Why the study?
The study was conducted to evaluate the feasibility of a noninvasive, low-operator-dependent imaging method for diagnosing carotid artery stenosis.
Does AI-based automatic segmentation of 3D ultrasound reconstructions provide accurate imaging of the carotid artery compared to CT angiography in healthy individuals and patients with carotid artery disease?
Does AI-based automatic segmentation of 3D ultrasound reconstructions provide accurate imaging of the carotid artery compared to CT angiography in healthy individuals and patients with carotid artery disease?
AI-based automatic segmentation of 3D ultrasound images shows high accuracy (Dice score 0.94) for carotid artery reconstruction compared to CT angiography, offering a potential noninvasive diagnostic tool for atherosclerosis.
May reduce operator dependence in carotid imaging; leaves open diagnostic accuracy versus angiography pending validation trials.
The aim of this study was to evaluate the feasibility of a noninvasive and low-operator-dependent imaging method for carotid-artery-stenosis diagnosis. A previously developed prototype for 3D ultrasound scans based on a standard ultrasound machine and a pose reading sensor was used for this study. Working in a 3D space and processing data using automatic segmentation lowers operator dependency. Additionally, ultrasound imaging is a noninvasive diagnosis method. Artificial intelligence (AI)-based automatic segmentation of the acquired data was performed for the reconstruction and visualization of the scanned area: the carotid artery wall, the carotid artery circulated lumen, soft plaque, and calcified plaque. A qualitative evaluation was conducted via comparing the US reconstruction results with the CT angiographies of healthy and carotid-artery-disease patients. The overall scores for the automated segmentation using the MultiResUNet model for all segmented classes in our study were 0.80 for the IoU and 0.94 for the Dice. The present study demonstrated the potential of the MultiResUNet-based model for 2D-ultrasound-image automated segmentation for atherosclerosis diagnosis purposes. Using 3D ultrasound reconstructions may help operators achieve better spatial orientation and evaluation of segmentation results.
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Arsenescu et al. (2023) studied this question.
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