深度学习在冠状动脉内光学相干断层成像的研究进展Deep learning in optical coherence tomography of coronary artery
哈力木拉提·买买提,艾克力亚尔·艾尼瓦尔,凯赛尔江·卡地尔,刘鹏飞,秦练,马翔
摘要(Abstract):
如今,冠心病仍然是影响人们生活质量和导致死亡的主要原因,因此冠状动脉病变的检测及治疗至关重要。光学相干断层成像是冠状动脉内斑块组织的鉴别方法。但由于医师的临床经验差异性,导致在诊断中产生分歧使患者无法得到精准治疗。深度学习作为最先进的算法,能够自动提取深层特征,提高其在影像学诊断中的准确性和可靠性。本文将以深度学习在光学相干断层成像的应用进行综述,并对其在冠心病诊断中的未来前景进行展望。
关键词(KeyWords): 深度学习;冠心病;血管内光学相干断层成像
基金项目(Foundation): 新疆维吾尔自治区重点研发任务专项项目(2022B03022-3)
作者(Author): 哈力木拉提·买买提,艾克力亚尔·艾尼瓦尔,凯赛尔江·卡地尔,刘鹏飞,秦练,马翔
参考文献(References):
- [1]GBD 2015 Risk Factors Collaborators.Global,regional,and national comparative risk assessment of 79 behavioural,environmental and occupational,and metabolic risks or clusters of risks,1990-2015:a systematic analysis for the global burden of disease study 2015[J].Lancet,2016,388(10053):1659-1724.DOI:10.1016/S0140-6736(16)31679-8.
- [2]中国心血管健康与疾病报告编写组.《中国心血管健康与疾病报告2022》概要[J].中国介入心脏病学杂志,2023,31(7):485-508.DOI:10.3969/j.issn.1004-8812.2023.07.002.
- [3]Mccarthy CP,Murphy SP,Amponsah DK,et al.Coronary computed tomographic angiography with fractional flow reserve in patients with type 2 myocardial infarction[J].J Am Coll Cardiot,2023,82(17):1676-1687.DOI:10.1016/j.jacc.2023.08.020.
- [4]Currie G,Hawk KE,Rohren E,et al.Machine learning and deep learning in medical imaging:intelligent imaging[J].J Med Imaging Radiat Sci,2019,50(4):477-487.DOI:10.1016/j.jmir.2019.09.005.
- [5]Costopoulos C,Brown AJ,Teng Z,et al.Intravascular ultrasound and optical coherence tomography imaging of coronary atherosclerosis[J].Int J Cardiovasc Imaging,2016,32(1):189-200.DOI:10.1007/s10554-015-0701-3.
- [6]Balaji A,Kelsey LJ,Majeed K,et al.Coronary artery segmentation from intravascular optical coherence tomography using deep capsules[J].Artif Intell Med,2021,116:102072.DOI:10.1016/j.artmed.2021.102072.
- [7] Koskinas KC,Ughi GJ,Windecker S,et al.Intracoronary imaging of coronary athero sclero sis:validation for diagno sis,prognosis and treatment[J].Eur Heart J,2016,37(6):524-5 35a-c.DOI:10.1093/eurheartj/ehv642.
- [8]Araki M,Park SJ,Dauerman HL,et al.Optical coherence tomography in coronary atherosclerosis assessment and intervention[J].Nat Rev Cardiol,2022,19(10):684-703.DOI:10.1038/s41569-022-00687-9.
- [9]Xie Z,Tian J,Ma L,et al.Comparison of optical coherence tomography and intravascular ultrasound for evaluation of coronary lipid-rich atherosclerotic plaque progression and regression[J].Eur Heart J Cardiovasc Imaging,2015,16(12):1374-1380.DOI:10.1093/ehjci/jevl04.
- [10] Kusunose K,Haga A,Abe T,et al.Utilization of artificial intelligence in echocardiography[J].Circ J,2019,83(8):1623-1629.DOI:10.1253/circj.CJ-19-0420.
- [11]Jun Guo B.He X,Lei Y,et al.Automated left ventricular myocardium segmentation using 3D deeply supervised attention U-net for coronary computed tomography angiography;CT myocardium segmentation[J].Med Phys,2020,47(4):1775-1785.DOI:10.1002/mp.14066.
- [12]Ouyang D,He B,Ghorbani A,et al.Video-based ai for beat-tobeat assessment of cardiac function[J].Nature,2020,580(7802):252-256.DOI:10.103 8/s41586-020-2145-8.
- [13]Betancur J,Hu LH,Commandeur F,et al.Deep learning analysis of upright-supine high-efficiency spect myocardial perfusion imaging for prediction of obstructive coronary artery disease:a multicenter study[J].J Nucl Med,2019,60(5):664-670.DOI:10.2967/jnumed.118.213538.
- [14] Dong Y,Pan Y,Zhao X,et al.Identifying carotid plaque composition in mri with convolutional neural networks;proceedings of the 2017 IEEE international conference on smart computing(SMARTCOMP)[C].IEEE,F,2017.
- [15] Nishida N,Yamakawa M,Shiina T,et al.Current status and perspectives for computer-aided ultrasonic diagnosis of liver lesions using deep learning technology[J].Hepatol Int,2019,13(4):416-421.DOI:10.1007/s 12072-019-09937-4.
- [16] Lekadir K,Galimzianova A,Betriu A,et al.A convolutional neural network for automatic characterization of plaque composition in carotid ultrasound[J].IEEE J Biomed Health Inform,2017,21(1):48-55.DOI:10.1109/jbhi.2016.2631401.
- [17] Bezerra HG,Costa MA,Guagliumi G,et al.Intracoronary optical coherence tomography:a comprehensive review clinical and research applications[J].JACC Cardiovasc Interv,2009,2(11):1035-1046.DOI:10.1016/j.jcin.2009.06.019.
- [18]Abdolmanafi A,Duong L,Dahdah N,et al.Deep feature learning for automatic tis sue classification of coronary artery using optical coherence tomography[J].Biomed Opt Express,2017,8(2):1203-1220.DOI:10.1364/boe.8.001203.
- [19]Zahnd G,Hoogendoorn A,Combaret N,et al.Contour segmentation of the intima,media,and adventitia layers in intracoronary OCT images:application to fully automatic detection of healthy wall regions[J].Int J Comput Assist Radiol Surg,2017,12(11):1923-1936.DOI:10.1007/s11548-017-1657-7.
- [20]Guha Roy A,Conjeti S,Carlier SG,et al.Lumen segmentation in intravascular optical coherence tomography using backscattering tracked and initialized random walks[J].IEEE J Biomed Health Inform,2016,20(2):606-614.DOI:10.1109/jbhi.2015.2403713.
- [21]Ughi GJ,Adriaens sens T,Onsea K,et al.Automatic segmentation of in-vivo intra-coronary optical coherence tomography images to assess stent strut apposition and coverage[J].Int J Cardiovasc Imaging,2012,28(2):229-241.DOI:10.1007/s10554-011-9824-3.
- [22]Avital Y,Madar A,Amon S,et al.Identification of coronary calcifications in optical coherence tomography imaging using deep learning[J].Sci Rep,2021,11(1):11269.DOI:10.1038/s41598-021-90525-8.
- [23] Macedo MM,Guimar?es WV,Galon MZ,et al.A bifurcation identifier forⅣ-OCT using orthogonal least squares and supervised machine learning[J].Comput Med Imaging Graph,2015,46 Pt 2:237-248.DOI:10.1016/j.compmedimag.2015.09.004.
- [24]折振兴,于波.易损斑块成像进展[J].中国介入心脏病学杂志,2022,30(3):208-213.DOI:10.3969/j.issn.1004-8812.2022.03.009.
- [25]Xu C,Schmitt JM,Carlier SG,et al.Characterization of atherosclerosis plaques by measuring both backscattering and attenuation coefficients in optical coherence tomography[J].J Biomed Opt,2008,13(3):034003.DOI:10.1117/1.2927464.
- [26]Ughi GJ,Adriaenssens T,Sinnaeve P,et al.Automated tissue characterization of in vivo atherosclerotic plaques by intravascular optical coherence tomography images[J].Biomed Opt Express,2013,4(7):1014-1030.DOI:10.1364/boe.4.001014.
- [27]Abdolmanafi A,Duong L,Ibrahim R,et al.A deep learning-based model for characterization of atherosclerotic plaque in coronary arteries using optical coherence tomography images[J].Med Phys,2021,48(7):3511-3524.DOI:10.1002/mp.14909.
- [28]Rico-Jimenez JJ,Jo JA.Rapid lipid-laden plaque identification in intravascular optical coherence tomography imaging based on time-series deep learning[J].J Biomed Opt,2022,27(10).DOI:10.1117/1.Jbo.27.10.106006.
- [29]Shibutani H,Fujii K,Ueda D,et al.Automated classification of coronary atherosclerotic plaque in optical frequency domain imaging based on deep learning[J].Atherosclerosis,2021,328:100-105.DOI:10.1016/j.athero sclero sis.2021.06.003.
- [30]Di Vito L,Agozzino M,Marco V,et al.Identification and quantification of macrophage presence in coronary atherosclerotic plaques by optical coherence tomography[J].Eur Heart J Cardiovasc Imaging,2015,16(7):807-813.DOI:10.1093/ehjci/jeu307.
- [31]《冠状动脉钙化病变诊治中国专家共识》专家组.冠状动脉钙化病变诊治中国专家共识(2021版)[J].中国介入心脏病学杂志,2021,29(5):251-259.DOI:10.3969/j.issn.1004-8812.2021.05.002
- [32]Regar E,Ligthart J,Bruining N,et al.The diagnostic value of intracoronary optical coherence tomography[J].Herz,2011,36(5):417-429.DOI:10.1007/s00059-011-3487-7.
- [33]左燕,徐艺硕,胡思宁,等腔内影像学技术在支架失败中应用的研究进展[J].中国介入心脏病学杂志,2023,31(9):688-692.DOI:10.3969/j.issn.1004-8812.2023.09.008
- [34]Ali ZA,Maehara A,Genereux P,et al.Optical coherence tomography compared with intravascular ultrasound and with angiography to guide coronary stent implantation(IlumienⅢ:Optimize PCI):a randomised controlled trial[J].Lancet,2016,388(10060):2618-2628.DOI:10.1016/s0140-6736(16)31922-5.
- [35]Ali ZA,Landmesser U,Maehara A,et al.Optical coherence tomography-guided versus angiography-guided PCI[J].N Engl J Med,2023,389(16):1466-1476.DOI:10.1056/NEJMoa2305861.
- [36]Jiang X,Zeng Y,Xiao S,et al.Automatic detection of coronary metallic stent struts based on YOLOv3 and R-FCN[J].Comput Math Methods Med,2020,2020:1793517.DOI:10.1155/2020/1793517.
- [37]Lu H,Lee J,Jakl M,et al.Application and evaluation of highly automated software for comprehensive stent analysis in intravascular optical coherence tomography[J].Sci Rep,2020,10(1):2150.DOI:10.1038/s41598-020-59212-y.