arXiv:2409.04596eess.IVcs.CV2024-09被引 7

用两张2D造影图重建3D冠脉树,无需真实3D标签也能精准还原血管结构。

NeCA: 3D Coronary Artery Tree Reconstruction from Two 2D Projections via Neural Implicit Representation

  • 基于神经隐式表示与可微锥束投影层,从两幅2D图像重建3D冠脉树。
  • 在右冠状动脉和前降支数据集上,拓扑与分支连接性优于监督模型。
  • 自监督设计避免依赖3D标注,适合临床实时介入场景应用。

心血管疾病是全球最常见健康威胁。2D X射线侵入性冠状动脉造影(ICA)仍是心脏介入术中评估CVD的主流影像方式。然而,医生难以仅凭二维平面理解冠脉的三维结构。由于辐射限制,通常仅获取两个投影视角,信息有限,亟需仅基于两幅ICA图像完成3D冠脉树重建。本文提出自监督深度学习方法NeCA,基于多分辨率哈希编码器与可微锥束正向投影层的神经隐式表示,实现从两幅2D投影重建3D冠脉树。我们在基于右冠状动脉和前降支冠状动脉计算机断层扫描造影生成的数据集上,使用六种不同指标验证该方法。结果表明,无需3D真实标签监督或大规模训练数据,NeCA在血管拓扑与分支连通性保持方面表现优异,优于监督深度学习模型。

原文摘要 · Abstract (English)

Cardiovascular diseases (CVDs) are the most common health threats worldwide. 2D X-ray invasive coronary angiography (ICA) remains the most widely adopted imaging modality for CVD assessment during real-time cardiac interventions. However, it is often difficult for cardiologists to interpret the 3D geometry of coronary vessels based on 2D planes. Moreover, due to the radiation limit, often only two angiographic projections are acquired, providing limited information of the vessel geometry and necessitating 3D coronary tree reconstruction based only on two ICA projections. In this paper, we propose a self-supervised deep learning method called NeCA, which is based on neural implicit representation using the multiresolution hash encoder and differentiable cone-beam forward projector layer, in order to achieve 3D coronary artery tree reconstruction from two 2D projections. We validate our method using six different metrics on a dataset generated from coronary computed tomography angiography of right coronary artery and left anterior descending artery. The evaluation results demonstrate that our NeCA method, without requiring 3D ground truth for supervision or large datasets for training, achieves promising performance in both vessel topology and branch-connectivity preservation compared to the supervised deep learning model.

3D重建冠脉成像自监督学习医学影像

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