Spatiotemporal Disentanglement of Arteriovenous Malformations in Digital Subtraction Angiography.

Kathleen Baur, Xin Xiong, Erickson Torio, Rose Du, Parikshit Juvekar, Reuben Dorent, Alexandra Golby, Sarah Frisken, Nazim Haouchine
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Abstract

Although Digital Subtraction Angiography (DSA) is the most important imaging for visualizing cerebrovascular anatomy, its interpretation by clinicians remains difficult. This is particularly true when treating arteriovenous malformations (AVMs), where entangled vasculature connecting arteries and veins needs to be carefully identified. The presented method aims to enhance DSA image series by highlighting critical information via automatic classification of vessels using a combination of two learning models: An unsupervised machine learning method based on Independent Component Analysis that decomposes the phases of flow and a convolutional neural network that automatically delineates the vessels in image space. The proposed method was tested on clinical DSA images series and demonstrated efficient differentiation between arteries and veins that provides a viable solution to enhance visualizations for clinical use.

数字减影血管造影术中动静脉畸形的时空切除术
尽管数字减影血管造影术(DSA)是观察脑血管解剖结构最重要的成像技术,但临床医生对它的解读仍然很困难。尤其是在治疗动静脉畸形(AVM)时,需要仔细识别连接动脉和静脉的缠结血管。本文介绍的方法旨在通过结合两种学习模型对血管进行自动分类,突出关键信息,从而增强 DSA 图像系列:一种是基于独立成分分析的无监督机器学习方法,可分解血流阶段;另一种是卷积神经网络,可自动在图像空间中划分血管。所提出的方法在临床 DSA 图像系列上进行了测试,结果表明该方法能有效区分动脉和静脉,为增强临床使用的可视化效果提供了可行的解决方案。
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