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Cardiovascular mortality remains a leading health and social problem in many countries throughout the world. Its main cause is related to atherosclerosis of coronary and cerebral vessels with their most severe consequences: heart attack and stroke. Therefore, it is obvious that current preventive measures include early detection of atherosclerosis process. Multi-detector computed tomography (MDCT) is one of imaging modalities allowing for noninvasive detection of atherosclerotic lesion within coronary arteries in subjects with accumulation of risk factors (smoking, high lipids, hypertension, male gender, family history) or with suspicion of coronary artery disease (CAD). In is very important that the tomographic images are taken in synchronization with cardiac cycle so that, during few heartbeats, an appropriate series of images can be recorded. Commonly, cardiac MDCT is used for visualization of cardiac and vessels morphology. Heart function can also be determined, however, this MDCT potential is only rarely applied, as current echocardiographic modalities are sufficient. Functional analysis of coronary arteries (flow, reserve) is usually approached by means of invasive procedures. We aimed at finding solution for evaluation of another kind of functional analysis of coronary arteries, namely vessel's wall compliance by means of MDCT coronary angiography. Under the proposed procedure, on basis of serial CT images of the vessels over entire cardiac cycles, the internal area of the blood vessel is measured and its changes during various phases of heartbeat (systole, diastole) are calculated. If the vessel wall has been changed by atherosclerotic plaque, either calcified or non-calcified, then its compliance will be reduced due to its stiffness. Calculation of coronary artery compliance requires a series of measurements, which is unreliable and impractical for doing manually. One component of the method described herein involves the images being converted into binary representations and the Hough Transform then applied. The overall methodology proposed in this paper assists in the preparation of a medical diagnosis.
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Tom
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173--181
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Bibliogr. 11 poz., rys., tab.
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- University of Silesia, Institute of Computer Science, ul. Będzińska 39, 41-200 Sosnowiec, Poland
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Bibliografia
- [1] CHIEN C., FENG YF., ARORA RR., Advances in computed tomography-based evaluation of coronary arteries: a review of coronary artery imaging with multidetector spiral computed tomography, Rev. Cardiovasc. Med. Vol. 8, 2007, pp. 53-60.
- [2] DOUGHERTY G., Digital Image Processing for Medical Applications, Cambridge University Press, 2009.
- [3] DUDA R.O., HART P.E., Use of Hough transformation to detect lines and curve in pictures, Comm. ACM, Vol. 15, 1972, pp. 11-15.
- [4] GOLA A., PYSZ P., SZYMANSKI L., SOSNOWSKI M., TENDERA M., Has MSCT became a reliable tool to evaluate the coronary artery lumen yet? Eur Radiol., Vol. 17, 2007 (abstract).
- [5] GOLA A, PYSZ P, SZYMANSKI L, SOSNOWSKI M., 64-slice MDCT coronary artery functional assessment in zero calcium score patients – a novel parameter emerging, Eur. Radiol. Vol. 18 (supl.3): C25 (86), 2008.
- [6] HOUGH P.V.C., Method and Means for recognizing complex pattern, U.S. Patent No. 3069654, 1962.
- [7] KINDRATENKO V., Development and Application of Image Analysis Techniques for Identification and Classification of Microscopic Particles, PhD. Thesis, Antwerpen, 1997.
- [8] METTLER F., HUDA W., YOSHIZUMI T., MAHESH M., Effective Doses in Radiology and Diagnostic Nuclear Medicine: A Catalog, Radiology, Vol. 248, No. 1, 2008, pp. 254-263.
- [9] NIXON M.S., AGUADO A.S., Feature Extraction and Image Processing, Second Edition, Academic Press, Elsevier Ltd., 2008.
- [10] SCHROEDER S., KOPP A.F., BAUMBACH A., et al., Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography, J.Am.Coll.Cardiol. Vol. 37, pp. 1430-5, 2001.
- [11] WALECKI J., SOSNOWSKI M., ZAWADZKI M., Tomografia komputerowa serca. In: Kardiologia. Szczeklik A., Tendera M. (eds)., Medycyna Praktyczna Kraków, 2009, pp. 130-142, (in Polish).
Typ dokumentu
Bibliografia
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bwmeta1.element.baztech-article-PWA4-0016-0019