Why the study?
Accurate segmentation of true lumen, false lumen, and false lumen thrombus on CTA is crucial for quantifying anatomical features in type-B aortic dissection, but existing works only focus on true and false lumens without considering false lumen thrombus.
Does the proposed baseline automatic segmentation method accurately segment true lumen, false lumen, and false lumen thrombus in CTA images of Type-B Aortic Dissection?
Does the proposed baseline automatic segmentation method accurately segment true lumen, false lumen, and false lumen thrombus in CTA images of Type-B Aortic Dissection?
The release of the ImageTBAD dataset provides the first 3D CTA dataset with annotations for true lumen, false lumen, and false lumen thrombus to facilitate improved automatic segmentation in Type-B Aortic Dissection.
Low FLT segmentation accuracy cautions against clinical reliance on current automated tools; leaves open advances using the ImageTBAD dataset.
Type-B Aortic Dissection (TBAD) is one of the most serious cardiovascular events characterized by a growing yearly incidence, and the severity of disease prognosis. Currently, computed tomography angiography (CTA) has been widely adopted for the diagnosis and prognosis of TBAD. Accurate segmentation of true lumen (TL), false lumen (FL), and false lumen thrombus (FLT) in CTA are crucial for the precise quantification of anatomical features. However, existing works only focus on only TL and FL without considering FLT. In this paper, we propose ImageTBAD, the first 3D computed tomography angiography (CTA) image dataset of TBAD with annotation of TL, FL, and FLT. The proposed dataset contains 100 TBAD CTA images, which is of decent size compared with existing medical imaging datasets. As FLT can appear almost anywhere along the aorta with irregular shapes, segmentation of FLT presents a wide class of segmentation problems where targets exist in a variety of positions with irregular shapes. We further propose a baseline method for automatic segmentation of TBAD. Results show that the baseline method can achieve comparable results with existing works on aorta and TL segmentation. However, the segmentation accuracy of FLT is only 52%, which leaves large room for improvement and also shows the challenge of our dataset. To facilitate further research on this challenging problem, our dataset and codes are released to the public (Dataset, 2020).
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Yao et al. (2021) studied this question.
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