acquisition device, and is used for acquiring the vascular stenosis starting point, the ending point and the vascular stenosis interval;
所述标记装置,与所述血管狭窄区间获取装置来接,用于在所述起始点、所述结束点上分别设置标记;the marking device, which is connected to the vascular stenosis interval acquiring device, is used for setting markers on the starting point and the ending point respectively;
所述滑动装置,与所述管径曲线获取装置、所述血管狭窄区间获取装置连接、所述标记装置连接,用于在所述修正管径曲线上设置滑动杆,所述滑动杆一端对应所述起始点,所述滑动杆一端对应所述结束点;如果滑动滑动杆,则所述起始点和所述结束点分别对应的标记在所述修正管径曲线上均发生相应距离的滑动,即调节了所述血管狭窄区间。The sliding device is connected with the tube diameter curve acquisition device, the blood vessel stenosis interval acquisition device, and the marking device, and is used to set a sliding rod on the corrected tube diameter curve, and one end of the sliding rod corresponds to the The starting point, one end of the sliding rod corresponds to the ending point; if the sliding rod is slid, the marks corresponding to the starting point and the ending point respectively slide corresponding distances on the corrected pipe diameter curve, that is, The vascular stenosis interval is adjusted.
可选地,上述的调节血管狭窄区间的系统,所述血管狭窄区间获取装置包括第一狭窄病变单元、第二狭窄病变单元、狭窄点单元和第三狭窄病变单元;Optionally, in the above-mentioned system for adjusting a vascular stenosis interval, the device for obtaining a vascular stenosis interval includes a first stenosis lesion unit, a second stenosis lesion unit, a stenosis point unit and a third stenosis lesion unit;
所述第一狭窄病变单元,与所述管径曲线获取装置连接,用于根据所述拟合管径曲线和真实管径曲线,获取第一狭窄病变区间;The first stenosis lesion unit is connected to the vessel diameter curve obtaining device, and is configured to obtain the first stenosis lesion interval according to the fitted vessel diameter curve and the real vessel diameter curve;
所述第二狭窄病变单元,与所述第一狭窄病变单元连接,用于从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间;the second stenotic lesion unit, connected to the first stenotic lesion unit, and configured to remove a misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval;
所述狭窄点单元,与所述管径曲线获取装置连接,用于根据拟合管径区间曲线获取狭窄点;The stenosis point unit is connected to the pipe diameter curve obtaining device, and is used for obtaining the stenosis point according to the fitted pipe diameter interval curve;
所述第三狭窄病变单元,与所述狭窄点单元、所述管径曲线获取装置连接,用于根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间。The third stenosis lesion unit is connected to the stenosis point unit and the vessel diameter curve acquisition device, and is used for acquiring a third stenosis lesion interval according to the stenosis point, that is, a precise stenosis lesion interval.
第三方面,本申请提供了一种计算机存储介质,计算机程序被处理器执行时实现上述的调节血管狭窄区间的方法。In a third aspect, the present application provides a computer storage medium, and when the computer program is executed by a processor, the above-mentioned method for adjusting a blood vessel stenosis interval is implemented.
本申请实施例提供的方案带来的有益效果至少包括:The beneficial effects brought by the solutions provided in the embodiments of the present application include at least:
本申请提供了一种调节血管狭窄区间的方法,通过滑动杆实现人工交互与自动化算法相配合的方法,将人因工程的概念融入调节血管狭窄区间的操作和设计,给使用者能够快速确认血管狭窄区间,降低操作难度,提高工作效率。The present application provides a method for adjusting the vascular stenosis interval, a method for realizing manual interaction and automatic algorithm coordination through a sliding rod, integrating the concept of human factors engineering into the operation and design of adjusting the vascular stenosis interval, allowing users to quickly confirm the blood vessel Narrow range, reduce the difficulty of operation and improve work efficiency.
附图说明Description of drawings
此处所说明的附图用来提供对本发明的进一步理解,构成本发明的一部分,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings described herein are used to provide further understanding of the present invention and constitute a part of the present invention. The exemplary embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention. In the attached image:
图1为本申请的调节血管狭窄区间的方法的流程图;1 is a flowchart of a method for adjusting a vascular stenosis interval according to the present application;
图2为本申请的S100的流程图;Fig. 2 is the flow chart of S100 of this application;
图3为本申请的S120的流程图;3 is a flowchart of S120 of the application;
图4为本申请的S140的流程图;FIG. 4 is a flowchart of S140 of the application;
图5为本申请的S141的流程图;5 is a flowchart of S141 of the application;
图6为本申请的S142的流程图;6 is a flowchart of S142 of the application;
图7为本申请的S143的流程图;7 is a flowchart of S143 of the application;
图8为本申请的调节血管狭窄区间的系统的结构框图;8 is a structural block diagram of a system for adjusting a vascular stenosis interval according to the present application;
图9为本申请的血管狭窄区间获取装置200的结构框图。FIG. 9 is a structural block diagram of the apparatus 200 for obtaining a vascular stenosis interval according to the present application.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚,下面将结合本发明具体实施例及相应的附图对本发明技术方案进行清楚、完整地描述。显然,所描述的实施例仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施 例,都属于本发明保护的范围。In order to make the objectives, technical solutions and advantages of the present invention clearer, the technical solutions of the present invention will be clearly and completely described below with reference to the specific embodiments of the present invention and the corresponding drawings. Obviously, the described embodiments are only some, but not all, embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by those of ordinary skill in the art without making creative efforts all belong to the protection scope of the present invention.
以下将以图式揭露本发明的多个实施方式,为明确说明起见,许多实务上的细节将在以下叙述中一并说明。然而,应了解到,这些实务上的细节不应用以限制本发明。也就是说,在本发明的部分实施方式中,这些实务上的细节是非必要的。此外,为简化图式起见,一些习知惯用的结构与组件在图式中将以简单的示意的方式绘示之。Various embodiments of the present invention will be disclosed in the drawings below, and for the sake of clarity, many practical details will be described together in the following description. It should be understood, however, that these practical details should not be used to limit the invention. That is, in some embodiments of the invention, these practical details are unnecessary. In addition, for the purpose of simplifying the drawings, some well-known structures and components will be shown in a simple schematic manner in the drawings.
在冠状动脉造影图像中,需要结合流体力学分析计算冠状动脉血管评定参数,而现有技术中没有用于流体力学分析的血管三维网格模型。In coronary angiography images, evaluation parameters of coronary vessels need to be calculated in combination with hydrodynamic analysis, and there is no three-dimensional mesh model of vessels for hydrodynamic analysis in the prior art.
实施例1:Example 1:
如图1所示,本申请提供了一种调节血管狭窄区间的方法,包括:As shown in FIG. 1 , the present application provides a method for adjusting a vascular stenosis interval, including:
S100,如图2所示,获取血管的修正管径曲线,包括:S100 , as shown in FIG. 2 , obtain the corrected diameter curve of the blood vessel, including:
S110,从所述冠脉造影图像上获取真实管径曲线;S110, obtaining a real diameter curve from the coronary angiography image;
S120,如图3所示,拟合正常血管管径,获取拟合管径曲线,包括:S120, as shown in FIG. 3, fitting a normal blood vessel diameter, and obtaining a fitting diameter curve, including:
S121,根据拟合代价函数,获取拟合管径,具体公式为:S121, obtain the fitted pipe diameter according to the fitting cost function, and the specific formula is:
Figure PCTCN2020131704-appb-000003
Figure PCTCN2020131704-appb-000003
其中,i表示第i个管径的曲线采样点;n表示管径曲线采样数量的总和;x i表示第i个管径的曲线采样点的长度;y i表示在x i处的管径; Among them, i represents the curve sampling point of the ith pipe diameter; n represents the sum of the number of pipe diameter curve sampling; xi represents the length of the curve sampling point of the ith pipe diameter; y i represents the pipe diameter at xi ;
S122,将每个所述拟合管径对应到坐标系中获得相应的管径点,将所述管径点依次平滑连接,获取所述拟合管径曲线。S122: Corresponding each of the fitted pipe diameters to a coordinate system to obtain a corresponding pipe diameter point, and smoothly connecting the pipe diameter points in sequence to obtain the fitted pipe diameter curve.
S130,根据所述拟合管径曲线和真实管径曲线,获取狭窄病变血管段;S130, obtaining the stenotic lesion vessel segment according to the fitted diameter curve and the real diameter curve;
S140,如图4所示,从所述狭窄病变血管段获取的管径曲线为修正管径曲线,包括:S140, as shown in FIG. 4, the diameter curve obtained from the stenotic lesion vessel segment is a corrected diameter curve, including:
S141,如图5所示,根据所述拟合管径曲线和真实管径曲线,获取第一狭窄病变区间,包括:S141, as shown in FIG. 5, according to the fitted diameter curve and the real diameter curve, obtain a first stenosis lesion interval, including:
S1411,获取所述血管的真实管径;S1411, obtaining the true diameter of the blood vessel;
S1412,将所述真实管径对应到拟合管径曲线的坐标系中;S1412, corresponding to the real pipe diameter in the coordinate system of the fitted pipe diameter curve;
S1413,获取所述真实管径曲线,以及所述真实管径曲线与所述拟合管径曲线的交叉点;S1413, obtaining the real pipe diameter curve and the intersection of the real pipe diameter curve and the fitted pipe diameter curve;
S1414,如果交叉点前一点的所述真实管径大于所述拟合管径,则所述交叉点为所述狭窄区域的第一入口点,反之,所述交叉点为所述狭窄区域的第一出口点;S1414, if the real pipe diameter at a point before the intersection is greater than the fitted pipe diameter, the intersection is the first entry point of the narrow area, otherwise, the intersection is the first entry point of the narrow area an exit point;
S1415,所述第一入口点和所述第一出口点之间的曲线为初步判定的狭窄位置,即所述第一狭窄病变区间。S1415, the curve between the first entry point and the first exit point is the initially determined stenosis position, that is, the first stenotic lesion interval.
S142,如图6所示,从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间,包括:S142 , as shown in FIG. 6 , remove the misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval, including:
S1421,计算狭窄度,具体公式:
Figure PCTCN2020131704-appb-000004
其中,A表示血管的狭窄度,D min表示第一入口点与第一出口点之间的血管的最小管径,D 、D 分别表示第一入口点的血管管径和第一出口点的血管管径。
S1421, calculate the stenosis, the specific formula:
Figure PCTCN2020131704-appb-000004
Among them, A represents the stenosis degree of the blood vessel, D min represents the minimum diameter of the blood vessel between the first entry point and the first exit point, D in and D out represent the vessel diameter of the first entry point and the first exit point, respectively vascular diameter.
S1422,计算所述第一狭窄病变区间的血管中心线长度L;S1422, calculating the length L of the blood vessel centerline of the first stenotic lesion interval;
S1423,根据所述狭窄度和/或血管中心线长度从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间,包括:S1423, remove the misjudged stenosis region from the first stenosis lesion interval according to the stenosis degree and/or the length of the blood vessel centerline to obtain a second stenosis lesion interval, including:
I)如果A<0.2,则判断为误判区域,采用本区域的拟合管径曲线替代所述误判区域内的真实管径曲线;1) if A<0.2, then it is judged to be a misjudged area, and the fitted pipe diameter curve of this area is used to replace the true pipe diameter curve in the misjudged area;
II)如果L<5mm,则判断为误判区域,采用本区域的拟合管径曲线替代所述误判区域内的真实管径曲线;II) If L<5mm, it is judged as a misjudged area, and the fitted pipe diameter curve in this area is used to replace the real pipe diameter curve in the misjudged area;
III)去除误判区域后重新获得的狭窄区域,即为所述第二狭窄病变区间。III) The stenotic region obtained after removing the misjudged region is the second stenotic lesion interval.
S143,如图7所示,根据所述第二狭窄病变区间重新拟合管径区间曲线,获取狭窄点,包括:S143 , as shown in FIG. 7 , re-fitting the diameter interval curve according to the second stenosis lesion interval to obtain stenosis points, including:
S1431,取所述第一入口点前1~3cm,所述第一出口点后1~3cm之间的区 域,根据所述拟合代价函数重新拟合管径区间曲线;S1431, take the area between 1-3 cm before the first entry point and 1-3 cm after the first exit point, and re-fit the pipe diameter interval curve according to the fitting cost function;
S1432,获取所述重新拟合管径区间曲线中管径最小的点为狭窄点。S1432, acquiring the point with the smallest pipe diameter in the re-fitted pipe diameter interval curve as the stenosis point.
S144,根据所述狭窄点获取第三狭窄病变区间即为精确狭窄病变区间、狭窄起始点和结束点,包括:在所述狭窄点两侧,所述拟合管径区间曲线与所述真实管径曲线交叉的两个点为第二入口点和第二出口点,所述第二入口点和所述第二出口点之间的区间为第三狭窄病变区间,所述第二入口点为狭窄起始点,所述第二出口点为狭窄出口点。S144, obtaining a third stenosis lesion interval according to the stenosis point, that is, an accurate stenosis lesion interval, a stenosis start point and an end point, including: on both sides of the stenosis point, the fitted diameter interval curve and the real tube diameter interval The two points where the diameter curve intersects are the second entry point and the second exit point, the interval between the second entry point and the second exit point is the third stenotic lesion interval, and the second entry point is the stenosis The starting point, the second exit point is the narrow exit point.
S145,所述第三狭窄病变区间内获取的管径曲线为修正管径曲线。S145, the diameter curve obtained in the third stenosis lesion interval is a corrected diameter curve.
S200,获取血管狭窄起始点、结束点以及血管狭窄区间;S200, obtaining the starting point, the ending point and the stenosis interval of blood vessel stenosis;
S300,在所述起始点、所述结束点上分别设置标记;S300, setting marks on the starting point and the ending point respectively;
S400,在所述修正管径曲线上设置滑动杆,所述滑动杆一端对应所述起始点,所述滑动杆一端对应所述结束点;S400, setting a sliding rod on the corrected pipe diameter curve, one end of the sliding rod corresponds to the starting point, and one end of the sliding rod corresponds to the ending point;
S500,如果滑动滑动杆,则所述起始点和所述结束点分别对应的标记在所述修正管径曲线上均发生相应距离的滑动,即调节了所述血管狭窄区间。S500 , if the sliding rod is slid, the marks corresponding to the start point and the end point respectively slide by a corresponding distance on the corrected diameter curve, that is, the vascular stenosis interval is adjusted.
如图8所示,本申请提供了一种调节血管狭窄区间的系统,包括:管径曲线获取装置100、血管狭窄区间获取装置200、标记装置300和滑动装置400;所述管径曲线获取装置100,用于获取获取血管的修正管径曲线;所述血管狭窄区间获取装置200,与所述管径曲线获取装置100连接,用于获取血管狭窄起始点、结束点以及血管狭窄区间;所述标记装置300,与所述血管狭窄区间获取装置200来接,用于在所述起始点、所述结束点上分别设置标记;所述滑动装置400,与所述管径曲线获取装置100、所述血管狭窄区间获取装置200连接、所述标记装置300连接,用于在所述修正管径曲线上设置滑动杆,所述滑动杆一端对应所述起始点,所述滑动杆一端对应所述结束点;如果滑动滑动杆,则所述起始点和所述结束点分别对应的标记在所述修正管径曲线上均发生相应距离的滑动,即调节了所述血管狭窄区间。As shown in FIG. 8 , the present application provides a system for adjusting a vascular stenosis interval, including: a vessel diameter curve obtaining device 100 , a vessel stenosis interval obtaining device 200 , a marking device 300 and a sliding device 400 ; the vessel diameter curve obtaining device 100, used to obtain the modified diameter curve of the obtained blood vessel; the vessel stenosis interval obtaining device 200, connected to the vessel diameter curve obtaining device 100, is used to obtain the starting point, the ending point and the vessel stenosis interval of the vessel stenosis; the The marking device 300 is connected to the vascular stenosis interval obtaining device 200, and is used to set markers on the starting point and the ending point respectively; the sliding device 400 is connected to the vessel diameter curve obtaining device 100, the The vascular stenosis interval acquisition device 200 is connected to the marking device 300, and is used to set a sliding rod on the corrected diameter curve, one end of the sliding rod corresponds to the starting point, and one end of the sliding rod corresponds to the end point If the sliding bar is slid, the marks corresponding to the starting point and the ending point will slide corresponding distances on the corrected diameter curve, that is, the vascular stenosis interval is adjusted.
如图9所示,本申请的一个实施例中,血管狭窄区间获取装置200包括第一狭窄病变单元210、第二狭窄病变单元220、狭窄点单元230和第三狭窄病变单元240;所述第一狭窄病变单元210,与所述管径曲线获取装置100连接,用于根据所述拟合管径曲线和真实管径曲线,获取第一狭窄病变区间;所述第二狭窄病变单元220,与所述第一狭窄病变单元210连接,用于从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间;所述狭窄点单元230,与所述管径曲线获取装置连100接,用于根据拟合管径区间曲线获取狭窄点;所述第三狭窄病变单元240,与所述狭窄点单元230、所述管径曲线获取装置100连接,用于根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间。As shown in FIG. 9 , in an embodiment of the present application, the device 200 for obtaining a vascular stenosis interval includes a first stenosis lesion unit 210 , a second stenosis lesion unit 220 , a stenosis point unit 230 and a third stenosis lesion unit 240 ; A stenosis lesion unit 210, connected to the vessel diameter curve obtaining device 100, for obtaining a first stenosis lesion section according to the fitted vessel diameter curve and the real vessel diameter curve; the second stenosis lesion unit 220, connected to The first stenotic lesion unit 210 is connected to remove the misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval; the stenosis point unit 230 is connected to the vessel diameter curve acquisition device The third stenosis lesion unit 240 is connected to the stenosis point unit 230 and the vessel diameter curve obtaining device 100, and is used for obtaining the stenosis point according to the stenosis point. The third stenotic lesion interval is obtained, which is the precise stenotic lesion interval.
本申请提供了一种计算机存储介质,计算机程序被处理器执行时实现上述的调节血管狭窄区间的方法。The present application provides a computer storage medium, and when the computer program is executed by a processor, the above-mentioned method for adjusting a vascular stenosis interval is implemented.
所属技术领域的技术人员知道,本发明的各个方面可以实现为系统、方法或计算机程序产品。因此,本发明的各个方面可以具体实现为以下形式,即:完全的硬件实施方式、完全的软件实施方式(包括固件、驻留软件、微代码等),或硬件和软件方面结合的实施方式,这里可以统称为“电路”、“模块”或“系统”。此外,在一些实施例中,本发明的各个方面还可以实现为在一个或多个计算机可读介质中的计算机程序产品的形式,该计算机可读介质中包含计算机可读的程序代码。本发明的实施例的方法和/或系统的实施方式可以涉及到手动地、自动地或以其组合的方式执行或完成所选任务。As will be appreciated by one skilled in the art, various aspects of the present invention may be embodied as a system, method or computer program product. Accordingly, various aspects of the present invention may be embodied in the form of an entirely hardware implementation, an entirely software implementation (including firmware, resident software, microcode, etc.), or a combination of hardware and software aspects, It may be collectively referred to herein as a "circuit," "module," or "system." Furthermore, in some embodiments, various aspects of the present invention may also be implemented in the form of a computer program product on one or more computer-readable media having computer-readable program code embodied thereon. Implementation of the method and/or system of embodiments of the present invention may involve performing or completing selected tasks manually, automatically, or a combination thereof.
例如,可以将用于执行根据本发明的实施例的所选任务的硬件实现为芯片或电路。作为软件,可以将根据本发明的实施例的所选任务实现为由计算机使用任何适当操作系统执行的多个软件指令。在本发明的示例性实施例中,由数据处理器来执行如本文的根据方法和/或系统的示例性实施例的一个或多个 任务,诸如用于执行多个指令的计算平台。可选地,该数据处理器包括用于存储指令和/或数据的易失性储存器和/或用于存储指令和/或数据的非易失性储存器,例如,磁硬盘和/或可移动介质。可选地,也提供了一种网络连接。可选地也提供显示器和/或用户输入设备,诸如键盘或鼠标。For example, hardware for performing selected tasks according to embodiments of the invention may be implemented as a chip or a circuit. As software, selected tasks according to embodiments of the invention may be implemented as a plurality of software instructions executed by a computer using any suitable operating system. In an exemplary embodiment of the invention, one or more tasks according to exemplary embodiments of the method and/or system as herein are performed by a data processor, such as a computing platform for executing a plurality of instructions. Optionally, the data processor includes volatile storage for storing instructions and/or data and/or non-volatile storage for storing instructions and/or data, such as a magnetic hard disk and/or a Move media. Optionally, a network connection is also provided. A display and/or user input device, such as a keyboard or mouse, is optionally also provided.
可利用一个或多个计算机可读的任何组合。计算机可读介质可以是计算机可读信号介质或计算机可读存储介质。计算机可读存储介质例如可以是——但不限于——电、磁、光、电磁、红外线、或半导体的系统、装置或器件,或者任意以上的组合。计算机可读存储介质的更具体的例子(非穷举列表)将包括以下各项:Any combination of one or more computer readable may be utilized. The computer-readable medium may be a computer-readable signal medium or a computer-readable storage medium. The computer-readable storage medium can be, for example, but not limited to, an electrical, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus or device, or a combination of any of the above. More specific examples (non-exhaustive list) of computer-readable storage media would include the following:
具有一个或多个导线的电连接、便携式计算机盘、硬盘、随机存取存储器(RAM)、只读存储器(ROM)、可擦式可编程只读存储器(EPROM或闪存)、光纤、便携式紧凑盘只读存储器(CD-ROM)、光存储器件、磁存储器件、或者上述的任意合适的组合。在本文件中,计算机可读存储介质可以是任何包含或存储程序的有形介质,该程序可以被指令执行系统、装置或者器件使用或者与其结合使用。Electrical connection with one or more wires, portable computer disk, hard disk, random access memory (RAM), read only memory (ROM), erasable programmable read only memory (EPROM or flash memory), optical fiber, portable compact disk Read only memory (CD-ROM), optical storage device, magnetic storage device, or any suitable combination of the above. In this document, a computer-readable storage medium can be any tangible medium that contains or stores a program that can be used by or in conjunction with an instruction execution system, apparatus, or device.
计算机可读的信号介质可以包括在基带中或者作为载波一部分传播的数据信号,其中承载了计算机可读的程序代码。这种传播的数据信号可以采用多种形式,包括但不限于电磁信号、光信号或上述的任意合适的组合。计算机可读的信号介质还可以是计算机可读存储介质以外的任何计算机可读介质,该计算机可读介质可以发送、传播或者传输用于由指令执行系统、装置或者器件使用或者与其结合使用的程序。A computer-readable signal medium may include a propagated data signal in baseband or as part of a carrier wave, with computer-readable program code embodied thereon. Such propagated data signals may take a variety of forms, including but not limited to electromagnetic signals, optical signals, or any suitable combination of the foregoing. A computer-readable signal medium can also be any computer-readable medium other than a computer-readable storage medium that can transmit, propagate, or transport the program for use by or in connection with the instruction execution system, apparatus, or device .
计算机可读介质上包含的程序代码可以用任何适当的介质传输,包括(但不限于)无线、有线、光缆、RF等等,或者上述的任意合适的组合。Program code embodied on a computer-readable medium may be transmitted using any suitable medium, including but not limited to wireless, wireline, optical fiber cable, RF, etc., or any suitable combination of the foregoing.
例如,可用一个或多个编程语言的任何组合来编写用于执行用于本发明的 各方面的操作的计算机程序代码,包括诸如Java、Smalltalk、C++等面向对象编程语言和常规过程编程语言,诸如"C"编程语言或类似编程语言。程序代码可以完全地在用户计算机上执行、部分地在用户计算机上执行、作为一个独立的软件包执行、部分在用户计算机上部分在远程计算机上执行、或者完全在远程计算机或服务器上执行。在涉及远程计算机的情形中,远程计算机可以通过任意种类的网络--包括局域网(LAN)或广域网(WAN)-连接到用户计算机,或者,可以连接到外部计算机(例如利用因特网服务提供商来通过因特网连接)。For example, computer program code for performing operations for various aspects of the invention may be written in any combination of one or more programming languages, including object-oriented programming languages such as Java, Smalltalk, C++, and conventional procedural programming languages, such as The "C" programming language or similar programming language. The program code may execute entirely on the user's computer, partly on the user's computer, as a stand-alone software package, partly on the user's computer and partly on a remote computer, or entirely on the remote computer or server. In the case of a remote computer, the remote computer may be connected to the user's computer through any kind of network - including a local area network (LAN) or a wide area network (WAN) - or may be connected to an external computer (eg using an Internet service provider via Internet connection).
应当理解,流程图和/或框图的每个方框以及流程图和/或框图中各方框的组合,都可以由计算机程序指令实现。这些计算机程序指令可以提供给通用计算机、专用计算机或其它可编程数据处理装置的处理器,从而生产出一种机器,使得这些计算机程序指令在通过计算机或其它可编程数据处理装置的处理器执行时,产生了实现流程图和/或框图中的一个或多个方框中规定的功能/动作的装置。It will be understood that each block of the flowchart illustrations and/or block diagrams, and combinations of blocks in the flowchart illustrations and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to the processor of a general purpose computer, special purpose computer or other programmable data processing apparatus to produce a machine that causes the computer program instructions when executed by the processor of the computer or other programmable data processing apparatus , resulting in means for implementing the functions/acts specified in one or more blocks of the flowchart and/or block diagrams.
也可以把这些计算机程序指令存储在计算机可读介质中,这些指令使得计算机、其它可编程数据处理装置、或其它设备以特定方式工作,从而,存储在计算机可读介质中的指令就产生出包括实现流程图和/或框图中的一个或多个方框中规定的功能/动作的指令的制造品(article of manufacture)。These computer program instructions can also be stored on a computer readable medium, the instructions cause a computer, other programmable data processing apparatus, or other device to operate in a particular manner, whereby the instructions stored on the computer readable medium produce the An article of manufacture of instructions implementing the functions/acts specified in one or more blocks of the flowcharts and/or block diagrams.
还可将计算机程序指令加载到计算机(例如,冠状动脉分析系统)或其它可编程数据处理设备上以促使在计算机、其它可编程数据处理设备或其它设备上执行一系列操作步骤以产生计算机实现过程,使得在计算机、其它可编程装置或其它设备上执行的指令提供用于实现在流程图和/或一个或多个框图方框中指定的功能/动作的过程。Computer program instructions can also be loaded on a computer (eg, a coronary artery analysis system) or other programmable data processing device to cause a series of operational steps to be performed on the computer, other programmable data processing device or other device to produce a computer-implemented process , such that instructions executing on a computer, other programmable apparatus, or other device provide a process for implementing the functions/acts specified in the flowchart and/or one or more block diagram blocks.
本发明的以上的具体实例,对本发明的目的、技术方案和有益效果进行了进一步详细说明,所应理解的是,以上仅为本发明的具体实施例而已,并不用 于限制本发明,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above specific examples of the present invention further describe the purpose, technical solutions and beneficial effects of the present invention in detail. It should be understood that the above are only specific embodiments of the present invention, and are not intended to limit the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included within the protection scope of the present invention.

Claims (13)

  1. 一种调节血管狭窄区间的方法,其特征在于,包括:A method for adjusting a vascular stenosis interval, comprising:
    获取血管的修正管径曲线;Obtain the corrected diameter curve of the blood vessel;
    获取血管狭窄起始点、结束点以及血管狭窄区间;Obtain the start point, end point and stenosis interval of vascular stenosis;
    在所述起始点、所述结束点上分别设置标记;respectively setting marks on the starting point and the ending point;
    在所述修正管径曲线上设置滑动杆,所述滑动杆一端对应所述起始点,所述滑动杆一端对应所述结束点;A sliding rod is arranged on the corrected pipe diameter curve, one end of the sliding rod corresponds to the starting point, and one end of the sliding rod corresponds to the ending point;
    如果滑动滑动杆,则所述起始点和所述结束点分别对应的标记在所述修正管径曲线上均发生相应距离的滑动,即调节了所述血管狭窄区间。If the sliding rod is slid, the marks corresponding to the start point and the end point respectively slide corresponding distances on the corrected diameter curve, that is, the vascular stenosis interval is adjusted.
  2. 根据权利要求1所述的调节血管狭窄区间的方法,其特征在于,所述获取血管的修正管径曲线的方法包括:The method for adjusting a blood vessel stenosis interval according to claim 1, wherein the method for obtaining the corrected diameter curve of the blood vessel comprises:
    从所述冠脉造影图像上获取真实管径曲线;Obtain the real diameter curve from the coronary angiography image;
    拟合正常血管管径,获取拟合管径曲线;Fit the normal blood vessel diameter and obtain the fitted diameter curve;
    根据所述拟合管径曲线和真实管径曲线,获取狭窄病变血管段;According to the fitted diameter curve and the real diameter curve, obtain the stenotic lesion vessel segment;
    从所述狭窄病变血管段获取的管径曲线为修正管径曲线。The diameter curve obtained from the stenotic diseased vessel segment is a corrected diameter curve.
  3. 根据权利要求2所述的调节血管狭窄区间的方法,其特征在于,所述根据所述拟合管径曲线和真实管径曲线,获取狭窄病变血管段的方法包括:The method for adjusting a vascular stenosis interval according to claim 2, wherein the method for obtaining a stenotic lesion vessel segment according to the fitted caliber curve and the true caliber curve comprises:
    根据所述拟合管径曲线和真实管径曲线,获取第一狭窄病变区间;obtaining the first stenosis lesion interval according to the fitted diameter curve and the real diameter curve;
    从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间;Remove the misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval;
    根据所述第二狭窄病变区间重新拟合管径区间曲线,获取狭窄点;Refit the diameter interval curve according to the second stenotic lesion interval to obtain the stenosis point;
    根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间、狭窄起始点和结束点;Obtaining the third stenosis lesion interval according to the stenosis point, that is, the precise stenosis lesion interval, the stenosis start point and the end point;
    所述第三狭窄病变区间内获取的管径曲线为修正管径曲线。The diameter curve obtained in the third stenosis lesion interval is a corrected diameter curve.
  4. 根据权利要求3所述的调节血管狭窄区间的方法,其特征在于,所述拟 合正常血管管径,获取拟合管径曲线的方法包括:The method for regulating vascular stenosis interval according to claim 3, is characterized in that, described fitting normal blood vessel caliber, the method that obtains fitting caliber curve comprises:
    根据拟合代价函数,获取拟合管径,具体公式为
    Figure PCTCN2020131704-appb-100001
    According to the fitting cost function, the fitted pipe diameter is obtained, and the specific formula is:
    Figure PCTCN2020131704-appb-100001
    其中,i表示第i个管径的曲线采样点;n表示管径曲线采样数量的总和;x i表示第i个管径的曲线采样点的长度;y i表示在x i处的管径; Among them, i represents the curve sampling point of the ith pipe diameter; n represents the sum of the number of pipe diameter curve sampling; xi represents the length of the curve sampling point of the ith pipe diameter; y i represents the pipe diameter at xi ;
    将每个所述拟合管径对应到坐标系中获得相应的管径点,将所述管径点依次平滑连接,获取所述拟合管径曲线。Corresponding each of the fitted pipe diameters to a coordinate system to obtain a corresponding pipe diameter point, and smoothly connecting the pipe diameter points in turn to obtain the fitted pipe diameter curve.
  5. 根据权利要求4所述的调节血管狭窄区间的方法,其特征在于,所述根据所述拟合管径曲线和真实管径曲线,获取第一狭窄区间的方法包括:The method for adjusting a vascular stenosis interval according to claim 4, wherein the method for obtaining the first stenosis interval according to the fitted diameter curve and the real diameter curve comprises:
    获取所述血管的真实管径;Obtain the true diameter of the blood vessel;
    将所述真实管径对应到拟合管径曲线的坐标系中;Corresponding the real pipe diameter to the coordinate system of the fitted pipe diameter curve;
    获取所述真实管径曲线,以及所述真实管径曲线与所述拟合管径曲线的交叉点;Obtain the true pipe diameter curve, and the intersection of the true pipe diameter curve and the fitted pipe diameter curve;
    如果交叉点前一点的所述真实管径大于所述拟合管径,则所述交叉点为所述狭窄区域的第一入口点,反之,所述交叉点为所述狭窄区域的第一出口点;If the real pipe diameter at a point before the intersection is larger than the fitted pipe diameter, the intersection is the first entry point of the narrow area, otherwise, the intersection is the first exit of the narrow area point;
    所述第一入口点和所述第一出口点之间的曲线为初步判定的狭窄位置,即所述第一狭窄病变区间。The curve between the first entry point and the first exit point is the preliminarily determined stenosis position, that is, the first stenotic lesion interval.
  6. 根据权利要求5所述的调节血管狭窄区间的方法,其特征在于,所述从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间的方法包括;The method for adjusting a vascular stenosis interval according to claim 5, wherein the method for removing a misjudged stenosis area from the first stenotic lesion interval to obtain a second stenotic lesion interval comprises;
    计算狭窄度;Calculate stenosis;
    计算所述第一狭窄病变区间的血管中心线长度L;calculating the length L of the blood vessel centerline of the first stenotic lesion interval;
    根据所述狭窄度和/或血管中心线长度从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间。The misjudged stenosis region is removed from the first stenotic lesion interval according to the stenosis degree and/or the length of the blood vessel centerline, so as to obtain a second stenotic lesion interval.
  7. 根据权利要求6所述的调节血管狭窄区间的方法,其特征在于,所述计算狭窄度的方法包括:The method for adjusting a vascular stenosis interval according to claim 6, wherein the method for calculating the stenosis degree comprises:
    Figure PCTCN2020131704-appb-100002
    Figure PCTCN2020131704-appb-100002
    其中,A表示血管的狭窄度,D min表示第一入口点与第一出口点之间的血管的最小管径,D 、D 分别表示第一入口点的血管管径和第一出口点的血管管径。 Among them, A represents the stenosis degree of the blood vessel, D min represents the minimum diameter of the blood vessel between the first entry point and the first exit point, D in and D out represent the vessel diameter of the first entry point and the first exit point, respectively vascular diameter.
  8. 根据权利要求7所述的调节血管狭窄区间的方法,其特征在于,所述根据所述狭窄度和/或血管中心线长度从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间的方法包括:The method for adjusting a vascular stenosis interval according to claim 7, characterized in that, according to the stenosis degree and/or the length of the blood vessel centerline, the misjudged stenosis area is removed from the first stenotic lesion interval, and a second stenosis area is obtained. Methods of narrowing the lesion interval include:
    如果A<0.2,则判断为误判区域,采用本区域的拟合管径曲线替代所述误判区域内的真实管径曲线;If A<0.2, it is judged as a misjudged area, and the fitted pipe diameter curve in this area is used to replace the real pipe diameter curve in the misjudged area;
    如果L<5mm,则判断为误判区域,采用本区域的拟合管径曲线替代所述误判区域内的真实管径曲线;If L<5mm, it is judged as a misjudged area, and the fitted pipe diameter curve in this area is used to replace the real pipe diameter curve in the misjudged area;
    去除误判区域后重新获得的狭窄区域,即为所述第二狭窄病变区间。The stenotic area obtained after removing the misjudged area is the second stenotic lesion interval.
  9. 根据权利要求8所述的调节血管狭窄区间的方法,其特征在于,所述根据所述第二狭窄病变区间重新拟合管径区间曲线,获取狭窄点的方法包括:The method for adjusting a vascular stenosis interval according to claim 8, wherein the method for refitting a vessel diameter interval curve according to the second stenotic lesion interval, and obtaining a stenosis point comprises:
    取所述第一入口点前1~3cm,所述第一出口点后1~3cm之间的区域,根据所述拟合代价函数重新拟合管径区间曲线;Take the area between 1-3 cm before the first entry point and 1-3 cm after the first exit point, and re-fit the pipe diameter interval curve according to the fitting cost function;
    获取所述重新拟合管径区间曲线中管径最小的点为狭窄点。The point with the smallest pipe diameter in the refitted pipe diameter interval curve is obtained as the stenosis point.
  10. 根据权利要求9所述的调节血管狭窄区间的方法,其特征在于,所述根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间的方法包括:The method for adjusting a vascular stenosis interval according to claim 9, wherein the method for obtaining a third stenotic lesion interval, that is, an accurate stenotic lesion interval according to the stenosis point, comprises:
    在所述狭窄点两侧,所述拟合管径区间曲线与所述真实管径曲线交叉的两个点为第二入口点和第二出口点,所述第二入口点和所述第二出口点之间的区间为第三狭窄病变区间,所述第二入口点为狭窄起始点,所述第二出口点为狭 窄出口点。On both sides of the narrow point, the two points where the fitted pipe diameter interval curve and the real pipe diameter curve intersect are a second entry point and a second exit point, and the second entry point and the second The interval between the exit points is the third stenotic lesion interval, the second entry point is the stenosis start point, and the second exit point is the stenosis exit point.
  11. 一种调节血管狭窄区间的系统,其特征在于,包括:管径曲线获取装置、血管狭窄区间获取装置、标记装置和滑动装置;A system for adjusting a vascular stenosis interval, characterized in that it comprises: a device for obtaining a caliber curve, a device for obtaining a vascular stenosis interval, a marking device and a sliding device;
    所述管径曲线获取装置,用于获取获取血管的修正管径曲线;The device for obtaining the diameter curve is used to obtain the corrected diameter curve of the obtained blood vessel;
    所述血管狭窄区间获取装置,与所述管径曲线获取装置连接,用于获取血管狭窄起始点、结束点以及血管狭窄区间;The vascular stenosis interval acquisition device is connected to the vessel diameter curve acquisition device, and is used for acquiring the vascular stenosis starting point, the ending point and the vascular stenosis interval;
    所述标记装置,与所述血管狭窄区间获取装置来接,用于在所述起始点、所述结束点上分别设置标记;the marking device, which is connected to the vascular stenosis interval acquiring device, is used to set markers on the starting point and the ending point respectively;
    所述滑动装置,与所述管径曲线获取装置、所述血管狭窄区间获取装置连接、所述标记装置连接,用于在所述修正管径曲线上设置滑动杆,所述滑动杆一端对应所述起始点,所述滑动杆一端对应所述结束点;如果滑动滑动杆,则所述起始点和所述结束点分别对应的标记在所述修正管径曲线上均发生相应距离的滑动,即调节了所述血管狭窄区间。The sliding device is connected with the tube diameter curve acquisition device, the blood vessel stenosis interval acquisition device, and the marking device, and is used to set a sliding rod on the corrected tube diameter curve, and one end of the sliding rod corresponds to the The starting point, one end of the sliding rod corresponds to the ending point; if the sliding rod is slid, the marks corresponding to the starting point and the ending point respectively slide corresponding distances on the corrected pipe diameter curve, that is, The vascular stenosis interval is adjusted.
  12. 根据权利要求11所述的调节血管狭窄区间的系统,其特征在于,所述血管狭窄区间获取装置包括第一狭窄病变单元、第二狭窄病变单元、狭窄点单元和第三狭窄病变单元;The system for adjusting a vascular stenosis interval according to claim 11, wherein the vascular stenosis interval obtaining device comprises a first stenosis lesion unit, a second stenosis lesion unit, a stenosis point unit and a third stenosis lesion unit;
    所述第一狭窄病变单元,与所述管径曲线获取装置连接,用于根据所述拟合管径曲线和真实管径曲线,获取第一狭窄病变区间;The first stenosis lesion unit is connected to the vessel diameter curve obtaining device, and is configured to obtain the first stenosis lesion interval according to the fitted vessel diameter curve and the real vessel diameter curve;
    所述第二狭窄病变单元,与所述第一狭窄病变单元连接,用于从所述第一狭窄病变区间去除误判的狭窄区域,获得第二狭窄病变区间;the second stenotic lesion unit, connected to the first stenotic lesion unit, and configured to remove the misjudged stenotic region from the first stenotic lesion interval to obtain a second stenotic lesion interval;
    所述狭窄点单元,与所述管径曲线获取装置连接,用于根据拟合管径区间曲线获取狭窄点;The stenosis point unit is connected to the pipe diameter curve obtaining device, and is used for obtaining the stenosis point according to the fitted pipe diameter interval curve;
    所述第三狭窄病变单元,与所述狭窄点单元、所述管径曲线获取装置连接,用于根据所述狭窄点获取第三狭窄病变区间,即为精确狭窄病变区间。The third stenosis lesion unit is connected to the stenosis point unit and the vessel diameter curve acquiring device, and is used for acquiring a third stenosis lesion interval according to the stenosis point, that is, a precise stenosis lesion interval.
  13. 一种计算机存储介质,其特征在于,计算机程序被处理器执行时实现 权利要求1~10任一项所述的调节血管狭窄区间的方法。A computer storage medium, characterized in that, when the computer program is executed by a processor, the method for adjusting a vascular stenosis interval according to any one of claims 1 to 10 is implemented.
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