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Quantification of the ilio-femoral arteries tortuosity and data cluster modelling for preoperative examination

Markiewicz Tomasz, Dziekiewicz Miroslaw

Biocybernetics and Biomedical Engineering

2022

Vol. 42, no. 4

1123--1136

Detecting spatial tortuosity and atherosclerotic changes of the ilio-femoral arteries are crucial for planning endovascular access. The aim of this study was to find a reliable quantification procedure of arterial lumen and tortuosity to qualify patients for a suitable endovascular procedure. We conducted computed tomographic angiography in 76 patients. All ilio-femoral segments of the arterial tree were visualized using Osirix Dicom Viewer software to help qualify the patients to one of two groups: with possible or non-recommended vascular access. The same tomograms were then analyzed with image processing algorithms to perform ilio-femoral artery segmentation and quantification. We chose a set of arterial tortuosity and lumen measuring methods, such as the modified Gustafson-Kessel clustering algorithm and Support Vector Machine classifier, to automatically classify arterial-tree regions. The two 2D feature spaces were selected with the modified Gustafson-Kessel clusterization to create a combined model to assign around 2/3 cases to the access groups with high specificity (more than 88%) whereas the remaining patients were selected for re-evaluation. We concluded that the novel modification of the Gustafson-Kessel clustering algorithm is more suitable to the highly inseparable data than commonly used approaches. To identify ilio-femoral access limitations, we recommend more complex decision model. This study confirmed high usability of our chosen methodology in the quantitative examination of arteries for endovascular access planning.

Multi-feature ensemble system in the renal tumour classification task

Osowska-Kurczab Aleksandra Maria, Markiewicz Tomasz, Dziekiewicz Miroslaw, Lorent Malgorzata

Bulletin of the Polish Academy of Sciences. Technical Sciences

2021

Vol. 69, nr 3

art. no. e136749

Recently, the analysis of medical imaging is gaining substantial research interest, due to advancements in the computer vision field. Automation of medical image analysis can significantly improve the diagnosis process and lead to better prioritization of patients waiting for medical consultation. This research is dedicated to building a multi-feature ensemble model which associates two independent methods of image description: textural features and deep learning. Different algorithms of classification were applied to single-phase computed tomography images containing 8 subtypes of renal neoplastic lesions. The final ensemble includes a textural description combined with a support vector machine and various configurations of Convolutional Neural Networks. Results of experimental tests have proved that such a model can achieve 93.6% of weighted F1-score (tested in 10-fold cross validation mode). Improvement of performance of the best individual predictor totalled 3.5 percentage points.