Title: An approach for detection of edges in carotid ultrasound images and analysis of intima-media complex using morphological features

Authors: Sumathi Krishnaswamy; Mahesh Veezhinathan

Addresses: Department of Electronics and Communication Engineering, Sri Sairam Engineering College, Chennai, India; Department of Biomedical Engineering, SSN College of Engineering, Chennai, India ' Department of Biomedical Engineering, SSN College of Engineering, Chennai, India

Abstract: Atherosclerosis is a complex vascular disease that causes the condition of narrowing, stiffening and hardening of artery walls and it's the first clinical manifestation of cardiovascular disease that leads to heart attack and stroke. Progression of atherosclerosis is marked by intima-media thickness which is proven to be an early indicator of the disease. In this work, an attempt is made to preserve the edges of intima-media complex using nonlinear total variation diffusion filter. The performance of segmentation method and the results are validated against ground truth values. Geometric features are extracted from the segmented region and statistical analysis is performed. Bland-Altman plots show that, the values between 95% confidence interval are with overall good fit with minimal bias between segmentation method and ground truth (manually segmented by an expert). The analysis of features plays clinically a significant role in finding the pathological conditions of carotid arteries.

Keywords: cardiovascular disease; atherosclerosis; intima-media layer; carotid artery; plaque; stroke; total variation diffusion filter; level set method.

DOI: 10.1504/IJBET.2019.100269

International Journal of Biomedical Engineering and Technology, 2019 Vol.29 No.4, pp.345 - 365

Received: 19 Jul 2016
Accepted: 28 Nov 2016

Published online: 24 Jun 2019 *

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