• The KIPS Transactions:PartB
• /
• v.19B no.3
• /
• pp.201-208
• /
• 2012

Accurately segmenting lumen border in intravascular ultrasound images (IVUS) is very important to study vascular wall architecture for diagnosis of the cardiovascular diseases. After each of IVUS image is transformed to a polar coordinated image, initial points are detected using wavelet transform. Then, lumen border is initialized as the set of important points using non parametric probability density function and smoothing function by removing outlier initial points occurred by noises and artifacts. Finally, polynomial curve fitting is applied to obtain real lumen border using filtered important points. The evaluation of proposed method was performed with related method and the proposed method produced accurate lumen contour detection when compared to another method in most types of IVUS images.

• Korean Journal of Radiology
• /
• v.22 no.5
• /
• pp.688-698
• /
• 2021

Objective: To compare the lumen parameters measured by the location-adaptive threshold method (LATM), in which the inter- and intra-scan attenuation variabilities of coronary computed tomographic angiography (CCTA) were corrected, and the scan-adaptive threshold method (SATM), in which only the inter-scan variability was corrected, with the reference standard measurement by intravascular ultrasonography (IVUS). Materials and Methods: The Hounsfield unit (HU) values of whole voxels and the centerline in each of the cross-sections of the 22 target coronary artery segments were obtained from 15 patients between March 2009 and June 2010, in addition to the corresponding voxel size. Lumen volume was calculated mathematically as the voxel volume multiplied by the number of voxels with HU within a given range, defined as the lumen for each method, and compared with the IVUS-derived reference standard. Subgroup analysis of the lumen area was performed to investigate the effect of lumen size on the studied methods. Bland-Altman plots were used to evaluate the agreement between the measurements. Results: Lumen volumes measured by SATM was significantly smaller than that measured by IVUS (mean difference, 14.6 mm³; 95% confidence interval [CI], 4.9-24.3 mm³); the lumen volumes measured by LATM and IVUS were not significantly different (mean difference, -0.7 mm³; 95% CI, -9.1-7.7 mm³). The lumen area measured by SATM was significantly smaller than that measured by LATM in the smaller lumen area group (mean of difference, 1.07 mm²; 95% CI, 0.89-1.25 mm²) but not in the larger lumen area group (mean of difference, -0.07 mm²; 95% CI, -0.22-0.08 mm²). In the smaller lumen group, the mean difference was lower in the Bland-Altman plot of IVUS and LATM (0.46 mm²; 95% CI, 0.27-0.65 mm²) than in that of IVUS and SATM (1.53 mm²; 95% CI, 1.27-1.79 mm²). Conclusion: SATM underestimated the lumen parameters for computed lumen segmentation in CCTA, and this may be overcome by using LATM.

• Journal of Yeungnam Medical Science
• /
• v.35 no.1
• /
• pp.121-126
• /
• 2018

Coronary spasm generally occurs in patients with minimal atherosclerotic plaque lesion, and it has a rather favorable prognosis. However, in some cases, coronary spasm may induce myocardial infarction and even sudden cardiac death (SCD). Here, we report a case in which multi-vessel intractable coronary vasospasm suddenly occurred in a diffuse atherosclerotic lesion after percutaneous coronary intervention (PCI) in a patient with aborted SCD. We identified the characteristics of the spasm portion in intravascular ultrasound (IVUS) images and conducted percutaneous cardiopulmonary bypass support-PCI with stenting as treatment. Intima and media thickening and a large attenuated plaque burden with rupture were identified in IVUS images at the obstructive spasm portion.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.11 no.3
• /
• pp.880-890
• /
• 2010

The intrasvascular ultrasound (IVUS) imaging technique is used to diagnose cerebrovascular diseases such as stroke. Recently, elasticity imaging methods have been investigated to diagnose blood clots attached to blood vessel intima. However, the IVUS imaging technique is an invasive method that requires a transducer to be inserted into blood vessel. In this paper, strain images are obtained of blood clots attached to blood vessel intima with data acquired from outside the blood vessel using a linear array transducer. In order to measure the displacement of blood vessel accurately, experimental data are acquired by steering ultrasound beams so that they can intersect the blood vessel wall at right angles. The acquired rf data are demodulated to the baseband. The resulting complex baseband signals are then processed by an autocorrelation algorithm to compute the blood vessel movement and thereby produce strain image. This proposed method is verified by experiments on a plastic blood vessel mimicking phantom. The efficacy of the proposed method was verified using a home-made blood vessel mimicking phantom. The blood vessel mimicking phantom was constructed by making a 6 mm diameter hollow cylinder inside it to simulate a blood vessel and adhering 2 mm thick soft plaque to the inner wall of the hollow cylinder. The RF data were acquired using a clinical ultrasound scanner (Accuvix XQ, Medison, Seoul. Korea) with a 7.5 MHz linear array transducer by steering ultrasound beams in steps of $1^{\circ}$ from $-40^{\circ}$ to $40^{\circ}$ for a total of 81 angles. Experimental results show that the plaque region near the blood vessel wall is softer than background tissue. Although the imaging region is restricted due to the limited range of angles for which scan lines are perpendicular to the wall, the feasibility of strain imaging is demonstrated.

• The Journal of the Acoustical Society of Korea
• /
• v.37 no.4
• /
• pp.215-222
• /
• 2018

This paper reports the development and performance evaluation of a backend system for real-time IVUS (Intravascular Ultrasound) imaging. The developed backend system was designed to minimize the amount of logic and memory usage by means of efficient LUTs (Look-up Tables), and it was implemented in a single FPGA (Field Programmable Gate Array) without using external memory. This makes it possible to implement the backend system that is less expensive, smaller, and lighter. The accuracy of the backend system implemented was evaluated by comparing the output of the FPGA with the result computed using a MATLAB program implemented in the same way as the VHDL (VHSIC Hardware Description Language) code. Based on the result of ex-vivo experiment using rabbit artery, the developed backend system was found to be suitable for real-time intravascular ultrasound imaging.

• The Journal of the Acoustical Society of Korea
• /
• v.14 no.2E
• /
• pp.73-86
• /
• 1995

The transducer section of the forward-looking ultrasound imaging catheter (FLUIC) consists of a circular piezoelectric element as a vibrator and a conical acoustic mirror as a perfect reflector. A small diameter piezoelectric transducer element is mounted on the side of a catheter's rotating shaft. The unique design of FLUIC provides the capability to form a two-dimensional image of a cross-section of vessel in front of the catheter, which is lacking in the present generation of intravascular ultrasound (IVUS) transducers, as well as a conventional side view image. The mirror configuration for the transducer section of the FLUIC is designed using an approximated ray tracing techniques. The diffraction transfer function approach [1] developed for the field prediction from primary sources is generalized and extended to predict the secondary diffraction characterstics from an acoustic mirror. The extended model is verified by simulation and experiment through a simple plane reflector and employed to analyzed the field characteristics of a FLUIC.

• The Journal of the Acoustical Society of Korea
• /
• v.36 no.4
• /
• pp.238-246
• /
• 2017

High frequency ultrasound imaging typically suffers from low sensitivity due to the small aperture of high frequency transducers and shallow imaging depth due to the frequency-dependent attenuation of ultrasound. These limitations should be overcome to obtain high-frequency, high- resolution ultrasound images. One practical solution to the problems is a high-performance signal receiver capable of detecting a very small signal and amplifying the signal with minimal electronic noise addition. This paper reports a recently developed low-noise, wideband ultrasound receiver for high-frequency, high-resolution ultrasound imaging. The developed receiver has an amplification gain of up to 73 dB and a variable amplification gain range of 48 dB over an operating frequency of 80 MHz. Also, it has an amplification gain flatness of ${\pm}1dB$. Due to these high performances, the developed receiver has a signal-to-noise ratio of at least 8.4 dB and a contrast-to-noise ratio of at least 3.7 dB higher than commercial receivers.

• Journal of the Korean Society of Radiology
• /
• v.15 no.5
• /
• pp.621-628
• /
• 2021

Prior studies on frequency-related image quality analysis of intravascular ultrasound catheters are lacking both in Korea and abroad. Therefore, this study was conducted to prepare a standard for measuring the image quality using the program and to suggest a measuring method to researchers related to the quality analysis of intravascular ultrasound images. For the target, the vessel lumen size is 3.0 - 4.0 mm. Before using intravascular ultrasound, thoroughly clean the ultrasound catheter so that no air or foreign substances enter it. Normal vascular images and lesion vascular images of sufficiently dilated images were used. As a standard image acquisition method, the image of the end-systolic section, which has the best evaluation of vascular lesions when using intravascular ultrasound, was acquired retrospectively through the DCAS PACS program to set the standard. When setting the measurement method criteria, we proposed a standard setting method that corresponds to the concentric and eccentric circles of normal and lesion vessels. By applying this criterion, we proposed a method for measuring the lumen and lateral cavities of normal and lesion vessels of interest and background area. In conclusion, if the image quality of intravascular ultrasonography is measured through the method devised by these researchers, consistent quality measurement is possible regardless of the type of intravascular ultrasound catheter. Therefore, it is thought that it can be applied as a guideline for the actual image quality measurement method in the study related to intravascular ultrasound image quality.