CN109801277B - Image processing method and device and storage medium - Google Patents
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Abstract
本发明实施例公开了一种图像处理方法及装置、存储介质,该图像处理方法包括:当获得初始冠状动脉三维图像时,基于主动脉形态,在初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息;基于主动脉位置信息,从初始冠状动脉三维图像中确定主动脉连通域三维图像;基于主动脉位置信息和主动脉生理结构,在主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息;基于主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像。
The embodiment of the present invention discloses an image processing method, a device, and a storage medium. The image processing method includes: when an initial three-dimensional image of the coronary artery is obtained, based on the shape of the aorta, performing aortic identification in the initial three-dimensional image of the coronary artery, and obtaining Aortic position information; based on the aortic position information, determine the three-dimensional image of the aortic connected area from the initial coronary three-dimensional image; Obtain the boundary position information of the aorta and the left ventricle; perform coronary regrowth based on the boundary position information of the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery.
Description
技术领域technical field
本发明涉及计算机领域中的图像处理技术,尤其涉及一种图像处理方法及装置、存储介质。The present invention relates to image processing technology in the computer field, and in particular, to an image processing method and device, and a storage medium.
背景技术Background technique
冠状动脉是心脏供血的血管属支,冠状动脉的病灶会对相应的心脏区域产生功能上的影响,是引发冠心病、心绞痛、心肌梗死等心脏疾病的原因;因此,通过对冠状动脉进行CTA(Computed Tomography angiography,计算机断层扫描血管造影),使医生确切地了解病人心脏血管狭窄和闭塞的位置和程度,能够对心脏疾病的诊断提供很大的帮助,比如,MSCT(Mufti-slice Spiral Computed Tomography,多层螺旋计算机断层扫描)。然而,由于生物医学图像本身有着很多不可避免的缺陷,为了提高生物医学图像的可读性,需对生物医学图像进行计算机处理,得到处理后的生物医学图像,从而根据处理后的生物医学图像进行疾病的诊断。因此,对于冠状动脉的CTA图像,也应进行计算机处理之后才能成为诊断心脏疾病的依据。Coronary artery is a branch of blood vessels supplying blood to the heart. Coronary artery lesions will have a functional impact on the corresponding heart area, which is the cause of coronary heart disease, angina pectoris, myocardial infarction and other heart diseases. Therefore, by performing CTA ( Computed Tomography angiography, computer tomography angiography), allows doctors to know exactly the location and degree of stenosis and occlusion of the patient's heart vessels, which can provide great help in the diagnosis of heart disease, such as MSCT (Mufti-slice Spiral Computed Tomography, Multislice Spiral Computed Tomography). However, because the biomedical image itself has many unavoidable defects, in order to improve the readability of the biomedical image, it is necessary to perform computer processing on the biomedical image to obtain the processed biomedical image. diagnosis of disease. Therefore, CTA images of coronary arteries should also be processed by computer before they can become the basis for diagnosing cardiac diseases.
目前,针对冠状动脉的CTA图像的计算机处理,主要是从冠状动脉的CTA图像中提取冠状动脉。现有技术中,通常采用对冠状动脉的CTA图像进行聚类或人工选取冠状动脉生长的种子点进行区域生长来实现冠状动脉的提取,然而聚类和区域生长的过程中均需要人为干预,因此,提取冠状动脉的智能性低;另外,对于冠状动脉的CTA图像还可以采用Frangi算法来实现冠状动脉的提取,然而提取的结果图像中狭窄部位不明显,因此,提取冠状动脉的效果差。At present, the computer processing of CTA images of coronary arteries mainly extracts coronary arteries from CTA images of coronary arteries. In the prior art, the extraction of coronary arteries is usually achieved by clustering CTA images of coronary arteries or manually selecting seed points of coronary artery growth for regional growth. However, human intervention is required in the process of clustering and regional growth. , the intelligence of coronary artery extraction is low; in addition, the Frangi algorithm can also be used to extract coronary arteries for CTA images of coronary arteries.
发明内容SUMMARY OF THE INVENTION
为解决上述技术问题,本发明实施例期望提供一种图像处理方法及装置、存储介质,能够提高冠状动脉获取的智能性,提升冠状动脉获取的效果。In order to solve the above technical problems, the embodiments of the present invention are expected to provide an image processing method and device, and a storage medium, which can improve the intelligence of coronary artery acquisition and the effect of coronary artery acquisition.
本发明的技术方案是这样实现的:The technical scheme of the present invention is realized as follows:
第一方面,本发明实施例提供了一种图像处理方法,所述方法包括:In a first aspect, an embodiment of the present invention provides an image processing method, the method comprising:
当获得初始冠状动脉三维图像时,基于主动脉形态,在所述初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息;When the initial three-dimensional image of the coronary artery is obtained, based on the shape of the aorta, the aorta is identified in the initial three-dimensional image of the coronary artery to obtain the location information of the aorta;
基于所述主动脉位置信息,从所述初始冠状动脉三维图像中确定主动脉连通域三维图像;based on the aortic position information, determining a three-dimensional image of aortic connectivity from the initial three-dimensional image of the coronary artery;
基于所述主动脉位置信息和主动脉生理结构,在所述主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息;Based on the location information of the aorta and the physiological structure of the aorta, performing cardiac sinus identification in the three-dimensional image of the aortic connectivity domain to obtain the location information of the boundary between the aorta and the left ventricle;
基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像。Coronary artery regrowth is performed based on the position information of the boundary between the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery.
在上述方案中,所述当获取到初始冠状动脉三维图像时,基于主动脉形态,在所述初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息之前,所述方法还包括:In the above solution, when the initial three-dimensional image of the coronary artery is acquired, the method further includes:
当获取到至少两张冠状动脉造影二维图像时,从所述至少两张冠状动脉造影二维图像中分别获取对应的图像灰度修正信息,所述图像灰度修正信息包括所述至少两张冠状动脉造影二维图像对应的初始灰度值和格式信息;When at least two two-dimensional coronary angiography images are acquired, respectively acquire corresponding image grayscale correction information from the at least two coronary angiography two-dimensional images, where the image grayscale correction information includes the at least two The initial grayscale value and format information corresponding to the two-dimensional coronary angiography image;
根据所述初始灰度值和所述格式信息,得到所述至少两张冠状动脉造影二维图像对应的密度值;obtaining, according to the initial grayscale value and the format information, density values corresponding to the at least two two-dimensional coronary angiography images;
根据所述密度值和预设图像层次顺序,叠加所述至少两张冠状动脉造影二维图像,获得所述初始冠状动脉三维图像。The initial three-dimensional image of the coronary artery is obtained by superimposing the at least two two-dimensional coronary angiography images according to the density value and the preset image hierarchy sequence.
在上述方案中,所述基于主动脉形态,在所述初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息,包括:In the above solution, based on the shape of the aorta, the aorta is identified in the initial three-dimensional image of the coronary artery to obtain the position information of the aorta, including:
根据所述主动脉形态,确定半径阈值;determining a radius threshold according to the shape of the aorta;
基于所述预设图像层次顺序,根据预设灰度值对所述初始冠状动脉三维图像中的层次冠状动脉三维图像进行二值化处理,并根据预设定位算法和所述半径阈值,在所述层次冠状动脉三维图像进行二值化处理对应的结果图像中识别所述主动脉,直到获得所述主动脉位置信息。Based on the preset image hierarchy order, binarize the hierarchical coronary 3D image in the initial coronary 3D image according to the preset gray value, and according to the preset positioning algorithm and the radius threshold, in the The aorta is identified in the result image corresponding to the binarization process on the three-dimensional coronary artery image of the hierarchy until the position information of the aorta is obtained.
在上述方案中,所述基于所述主动脉位置信息,从所述初始冠状动脉三维图像中确定主动脉连通域三维图像,包括:In the above solution, the determining of the three-dimensional image of the aortic connected domain from the initial three-dimensional coronary artery image based on the aortic position information includes:
根据所述主动脉位置信息,得到初始主动脉灰度值;obtaining an initial aortic gray value according to the aortic position information;
根据预设灰度值和所述初始主动脉灰度值,确定主动脉灰度值;determining the aortic gray value according to the preset gray value and the initial aortic gray value;
根据所述主动脉灰度值,对所述初始冠状动脉三维图像进行二值化处理,得到二值化后的初始冠状动脉三维图像;performing binarization processing on the initial three-dimensional coronary artery image according to the gray value of the aorta to obtain a binarized initial three-dimensional coronary artery image;
根据所述主动脉位置信息,从所述二值化后的初始冠状动脉三维图像中确定主动脉连通区域,得到所述主动脉连通域三维图像。According to the aortic position information, the aortic connected area is determined from the binarized initial three-dimensional image of the coronary artery, and the three-dimensional image of the aortic connected area is obtained.
在上述方案中,所述基于所述主动脉位置信息和主动脉生理结构,在所述主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息,包括:In the above solution, based on the location information of the aorta and the physiological structure of the aorta, the identification of the cardiac sinus is performed in the three-dimensional image of the aortic connected domain to obtain the location information of the boundary between the aorta and the left ventricle, including:
根据所述主动脉生理结构,确定位置判定条件,所述位置判断条件用于识别所述心窦;According to the physiological structure of the aorta, determine a location determination condition, where the location determination condition is used to identify the cardiac sinus;
在所述主动脉连通域三维图像中,从所述主动脉位置信息处根据预设搜索步长确定搜索平面,直到所述搜索平面对应的主动脉截面面积满足所述位置判定条件时,将对应的所述搜索平面作为所述主动脉与左心室边界位置信息。In the three-dimensional image of the connected domain of the aorta, a search plane is determined from the position information of the aorta according to a preset search step, until the cross-sectional area of the aorta corresponding to the search plane satisfies the position determination condition, the corresponding The search plane is used as the boundary position information of the aorta and the left ventricle.
在上述方案中,所述基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像,包括:In the above solution, performing coronary regrowth based on the position information of the boundary between the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery, including:
基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉生长三维图像;Regrowing the coronary artery based on the position information of the boundary between the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery growth;
利用预设算法,在所述冠状动脉生长三维图像上识别主动脉区域;using a preset algorithm to identify the aortic region on the three-dimensional image of the coronary artery growth;
从所述冠状动脉生长三维图像中删除所述主动脉区域,得到所述冠状动脉三维图像。The aortic region is deleted from the three-dimensional image of the coronary artery growth to obtain the three-dimensional image of the coronary artery.
在上述方案中,所述基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉生长三维图像,包括:In the above solution, performing coronary artery regrowth based on the position information of the boundary between the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery growth, including:
根据所述主动脉与左心室边界位置信息,以及所述主动脉位置信息,确定冠状动脉生长灰度值;According to the position information of the boundary between the aorta and the left ventricle, and the position information of the aorta, determine the gray value of the coronary artery growth;
根据所述主动脉与左心室边界位置信息,从所述初始冠状动脉三维图像中删除所述主动脉连通域三维图像,得到删除后的初始冠状动脉三维图像;According to the position information of the boundary between the aorta and the left ventricle, delete the three-dimensional image of the connected area of the aorta from the initial three-dimensional image of the coronary artery to obtain the deleted three-dimensional image of the initial coronary artery;
基于所述冠状动脉生长灰度值和所述删除后的初始冠状动脉三维图像进行冠状动脉生长,得到所述冠状动脉生长三维图像。Coronary artery growth is performed based on the gray value of the coronary artery growth and the deleted initial three-dimensional image of the coronary artery to obtain the three-dimensional image of the coronary artery growth.
在上述方案中,所述根据所述主动脉与左心室边界位置信息,以及所述主动脉位置信息,确定冠状动脉生长灰度值,包括:In the above solution, determining the gray value of coronary artery growth according to the position information of the boundary between the aorta and the left ventricle and the position information of the aorta includes:
根据所述主动脉与左心室边界位置信息,得到冠状动脉连通域;According to the boundary position information of the aorta and the left ventricle, obtain the coronary arteries connected domain;
当所述冠状动脉连通域对应的体积大于预设体积时,在所述主动脉位置信息对应的主动脉灰度值的基础上,循环增加预设去粘连步长,直到所述冠状动脉连通域对应的体积不大于所述预设体积,将循环增加后的灰度值作为所述冠状动脉生长灰度值。When the volume corresponding to the coronary connected region is greater than the preset volume, on the basis of the aortic gray value corresponding to the aortic position information, the preset de-adhesion step is cyclically increased until the coronary connected region is reached The corresponding volume is not greater than the preset volume, and the cyclically increased grayscale value is used as the coronary artery growth grayscale value.
在上述方案中,所述基于所述冠状动脉生长灰度值和所述删除后的初始冠状动脉三维图像进行冠状动脉生长,得到所述冠状动脉生长三维图像,包括:In the above solution, performing coronary artery growth based on the grayscale value of the coronary artery growth and the deleted initial three-dimensional image of the coronary artery to obtain the three-dimensional image of the coronary artery growth, including:
根据所述冠状动脉生长灰度值和预设生长步长,对所述删除后的初始冠状动脉三维图像进行冠状动脉生成,直到所述冠状动脉生长灰度值降低为预设最小生长灰度值,完成冠状动脉生长,得到所述冠状动脉生长三维图像。According to the coronary artery growth gray value and the preset growth step size, perform coronary artery generation on the deleted initial coronary three-dimensional image until the coronary artery growth gray value is reduced to a preset minimum growth gray value , complete the coronary artery growth, and obtain the three-dimensional image of the coronary artery growth.
第二方面,本发明实施例提供了一种图像处理装置,所述装置包括:处理器、存储器和通信总线,所述存储器通过所述通信总线与所述处理器进行通信,所述存储器存储所述处理器可执行的程序,当所述程序被执行时,通过所述处理器执行如上述所述的图像处理方法。In a second aspect, an embodiment of the present invention provides an image processing apparatus, the apparatus includes: a processor, a memory, and a communication bus, the memory communicates with the processor through the communication bus, and the memory stores data A program executable by the processor, when the program is executed, the image processing method as described above is executed by the processor.
第三方面,本发明实施例提供了一种计算机可读存储介质,其上存储有程序,所述程序被处理器执行时实现如上述所述的图像处理方法。In a third aspect, an embodiment of the present invention provides a computer-readable storage medium on which a program is stored, and when the program is executed by a processor, the image processing method as described above is implemented.
本发明实施例提供了一种图像处理方法及装置、存储介质。首先,当获得初始冠状动脉三维图像时,基于主动脉形态,在初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息;基于主动脉位置信息,从初始冠状动脉三维图像中确定主动脉连通域三维图像;基于主动脉位置信息和主动脉生理结构,在主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息;基于主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像。采用上述技术实现方案,由于图像处理装置根据主动脉形态,以及主动脉生理结构这些形态学构造,在初始冠状动脉三维图像中对主动脉和冠状动脉进行精准识别,并基于识别出的主动脉与左心室边界位置信息进行冠状动脉自动生长,从而获得冠状动脉三维图像,实现了冠状动脉自动准确的提取,提高了冠状动脉获取的智能性,提升了冠状动脉获取的效果。Embodiments of the present invention provide an image processing method and device, and a storage medium. First, when the initial coronary 3D image is obtained, based on the shape of the aorta, the aorta is identified in the initial coronary 3D image to obtain aortic position information; based on the aortic position information, the aorta is determined from the initial coronary 3D image. Connected domain 3D image; based on aortic position information and aortic physiological structure, identify the cardiac sinus in the aortic connected domain 3D image to obtain the boundary position information of the aorta and left ventricle; based on the aorta and left ventricular boundary position information Arteries re-grow, and three-dimensional images of coronary arteries are obtained. With the above technical implementation scheme, the image processing device accurately identifies the aorta and coronary arteries in the initial three-dimensional image of the coronary arteries according to the morphological structures of the aorta and the physiological structure of the aorta, and based on the identified aorta and the The left ventricular boundary position information is used to automatically grow the coronary artery, thereby obtaining a three-dimensional image of the coronary artery, realizing the automatic and accurate extraction of the coronary artery, improving the intelligence of coronary artery acquisition, and improving the effect of coronary artery acquisition.
附图说明Description of drawings
图1为本发明实施例提供的一种图像处理方法实现流程图;FIG. 1 is a flowchart for realizing an image processing method according to an embodiment of the present invention;
图2为本发明实施例提供的一种示例性的主动脉连通域三维图像;FIG. 2 is an exemplary three-dimensional image of aortic connected domain provided by an embodiment of the present invention;
图3为本发明实施例提供的一种示例性的搜索主动脉与左心室边界位置信息的示意图;3 is a schematic diagram of an exemplary search for position information of the boundary between the aorta and the left ventricle according to an embodiment of the present invention;
图4为本发明实施例提供的一种示例性的确定冠状动脉生长灰度值的示意图;FIG. 4 is a schematic diagram of an exemplary determination of a grayscale value of coronary artery growth provided by an embodiment of the present invention;
图5为本发明实施例提供的一种示例性的主动脉和冠状动脉连通域图像;FIG. 5 is an exemplary aorta and coronary arteries connected domain image provided by an embodiment of the present invention;
图6为本发明实施例提供的一种示例性的删除后的初始冠状动脉三维图像的一平面图;6 is a plan view of an exemplary deleted initial three-dimensional coronary artery image provided by an embodiment of the present invention;
图7为本发明实施例提供的一种示例性的冠状动脉生长三维图像;FIG. 7 is an exemplary three-dimensional image of coronary artery growth provided by an embodiment of the present invention;
图8为本发明实施例提供的一种示例性的冠状动脉三维图像;FIG. 8 is an exemplary three-dimensional image of a coronary artery according to an embodiment of the present invention;
图9为本发明实施例提供的一种语音信号处理装置的结构示意图一;FIG. 9 is a schematic structural diagram 1 of a voice signal processing apparatus according to an embodiment of the present invention;
图10为本发明实施例提供的一种语音信号处理装置的结构示意图二。FIG. 10 is a second schematic structural diagram of a voice signal processing apparatus according to an embodiment of the present invention.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
实施例一Example 1
本发明实施例提供了一种图像处理方法,图1为本发明实施例提供的一种图像处理方法实现流程图,如图1所示,该图像处理方法包括:An embodiment of the present invention provides an image processing method. FIG. 1 is an implementation flowchart of an image processing method provided by an embodiment of the present invention. As shown in FIG. 1 , the image processing method includes:
S101、当获得初始冠状动脉三维图像时,基于主动脉形态,在初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息。S101. When the initial three-dimensional image of the coronary artery is obtained, based on the shape of the aorta, perform aortic identification in the initial three-dimensional image of the coronary artery to obtain aortic position information.
在本发明实施例中,血管造影设备对注射造影剂后的冠状动脉进行造影,并将造影拍得的至少两张冠状动脉造影图像输入至图像处理装置,此时,图像处理装置就获取到了至少两张冠状动脉造影图像;当图像处理装置将获取到的至少两张冠状动脉造影图像进行叠加,就获得了初始冠状动脉三维图像。基于先验知识可以确定主动脉形态:横截面为圆形,图像处理装置基于主动脉横截面为圆形这一形态,在初始冠状动脉三维图像中确定主动脉位置信息。In the embodiment of the present invention, the angiography apparatus performs angiography on the coronary artery after injection of the contrast agent, and inputs at least two coronary angiography images obtained by the angiography to the image processing device. At this time, the image processing device obtains at least two coronary angiography images. Two coronary angiography images; when the image processing device superimposes the obtained at least two coronary angiography images, an initial three-dimensional image of the coronary arteries is obtained. The shape of the aorta can be determined based on the prior knowledge: the cross section is circular, and the image processing device determines the position information of the aorta in the initial three-dimensional image of the coronary artery based on the shape of the cross section of the aorta being circular.
这里,造影可以是CT造影,也可以是X光造影,还可以是其他的造影技术,本发明实施例对此不作具体限定。具体地,当造影为CT造影时,冠状动脉造影图像对应为冠状动脉CT造影图像。Here, the imaging may be CT imaging, X-ray imaging, or other imaging techniques, which are not specifically limited in this embodiment of the present invention. Specifically, when the angiography is CT angiography, the coronary angiography image corresponds to a coronary CT angiography image.
需要说明的是,初始冠状动脉三维图像包括冠状动脉所在区域的部位对应的图像,比如,人类胸部(包含心脏的区域)的立体图像;一般来说,初始冠状动脉三维图像是一个立体图像,比如,可以用一个三维矩阵表示初始冠状动脉三维图像;主动脉位置信息表征主动脉在初始冠状动脉三维图像中的位置信息。It should be noted that the initial three-dimensional image of the coronary artery includes images corresponding to the region where the coronary arteries are located, such as a stereoscopic image of the human chest (the region including the heart); generally, the initial three-dimensional image of the coronary artery is a stereoscopic image, such as , a three-dimensional matrix can be used to represent the initial coronary three-dimensional image; the aortic position information represents the position information of the aorta in the initial coronary three-dimensional image.
S102、基于主动脉位置信息,从初始冠状动脉三维图像中,确定主动脉连通域三维图像。S102 , based on the position information of the aorta, from the initial three-dimensional image of the coronary artery, determine a three-dimensional image of the aorta connected area.
在本发明实施例中,当图像处理装置获取到主动脉位置信息之后,由于主动脉与冠状动脉是连通的,因此,图像处理装置在获得了初始冠状动脉三维图像之后,在初始冠状动脉三维图像中基于主动脉位置信息来确定主动脉所在的连通区域,从而也就获得了包含冠状动脉的主动脉连通域三维图像。In this embodiment of the present invention, after the image processing apparatus acquires the position information of the aorta, since the aorta is connected to the coronary arteries, after the image processing apparatus obtains the initial three-dimensional coronary artery image, the Based on the location information of the aorta, the connected region where the aorta is located is determined, thereby obtaining a three-dimensional image of the connected region of the aorta including the coronary arteries.
也就是说,主动脉连通域三维图像表征主动脉所在的连通区域构成的立体图像。That is to say, the three-dimensional image of the connected area of the aorta represents the stereoscopic image formed by the connected area where the aorta is located.
具体地,图像处理装置在获得了主动脉位置信息之后,根据主动脉位置信息寻找主动脉所在的连通区域,即得到了主动脉连通域三维图像。Specifically, after obtaining the location information of the aorta, the image processing device searches for the connected area where the aorta is located according to the location information of the aorta, that is, obtains a three-dimensional image of the connected area of the aorta.
可以理解的是,由于主动脉与冠状动脉是连通的,因此,主动脉连通域三维图像中包含了冠状动脉。It can be understood that, since the aorta is connected with the coronary arteries, the coronary arteries are included in the three-dimensional image of the aorta connected region.
S103、基于主动脉位置信息和主动脉生理结构,在主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息。S103 , based on the aortic position information and the aortic physiological structure, perform cardiac sinus identification in the three-dimensional image of the aortic connected area to obtain the boundary position information of the aorta and the left ventricle.
在本发明实施例中,图像处理装置在获得了主动脉位置信息和主动脉连通域三维图像之后,在主动脉连通域三维图像中沿主动脉位置信息处从远心端向近心端进行主动脉与左心室边界位置信息的搜索,在该过程中,主动脉存在一段先粗后细的生理结构,当确定了该生理结构所处的位置之后,即确定了主动脉与左心室边界位置信息。In the embodiment of the present invention, after obtaining the aortic position information and the three-dimensional image of the aortic connected area, the image processing device performs the main path from the distal end to the proximal end along the aortic position information in the three-dimensional image of the aortic connected area. The search for the location information of the boundary between the artery and the left ventricle. In this process, the aorta has a physiological structure that is thick and then thin. When the location of the physiological structure is determined, the boundary location information of the aorta and the left ventricle is determined. .
需要说明的是,该先粗后细的生理结构表征的部位为心窦,而心窦正是主动脉上与冠状动脉连通对应的凸起位置。It should be noted that the location represented by the first thick and then thin physiological structure is the cardiac sinus, and the cardiac sinus is the bulge position on the aorta that communicates with the coronary arteries.
可以理解的是,由于主动脉连通域三维图像表征初始冠状动脉图像中主动脉所在的连通域,而主动脉通常与冠状动脉、左心室等连通;因此,图像处理装置在获得了主动脉与左心室边界位置信息之后,就能根据主动脉与左心室边界位置信息将与主动脉连通的左心室所在的连通域去除,进一步为冠状动脉的提取提供了便捷性。It can be understood that, because the three-dimensional image of the aortic connected area represents the connected area where the aorta is located in the initial coronary image, and the aorta is usually connected to the coronary artery, the left ventricle, etc.; After the location information of the ventricular boundary is obtained, the connected domain where the left ventricle connected to the aorta is located can be removed according to the boundary location information of the aorta and the left ventricle, which further provides convenience for the extraction of the coronary arteries.
S104、基于主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像。S104 , performing coronary regrowth based on the boundary position information of the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery.
在本发明实施例中,由于主动脉连通域三维图像中,不仅包含了主动脉与冠状动脉的连通,还包含了主动脉与其他部位(比如,左心室)的连通,以及冠状动脉与其他部位(比如,心耳)的连通,因此,当图像处理装置获取到主动脉与左心室边界位置信息之后,根据该主动脉与左心室边界位置信息对主动脉连通域三维图像进行冠状动脉再生长处理,去掉上述不需要的连通区域(主动脉与其他部位的连通,以及冠状动脉与其他部位的连通),完成冠状动脉的提取,得到冠状动脉三维图像。In the embodiment of the present invention, because the three-dimensional image of the aortic connectivity domain includes not only the connection between the aorta and the coronary artery, but also the connection between the aorta and other parts (for example, the left ventricle), and the connection between the coronary artery and other parts (for example, the atrial appendage), therefore, after the image processing device obtains the boundary position information of the aorta and the left ventricle, it performs coronary regrowth processing on the three-dimensional image of the aorta connected area according to the boundary position information of the aorta and the left ventricle, The above-mentioned unnecessary connected areas (the connection between the aorta and other parts, and the connection between the coronary arteries and other parts) are removed, and the extraction of the coronary arteries is completed, and the three-dimensional images of the coronary arteries are obtained.
这里,冠状动脉三维图像为经过计算机技术处理后的能够作为医学上进行心脏疾病诊断的依据,比如,冠状动脉三维网格模型。Here, the three-dimensional image of coronary artery is processed by computer technology and can be used as a basis for medical diagnosis of heart disease, for example, a three-dimensional mesh model of coronary artery.
可以理解的是,图像处理装置通过主动脉的形态学构造,在获得的初始冠状动脉三维图像中对主动脉和冠状动脉进行精准的定位,实现了高效且完整的分割重构处理,完成了CT(计算机断层扫描)冠状动脉造影二维图像中冠状动脉的自动准确的提取。It can be understood that the image processing device accurately locates the aorta and coronary arteries in the obtained initial three-dimensional images of coronary arteries through the morphological structure of the aorta, realizes efficient and complete segmentation and reconstruction processing, and completes the CT scan. (Computed Tomography) Automatic and accurate extraction of coronary arteries from two-dimensional images of coronary angiography.
进一步地,在本发明实施例中,图像处理方法还包括当获取到至少两张冠状动脉造影二维图像时,图像处理装置基于预设图像层次顺序,叠加至少两张冠状动脉造影二维图像,得到初始冠状动脉三维图像。具体包括S105-S107,其中:Further, in the embodiment of the present invention, the image processing method further includes that when at least two two-dimensional coronary angiography images are acquired, the image processing apparatus superimposes at least two coronary angiography two-dimensional images based on a preset image hierarchy sequence, Obtain an initial three-dimensional image of the coronary arteries. Specifically include S105-S107, including:
S105、当获取到至少两张冠状动脉造影二维图像时,从至少两张冠状动脉造影二维图像中分别获取对应的图像灰度修正信息,图像灰度修正信息包括至少两张冠状动脉造影二维图像对应的初始灰度值和格式信息。S105. When at least two two-dimensional coronary angiography images are acquired, obtain corresponding image grayscale correction information from the at least two coronary angiography two-dimensional images, respectively, where the image grayscale correction information includes at least two coronary angiography two-dimensional images. The initial gray value and format information corresponding to the dimensional image.
在本发明实施例中,当对冠状动脉进行血管断层扫描时,通过静脉注射造影剂能够拍得至少两张冠状动脉造影二维图像,将该至少两张冠状动脉造影二维图像向图像处理装置导入时,图像处理装置即获取到了至少两张冠状动脉造影二维图像。而图像处理装置获得的至少两张冠状动脉造影二维图像中包括图像灰度修正信息,该图像灰度修正信息用于对冠状动脉造影二维图像进行图像转换:将冠状动脉造影二维图像从第一空间转换至第二空间,使得图像处理装置在第二空间中进行冠状动脉的提取处理;这里,第一空间表征血管造影设备进行冠状动脉造影时拍得的至少两张冠状动脉造影二维图像对应的图像空间,第二空间表征图像处理装置对至少两张冠状动脉造影二维图像进行冠状动脉提取时至少两张冠状动脉造影二维图像对应的图像空间。In the embodiment of the present invention, when performing a tomography scan on a coronary artery, at least two two-dimensional coronary angiography images can be captured by injecting a contrast agent intravenously, and the at least two two-dimensional coronary angiography images can be sent to the image processing device During the introduction, the image processing device acquires at least two two-dimensional coronary angiography images. The at least two two-dimensional coronary angiography images obtained by the image processing device include image grayscale correction information, and the image grayscale correction information is used to perform image conversion on the coronary angiography two-dimensional images: converting the coronary angiography two-dimensional images from The first space is converted into the second space, so that the image processing device performs extraction processing of coronary arteries in the second space; here, the first space represents at least two two-dimensional coronary angiography images obtained by the angiography device during coronary angiography The image space corresponding to the image, and the second space represents the image space corresponding to the at least two two-dimensional coronary angiography images when the image processing apparatus performs coronary extraction on the at least two two-dimensional coronary angiography images.
这里,图像灰度修正信息包括至少两张冠状动脉造影二维图像对应的初始灰度值和格式信息。Here, the image grayscale correction information includes initial grayscale values and format information corresponding to at least two two-dimensional coronary angiography images.
需要说明的是,图像处理装置获取到的至少两张冠状动脉造影二维图像为第一空间中的图像,此时的每张冠状动脉造影二维图像对应的图像格式为第一图像格式,比如,DICOM图像,从而至少两张冠状动脉造影二维图像对应的格式信息表征第一图像格式对应的信息,比如DICOM图像的头文件信息。It should be noted that the at least two two-dimensional coronary angiography images obtained by the image processing device are images in the first space, and the image format corresponding to each coronary angiography two-dimensional image at this time is the first image format, such as , DICOM images, so that the format information corresponding to the at least two two-dimensional coronary angiography images represents information corresponding to the first image format, such as header file information of the DICOM images.
另外,至少两张冠状动脉造影二维图像对应的初始灰度值表征至少两张冠状动脉造影二维图像在第一空间中对应的灰度值。In addition, the initial grayscale values corresponding to the at least two two-dimensional coronary angiography images represent grayscale values corresponding to the at least two two-dimensional coronary angiography images in the first space.
也就是说,图像处理装置从获得的至少两张冠状动脉造影二维图像中读取第一图像格式对应的信息以及对应在第一空间中的灰度值,即获取到了图像灰度修正信息。That is to say, the image processing apparatus reads the information corresponding to the first image format and the corresponding grayscale values in the first space from the obtained at least two two-dimensional coronary angiography images, that is, the image grayscale correction information is obtained.
S106、根据初始灰度值和格式信息,得到至少两张冠状动脉造影二维图像对应的密度值。S106: Obtain density values corresponding to at least two two-dimensional coronary angiography images according to the initial grayscale value and format information.
在本发明实施例中,图像处理装置在获得了图像灰度修正信息之后,就能对至少两张冠状动脉造影二维图像进行第一空间到第二空间的转换处理,具体为:图像处理装置根据初始灰度值和格式信息,得到至少两张冠状动脉造影二维图像对应的密度值。In the embodiment of the present invention, after obtaining the image grayscale correction information, the image processing apparatus can perform conversion processing from the first space to the second space on at least two two-dimensional coronary angiography images, specifically: the image processing apparatus According to the initial gray value and format information, the density values corresponding to at least two two-dimensional coronary angiography images are obtained.
需要说明的是,密度值表征至少两张冠状动脉造影二维图像在第二空间对应的第二图像格式中的信息,比如CT值。It should be noted that the density value represents the information in the second image format corresponding to the at least two two-dimensional coronary angiography images in the second space, such as CT value.
示例性地,图像处理装置获得一组人类胸部包含心脏区域的CTA图像(至少两张冠状动脉造影二维图像),该组CTA图像为DICOM图像;首先,图像处理装置从每张DICOM图像的头文件信息中获取“Rescale Slope”和“Rescale Intercept”(格式信息),并确定至少两张冠状动脉造影二维图像中每张图像的灰度值(初始灰度值);其次,图像处理装置根据公式(1),确定至少两张冠状动脉造影二维图像在第二空间对应的CT值(密度值),其中公式(1)为:Exemplarily, the image processing device obtains a set of CTA images (at least two two-dimensional coronary angiography images) of the human chest including the heart region, and the set of CTA images are DICOM images; Obtain "Rescale Slope" and "Rescale Intercept" (format information) from the file information, and determine the gray value (initial gray value) of each image in at least two two-dimensional coronary angiography images; Formula (1) determines the CT value (density value) corresponding to at least two two-dimensional coronary angiography images in the second space, where formula (1) is:
HU=Rescale Slope×I+Rescale Intercept (1)HU=Rescale Slope×I+Rescale Intercept (1)
其中,HU表示至少两张冠状动脉造影二维图像中每个像素点对应的CT值,I表示初始灰度值。Among them, HU represents the CT value corresponding to each pixel in at least two two-dimensional coronary angiography images, and I represents the initial gray value.
S107、根据密度值和预设图像层次顺序,叠加至少两张冠状动脉造影二维图像,得到初始冠状动脉三维图像。S107 , superimposing at least two two-dimensional coronary angiography images according to the density value and the preset image hierarchy order to obtain an initial three-dimensional coronary image.
在本发明实施例中,当图像处理装置获得至少两张冠状动脉造影二维图像对应的密度值之后,即确定了冠状动脉所在区域中的每个部位对应的CT值,再加上计算机断层扫描设备是对冠状动脉所在部位进行顺序拍摄的,从而在获得的至少两张冠状动脉造影二维图像之间存在固定的图像层次,因此,图像处理装置基于密度值和该预设图像层次顺序,对至少两张冠状动脉造影二维图像进行叠加处理,就能得到用于提取冠状动脉的初始冠状动脉三维图像。In the embodiment of the present invention, after the image processing device obtains the density values corresponding to at least two two-dimensional coronary angiography images, the CT value corresponding to each part in the region where the coronary arteries are located is determined, and the computed tomography scan is added. The device sequentially shoots the parts where the coronary arteries are located, so that there is a fixed image level between the at least two obtained two-dimensional coronary angiography images. Therefore, the image processing device, based on the density value and the preset image level sequence, At least two coronary angiography two-dimensional images are superimposed to obtain an initial coronary three-dimensional image for extracting coronary arteries.
这里,初始冠状动脉三维图像中每个像素点对应有自身的CT值,后续冠状动脉的提取均是基于该CT值进行的。Here, each pixel in the initial three-dimensional image of the coronary artery corresponds to its own CT value, and subsequent coronary artery extraction is performed based on the CT value.
需要说明的是,表征同一个部位的像素点对应存在于至少一张冠状动脉造影二维图像中,但在第二空间中,同一个部位的像素点对应的密度值相同。It should be noted that the pixels representing the same part exist in at least one 2D coronary angiography image correspondingly, but in the second space, the corresponding density values of the pixels in the same part are the same.
在本发明实施例中,当初始冠状动脉三维图像是一个立体图像,比如,可以用一个三维矩阵表示初始冠状动脉三维图像时,对应的,冠状动脉造影二维图像为一个二维矩阵,从而图像处理装置将多张二维矩阵表示的冠状动脉造影二维图像根据预设图像层次顺序叠加为一个三维矩阵形式的初始冠状动脉三维图像。In this embodiment of the present invention, when the initial three-dimensional coronary artery image is a stereoscopic image, for example, a three-dimensional matrix can be used to represent the initial three-dimensional coronary artery image, correspondingly, the two-dimensional coronary angiography image is a two-dimensional matrix, so that the image The processing device superimposes a plurality of two-dimensional coronary angiography images represented by a two-dimensional matrix into an initial coronary three-dimensional image in the form of a three-dimensional matrix according to a preset image hierarchy sequence.
这里,图像处理装置在根据密度值和预设图像层次顺序,将至少两张冠状动脉造影图像转换为初始冠状动脉三维图像时,可以是图像处理装置根据密度值和预设图像层次顺序构建三维图像模型,并将至少两张冠状动脉造影图像输入至该三维图像模型中,从而得到初始冠状动脉三维图像;也可以是图像处理装置根据密度值和预设图像层次顺序对至少两张冠状动脉造影图像中的平面结构进行拉伸后并组合,从而得到初始冠状动脉三维图像;本发明实施例对此不作具体限制。Here, when the image processing device converts at least two coronary angiography images into initial three-dimensional images of coronary arteries according to the density value and the preset image hierarchy order, the image processing device may construct a three-dimensional image according to the density value and the preset image hierarchy order. model, and input at least two coronary angiography images into the three-dimensional image model, so as to obtain an initial three-dimensional coronary artery image; it is also possible that the image processing device analyzes the at least two coronary angiography images according to the density value and the preset image hierarchy order. The planar structures in the image are stretched and combined to obtain an initial three-dimensional image of the coronary artery; this is not specifically limited in the embodiment of the present invention.
示例性地,CT设备(血管造影设备)对注射造影剂后的病人胸部(包含心脏的区域)进行断层扫描,得到一组冠状动脉CTA图像(至少两张冠状动脉造影二维图像),其中,这一组冠状动脉CTA图像中的每张图片均是一个二维矩阵,图像处理装置将这一组冠状动脉CTA图像按预设图像层次顺序排列组成一个三维矩阵,即初始冠状动脉三维图像。Exemplarily, a CT device (angiography device) performs a tomographic scan on a patient's chest (region containing the heart) after injection of a contrast agent, and obtains a set of coronary CTA images (at least two coronary angiography two-dimensional images), wherein, Each picture in the group of coronary CTA images is a two-dimensional matrix, and the image processing device arranges the group of coronary CTA images in a preset image hierarchy order to form a three-dimensional matrix, that is, an initial three-dimensional coronary artery image.
可以理解的是,图像处理装置通过将多张冠状动脉造影二维图像进行处理并叠加,获得初始冠状动脉三维图像,为后续冠状动脉的提取提供了原始信息。It can be understood that the image processing apparatus obtains an initial three-dimensional image of coronary arteries by processing and superimposing multiple two-dimensional coronary angiography images, which provides original information for subsequent coronary artery extraction.
进一步地,在本发明实施例中,S101中图像处理装置基于主动脉形态,在初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息,具体包括:图像处理装置根据主动脉形态,确定半径阈值;并基于预设图像层次顺序,根据预设灰度值对初始冠状动脉三维图像中的层次冠状动脉二维图像进行二值化处理,并根据预设定位算法和半径阈值,在层次冠状动脉二维图像进行二值化处理对应的结果图像中识别主动脉,直到获得主动脉位置信息。Further, in the embodiment of the present invention, the image processing device in S101 performs aortic identification in the initial three-dimensional image of the coronary artery based on the shape of the aorta, and obtains the position information of the aorta, which specifically includes: the image processing device determines the shape of the aorta according to the shape of the aorta. Radius threshold; and based on the preset image hierarchy order, according to the preset gray value, the hierarchical coronary 2D image in the initial coronary 3D image is binarized, and according to the preset positioning algorithm and radius threshold, in the hierarchy coronary The aorta is identified in the resulting image corresponding to the binarization of the two-dimensional arterial image until the location information of the aorta is obtained.
需要说明的是,在初始冠状动脉三维图像中,有两个结构的横截面为圆形,这两个结构一个是主动脉,另一个是下动脉,而下动脉的半径明显小于主动脉的半径,从而图像处理装置根据主动脉的半径大小,确定半径的最小阈值即半径阈值,比如,40个像素;基于该半径阈值,从而排除了下动脉的干扰。It should be noted that in the initial three-dimensional image of the coronary artery, there are two structures with circular cross-sections, one of which is the aorta and the other is the inferior artery, and the radius of the inferior artery is significantly smaller than that of the aorta. , so that the image processing device determines the minimum threshold of the radius, ie, the radius threshold, according to the radius of the aorta, for example, 40 pixels; based on the radius threshold, the interference of the inferior artery is excluded.
具体地,图像处理装置是基于预设图像层次顺序进行主动脉的定位的:先从第一层图像开始,利用预设灰度值对第一层图像进行二值化处理,得到二值化后的第一层图像;并利用定位圆形结构的预设定位算法和设置的半径阈值,从而确定主动脉的横截面,即获得了主动脉位置信息。如果在第一层图像中并未确定主动脉位置信息,图像处理装置在第二层图像中继续进行主动脉的定位,具体定位过程同在第一层图像中进行主动脉定位的定位过程。同样,如果在第二图像中也未确定主动脉位置信息,图像处理装置将在第三层图像中继续进行主动脉的定位,如此遍历初始冠状动脉三维图像,直到确定主动脉的位置;此时,主动脉位置信息表征主动脉在初始冠状动脉三维图像中的层次冠状动脉二维图像上的位置信息;比如,主动脉位置信息为式(2):Specifically, the image processing device performs the positioning of the aorta based on the preset image hierarchy sequence: starting from the first layer image, the first layer image is binarized by using the preset gray value, and the binarized image is obtained. and using the preset positioning algorithm for locating the circular structure and the set radius threshold to determine the cross-section of the aorta, that is, the aortic position information is obtained. If the location information of the aorta is not determined in the first layer image, the image processing device continues to locate the aorta in the second layer image, and the specific positioning process is the same as the positioning process of performing aortic location in the first layer image. Similarly, if the location information of the aorta has not been determined in the second image, the image processing device will continue to locate the aorta in the third layer image, and thus traverse the initial three-dimensional image of the coronary artery until the location of the aorta is determined; , the aortic position information represents the position information of the aorta on the hierarchical coronary two-dimensional image in the initial coronary three-dimensional image; for example, the aortic position information is formula (2):
positionAorta=(x0,y0,i) (2)position Aorta = (x 0 , y 0 , i) (2)
其中,positionAorta表示主动脉位置信息,(x0,y0,i)表示主动脉圆心(x0,y0)在第i层图像上的位置。Among them, position Aorta represents the position information of the aorta, and (x 0 , y 0 , i) represents the position of the center of the aorta (x 0 , y 0 ) on the image of the i-th layer.
需要说明的是,预设灰度值为图像处理装置预先设置的灰度值,该预设灰度值是基于大量理论和试验的结合获得的,比如:226。预设定位算法用于定位圆形结构,比如,Hough变换:Hough变换可以判定图像中一个几何形状是一个标准图形(如:圆形,椭圆形,直线)的可能性。另外,第一层图像、第二层图像、第三层图像…为主动脉在初始冠状动脉三维图像中的层次冠状动脉二维图像。It should be noted that the preset gray value is a gray value preset by the image processing device, and the preset gray value is obtained based on a combination of a large number of theories and experiments, for example: 226. Preset localization algorithms are used to locate circular structures, for example, Hough transform: Hough transform can determine the possibility that a geometric shape in an image is a standard shape (eg: circle, ellipse, line). In addition, the first slice image, the second slice image, the third slice image .
进一步地,在本发明实施例中,S102中图像处理装置基于主动脉位置信息,从初始冠状动脉三维图像中确定主动脉连通域三维图像,具体包括:图像处理装置根据主动脉位置信息,得到初始主动脉灰度值;以及根据预设灰度值和初始主动脉灰度值,确定主动脉灰度值;并根据主动脉灰度值,对初始冠状动脉三维图像进行二值化处理,得到二值化后的初始冠状动脉三维图像;以及根据主动脉位置信息,从二值化后的初始冠状动脉三维图像中确定主动脉连通区域,得到主动脉连通域三维图像。Further, in the embodiment of the present invention, the image processing device in S102 determines the three-dimensional image of the aortic connected domain from the initial coronary three-dimensional image based on the aortic position information, which specifically includes: the image processing device obtains the initial three-dimensional image according to the aortic position information. The gray value of the aorta; and determining the gray value of the aorta according to the preset gray value and the gray value of the initial aorta; The valued initial coronary three-dimensional image; and according to the aortic position information, the aortic connected area is determined from the binarized initial coronary three-dimensional image, and the aortic connected area three-dimensional image is obtained.
在本发明实施例中,当图像处理装置获得了主动脉位置信息之后,由于主动脉位置信息表征主动脉在某一层次冠状动脉二维图像的位置,从而,根据该主动脉位置信息,能够得到与该层次冠状动脉二维图像对应的初始主动脉灰度值。也就是说,初始主动脉灰度值表征主动脉在某一层次冠状动脉二维图像中的灰度值。另外,图像处理装置根据主动脉位置信息和初始主动脉灰度值,从初始冠状动脉三维图像中确定主动脉连通域三维图像。也就是说,图像处理装置在获得主动脉位置信息和初始主动脉灰度值之后,就能够根据初始主动脉灰度值,在初始冠状动脉三维图像中确定的主动脉位置信息处寻找主动脉所在的连通域,从而得到主动脉连通域三维图像。In the embodiment of the present invention, after the image processing device obtains the aortic position information, since the aortic position information represents the position of the aorta in the two-dimensional image of the coronary artery at a certain level, according to the aortic position information, it is possible to obtain The initial grayscale value of the aorta corresponding to the two-dimensional image of the coronary artery at this level. That is to say, the initial aortic gray value represents the gray value of the aorta in a two-dimensional image of the coronary artery at a certain level. In addition, the image processing device determines a three-dimensional image of the aortic connected region from the initial three-dimensional image of the coronary artery according to the aortic position information and the initial aortic gray value. That is to say, after obtaining the aortic position information and the initial aortic gray value, the image processing device can find the location of the aorta at the aortic position information determined in the initial coronary three-dimensional image according to the initial aortic gray value. The connected domain of the aorta is obtained to obtain a three-dimensional image of the connected domain of the aorta.
具体地,当图像处理装置在获得初始主动脉灰度值之后,再利用主动脉灰度值对初始冠状动脉三维图像进行二值化处理。从而确定主动脉连通域三维图像时,需根据初始主动脉灰度值得到主动脉灰度值,而主动脉灰度值表征主动脉在初始冠状图像中的灰度值,此时,图像处理装置利用预设灰度值对初始主动脉灰度值进行更新,从而得到更新后的灰度值即为主动脉灰度值。Specifically, after obtaining the initial aortic gray value, the image processing device performs binarization processing on the initial three-dimensional coronary artery image by using the aortic gray value. Therefore, when determining the three-dimensional image of the aortic connected area, the aortic gray value needs to be obtained according to the initial aortic gray value, and the aortic gray value represents the gray value of the aorta in the initial coronal image. At this time, the image processing device The initial aortic gray value is updated by using the preset gray value, so as to obtain the updated gray value, which is the aortic gray value.
示例性地,图像处理装置利用公式(3)实现根据预设灰度值和初始主动脉灰度值确定主动脉灰度值,公式(3)为:Exemplarily, the image processing device uses formula (3) to realize determining the aortic gray value according to the preset gray value and the initial aortic gray value, and formula (3) is:
其中,graynew表示主动脉灰度值,grayAorta表示初始主动脉灰度值,grayexp表示预设灰度值。Among them, gray new represents the gray value of the aorta, gray Aorta represents the initial gray value of the aorta, and gray exp represents the preset gray value.
图像处理装置获得主动脉灰度值之后,利用该主动脉灰度值对初始冠状动脉进行二值化处理,在得到的二值化后的初始冠状动脉三维图像上利用已知的主动脉位置信息寻找主动脉的连通域。比如,图像处理装置利用区域生长法,遍历二值化后的初始冠状动脉三维图像上所有与主动脉位置信息连通的值为1的像素点,对这些连通的值为1的像素点进行标记,从而将所有标记的连通的值为1的像素点确定为主动脉所在的连通域。After the image processing device obtains the grayscale value of the aorta, it uses the grayscale value of the aorta to perform binarization processing on the initial coronary artery, and uses the known position information of the aorta on the obtained three-dimensional image of the initial coronary artery after the binarization. Find the connected domain of the aorta. For example, the image processing device uses the region growing method to traverse all the pixels with a value of 1 connected with the position information of the aorta on the initial three-dimensional image of the coronary artery after binarization, and mark these connected pixels with a value of 1. Thus, all marked pixels with connected value of 1 are determined as the connected domain where the aorta is located.
需要说明的是,虽然主动脉位置信息为层次冠状动脉二维图像上主动脉的位置,而由于层次冠状动脉二维图像为初始冠状动脉三维图像中的图像信息,从而主动脉位置信息也对应为主动脉在初始冠状动脉三维图像中所在的位置信息。It should be noted that although the aortic position information is the position of the aorta on the hierarchical coronary 2D image, since the hierarchical coronary 2D image is the image information in the initial coronary 3D image, the aortic position information also corresponds to Location information of the aorta in the initial coronary 3D image.
图2为本发明实施例提供的一种示例性的主动脉连通域三维图像,如图2所示,圆形结构部分即为主动脉10,另外,在主动脉连通域三维图像中,还包括了冠状动脉、左心室内腔、左心房内腔、心耳以及左心房连接的肺静脉等;另外,根据CTA图像拍摄时机的不同,主动脉连通域三维图像还可能包括右心室内腔、右心房内腔以及右心室连接的肺动脉等。FIG. 2 is an exemplary three-dimensional image of the aortic connected area provided by an embodiment of the present invention. As shown in FIG. 2 , the circular structure part is the
可以理解的是,通过在初始冠状动脉三维图像中确定主动脉所在的连通域,从而得到主动脉连通域三维图像。因此,当图像处理装置从主动脉连通域三维图像中提取冠状动脉时,缩小了冠状动脉的提取范围,一定程度上提高了冠状动脉提取的可实施性。It can be understood that, by determining the connected area where the aorta is located in the initial three-dimensional image of the coronary artery, the three-dimensional image of the connected area of the aorta is obtained. Therefore, when the image processing apparatus extracts the coronary arteries from the three-dimensional image of the aortic connected area, the extraction range of the coronary arteries is reduced, and the practicability of the coronary arteries extraction is improved to a certain extent.
进一步地,在本发明实施例中,S103中图像处理装置基于主动脉位置信息和主动脉生理结构,在主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息,具体包括:图像处理装置根据主动脉生理结构,确定位置判定条件,位置判断条件用于识别心窦;并在主动脉连通域三维图像中,从主动脉位置信息处根据预设搜索步长确定搜索平面,直到搜索平面对应的主动脉截面面积满足位置判定条件时,将对应的搜索平面作为主动脉与左心室边界位置信息。Further, in the embodiment of the present invention, the image processing device in S103 performs cardiac sinus identification in the three-dimensional image of the aortic connectivity domain based on the aortic position information and the aortic physiological structure, and obtains the boundary position information of the aorta and the left ventricle, specifically: The method includes: the image processing device determines the position determination condition according to the physiological structure of the aorta, and the position determination condition is used to identify the cardiac sinus; and in the three-dimensional image of the aortic connected domain, the search plane is determined according to the preset search step length from the position information of the aorta , until the cross-sectional area of the aorta corresponding to the search plane satisfies the position determination condition, the corresponding search plane is used as the boundary position information of the aorta and the left ventricle.
这里,图像处理装置在主动脉位置信息处根据预设搜索步长确定搜索平面,具体包括:将主动脉位置信息作为第一位置,构建第一位置对应的第一搜索平面;根据第一位置和预设搜索步长,确定第二位置;构建第二位置对应的第二搜索平面;根据第一位置和第二位置,确定第三位置;构建第三位置对应的第三搜索平面。最后根据第一搜索平面、第二搜索平面、第三搜索平面得到主动脉的横截面图像。这里,第一搜索平面、第二搜索平面和第三搜索平面为上述的搜索平面。Here, the image processing device determines the search plane according to the preset search step size at the location of the aorta, which specifically includes: taking the location information of the aorta as the first location, and constructing a first search plane corresponding to the first location; Presetting a search step size to determine a second position; constructing a second search plane corresponding to the second position; determining a third position according to the first position and the second position; and constructing a third search plane corresponding to the third position. Finally, a cross-sectional image of the aorta is obtained according to the first search plane, the second search plane, and the third search plane. Here, the first search plane, the second search plane and the third search plane are the above search planes.
也就是说,首先,图像处理装置将主动脉位置信息作为第一位置构建第一搜索平面;当主动脉位置信息为式(2)所示时,第一搜索平面为式(4)所示:That is to say, first, the image processing device uses the aortic position information as the first position to construct a first search plane; when the aortic position information is shown in formula (2), the first search plane is shown in formula (4):
(y-y0)+(z-i)=0 (4)(yy 0 )+(zi)=0 (4)
其中,主动脉连通域三维图像为一个立体图像,当用三维坐标(x,y,z)进行表示时,z表示远心端向近心端的方向,(x,y)表示CT设备拍摄的横断面。Among them, the three-dimensional image of the aortic connected area is a three-dimensional image. When represented by three-dimensional coordinates (x, y, z), z represents the direction from the distal end to the proximal end, and (x, y) represents the cross-section captured by the CT equipment. noodle.
在第一搜索平面中,图像处理装置去除与第一位置positionAorta1为:positionAorta不连通的区域,得到仅包含主动脉截面的图像IMAorta1。In the first search plane, the image processing device removes an area that is not connected to the first position position Aorta1 as: position Aorta , and obtains an image IM Aorta1 that only includes a cross section of the aorta.
其次,图像处理装置根据预设搜索步长step(比如,10像素)确定主动脉第二位置positionAorta2为:positionAorta+(0,0,step),从而得到第二搜索平面,如式(5)所示:Secondly, the image processing device determines the second position of the aorta, position Aorta2 , according to the preset search step size step (for example, 10 pixels) as: position Aorta +(0,0,step), so as to obtain the second search plane, as shown in formula (5) ) as shown:
(y-y0)+[z-(i+step)]=0 (5)(yy 0 )+[z-(i+step)]=0 (5)
在第二搜索平面中,图像处理装置去除与第二位置positionAorta2不连通的区域,得到仅包含主动脉截面的图像IMAorta2。In the second search plane, the image processing device removes the area that is not connected to the second position position Aorta2 , and obtains an image IM Aorta2 that only contains the cross section of the aorta.
然后,图像处理装置根据第一位置和第二位置预测得到第三位置,具体地,根据第一位置和第二位置确定主动脉的方向向量如式(6)所示:Then, the image processing device predicts and obtains a third position according to the first position and the second position, and specifically, determines the direction vector of the aorta according to the first position and the second position As shown in formula (6):
从而,图像处理装置确定第三位置positionAorta3为 Therefore, the image processing apparatus determines that the third position position Aorta3 is
进一步得到第三搜索平面,如式(7)所示:The third search plane is further obtained, as shown in formula (7):
其中,为positionAorta3对应的y值,为positionAorta3对应的z值。in, is the y value corresponding to position Aorta3 , is the z value corresponding to position Aorta3 .
在第三搜索平面中,图像处理装置去除与第三位置positionAorta3不连通的区域,得到仅包含主动脉截面的图像IMAorta3。In the third search plane, the image processing device removes the region that is not connected to the third position position Aorta3 , and obtains an image IM Aorta3 that only contains the cross section of the aorta.
最后,通过重复上述搜索过程,得到一系列仅包含主动脉截面的图像{IMAorta1,IMAorta2,IMAorta3,…,IMAortaj},其中,j表示第j个主动脉截面。图像处理装置在判断出该系列仅包含主动脉截面的图像的横截面积先变大后变小时,结束主动脉横截面的搜索,并将IMAortaj对应的位置信息作为主动脉与左心室边界位置信息。Finally, by repeating the above search process, a series of images {IM Aorta1 , IM Aorta2 , IM Aorta3 , . When the image processing device determines that the cross-sectional area of the series of images containing only the aortic cross-section first becomes larger and then becomes smaller, the search for the aortic cross-section is ended, and the position information corresponding to IM Aortaj is used as the boundary between the aorta and the left ventricle. information.
在本发明实施例中,图像处理装置确定主动脉与左心室边界位置信息的位置判定条件为:最近一次的主动脉截面的面积S(IMAortaj+1)先大于前一次的主动脉截面的面积S(IMAortaj),表征搜索位置到达了心窦的上方;之后,最近一次的主动脉截面的面积S(IMAortak+1)小于前一次的主动脉截面的面积S(IMAortak),表征搜索位置到达了心窦的下方。In the embodiment of the present invention, the position determination condition for the image processing device to determine the position information of the boundary between the aorta and the left ventricle is: the area S (IM Aortaj+1 ) of the most recent aortic cross-section is larger than the area of the previous aortic cross-section first. S(IM Aortaj ) indicates that the search position reaches the upper part of the cardiac sinus; after that, the area S(IM Aortak+1 ) of the latest aortic cross-section is smaller than the area S(IM Aortak ) of the previous aortic cross-section, indicating that the search The position reaches the lower part of the sinus.
优选地,上述位置判定条件为:S(IMAortaj+1)>α×S(IMAortaj),以及S(IMAortak+1)<β×S(IMAortak),其中,α大于1,比如,1.01;β小于1,比如,0.99。如此,降低了图像噪声的影响,提高了判断精度。Preferably, the above position determination conditions are: S(IM Aortaj+1 )>α×S(IM Aortaj ), and S(IM Aortak+1 )<β×S(IM Aortak ), where α is greater than 1, for example, 1.01; β is less than 1, eg, 0.99. In this way, the influence of image noise is reduced, and the judgment accuracy is improved.
另外,在本发明实施例中,当得到的主动脉截面满足上述判断条件时,再进行两步搜索,将此时对应的位置作为主动脉与左心室边界位置信息。In addition, in the embodiment of the present invention, when the obtained aortic cross-section satisfies the above judgment conditions, a two-step search is performed, and the corresponding position at this time is used as the boundary position information of the aorta and the left ventricle.
图3为本发明实施例提供的一种示例性的搜索主动脉与左心室边界位置信息的示意图。如图3所示,1~i表示第一搜索平面到第i搜索平面,其中,第i搜索平面对应的位置为主动脉与左心室边界位置信息。FIG. 3 is a schematic diagram of an exemplary search for position information of the boundary between the aorta and the left ventricle according to an embodiment of the present invention. As shown in FIG. 3 , 1 to i represent the first search plane to the i th search plane, wherein the position corresponding to the i th search plane is the boundary position information of the aorta and the left ventricle.
可以理解的是,由于主动脉与左心室是连通的,通过确定主动脉与左心室边界位置信息,为从主动脉连通图像中去除左心室提供了条件。It can be understood that since the aorta is in communication with the left ventricle, by determining the position information of the boundary between the aorta and the left ventricle, conditions are provided for removing the left ventricle from the aorta-connected image.
进一步地,在本发明实施例中,S104中图像处理装置基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像,具体包括S104a-S104c,其中:Further, in the embodiment of the present invention, the image processing apparatus in S104 performs coronary regrowth based on the position information of the aorta and left ventricle boundary to obtain a three-dimensional image of the coronary artery, which specifically includes S104a-S104c, wherein:
S104a、基于主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉生长三维图像。S104a, performing coronary artery regrowth based on the boundary position information of the aorta and the left ventricle to obtain a three-dimensional image of the coronary artery growth.
在本发明实施例中,图像处理装置在获得了主动脉与左心室边界位置信息之后,基于主动脉与左心室边界位置信息进行冠状动脉再生长,就得到了冠状动脉生长三维图像。In the embodiment of the present invention, after obtaining the boundary position information of the aorta and the left ventricle, the image processing apparatus performs coronary regrowth based on the boundary position information of the aorta and the left ventricle, and obtains a three-dimensional image of the coronary artery growth.
这里,冠状动脉生长三维图像表征包含主动脉和冠状动脉的三维图像。Here, the three-dimensional image representation of the coronary artery growth includes three-dimensional images of the aorta and coronary arteries.
更进一步地,本发明实施例中,S104a中图像处理装置基于主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉生长三维图像,具体包括S104a1-S104a3,其中:Further, in the embodiment of the present invention, the image processing device in S104a performs coronary artery regrowth based on the position information of the aorta and left ventricle boundary to obtain a three-dimensional image of coronary artery growth, specifically including S104a1-S104a3, wherein:
S104a1、根据主动脉与左心室边界位置信息,以及主动脉位置信息,确定冠状动脉生长灰度值。S104a1: Determine the gray value of coronary artery growth according to the position information of the boundary between the aorta and the left ventricle and the position information of the aorta.
在本发明实施例中,在确定了主动脉与左心室边界位置信息之后,图像处理装置即将主动脉连通域三维图像分成了两部分:冠状动脉所在连通域和心室所在连通域;图像处理装置判断冠状动脉所在连通域中,冠状动脉与心耳是否有粘连,在确定冠状动脉与心耳有粘连时,根据预设去粘连步长对主动脉位置信息对应的主动脉灰度值进行增长处理,直到冠状动脉与心耳无粘连,将此时对应的灰度值作为冠状动脉生长灰度值。In the embodiment of the present invention, after determining the position information of the boundary between the aorta and the left ventricle, the image processing device divides the three-dimensional image of the connected area of the aorta into two parts: the connected area where the coronary arteries are located and the connected area where the ventricle is located; the image processing device determines In the connected domain where the coronary arteries are located, whether there is adhesion between the coronary arteries and the atrial appendages, when it is determined that the coronary arteries and the atrial appendages are adhesions, the gray value of the aorta corresponding to the location information of the aorta is increased according to the preset de-adhesion step, until the coronary arteries There was no adhesion between the artery and the atrial appendage, and the gray value corresponding to this time was taken as the gray value of the coronary artery growth.
另外,图像处理装置判断冠状动脉所在连通域中,冠状动脉与心耳是无粘连时,则将主动脉灰度值作为冠状动脉生长灰度值。In addition, when the image processing device determines that the coronary arteries are located in the connected domain, and the coronary arteries and the atrial appendages are not adhered, the aortic grayscale value is used as the coronary artery growth grayscale value.
更进一步地,图像处理装置根据主动脉与左心室边界位置信息,以及主动脉位置信息,确定冠状动脉生长灰度值,具体包括:图像处理装置根据主动脉与左心室边界位置信息,得到冠状动脉连通域;以及当冠状动脉连通域对应的体积大于预设体积时,在主动脉位置信息对应的主动脉灰度值的基础上,循环增加预设去粘连步长,直到冠状动脉连通域对应的体积不大于预设体积,将循环增加后的灰度值作为冠状动脉生长灰度值。这里,冠状动脉连通域指冠状动脉所在连通域。Further, the image processing device determines the grayscale value of the coronary artery growth according to the position information of the aorta and the left ventricle, and the position information of the aorta, which specifically includes: the image processing device obtains the coronary artery according to the position information of the aorta and the left ventricle. connected domain; and when the volume corresponding to the coronary connected domain is greater than the preset volume, on the basis of the aortic gray value corresponding to the aortic position information, the preset de-adhesion step is cyclically increased until the corresponding volume of the coronary connected domain is The volume is not larger than the preset volume, and the gray value after cyclic increase is used as the gray value of coronary artery growth. Here, the coronary connected domain refers to the connected domain where the coronary arteries are located.
需要说明的是,主动脉位置信息对应的主动脉灰度值指图像处理装置根据主动脉位置信息确定主动脉灰度值,具体为图像处理装置根据主动脉位置信息确定初始主动脉灰度值,并根据初始主动脉灰度值和预设灰度值确定主动脉灰度值。It should be noted that the aortic gray value corresponding to the aortic position information refers to the image processing device determining the aortic gray value according to the aortic position information, specifically, the image processing device determining the initial aortic gray value according to the aortic position information, And the aortic gray value is determined according to the initial aortic gray value and the preset gray value.
也就是说,由于一旦冠状动脉与心耳有粘连,则冠状动脉所在连通域对应的体积大于预设体积,因此,图像处理装置根据预先设置的预设连通像素点数量判断冠状动脉与心耳是否有粘连,比如,设置预设连通像素点数量为1300000个,那么,当主动脉和冠脉连通域像素点数量大于1300000个时,确定冠状动脉与心耳有粘连;当主动脉和冠脉连通域像素点数量不大于1300000个时,确定冠状动脉与心耳无粘连。That is to say, once the coronary arteries and the atrial appendages are adhered, the volume corresponding to the connected region where the coronary arteries are located is greater than the preset volume. Therefore, the image processing device determines whether the coronary arteries and the atrial appendages are adhered according to the preset preset number of connected pixels. , for example, set the preset number of connected pixels to 1,300,000, then, when the number of pixels in the connected region of the aorta and coronary arteries is greater than 1,300,000, it is determined that the coronary arteries and atrial appendages are adhered; when the number of pixels in the connected region of the aorta and coronary artery is different When the number is greater than 1,300,000, it is determined that there is no adhesion between the coronary arteries and the atrial appendages.
同时,图像处理装置在主动脉灰度值的基础上不断提高预设去粘连步长,并判断在提高后的灰度值上冠状动脉与心耳是否还存在粘连;如果存在粘连,则继续在本次灰度值的基础上增加预设去粘连步长,并判断在再次提高后的灰度值上冠状动脉与心耳是否还存在粘连;重复该过程,直到冠状动脉与心耳不再粘连,而此时对应的提高后的灰度值即为冠状动脉生长灰度值。At the same time, the image processing device continuously increases the preset de-adhesion step size on the basis of the gray value of the aorta, and judges whether there is still adhesion between the coronary artery and the atrial appendage on the increased gray value; On the basis of the second gray value, increase the preset de-adhesion step size, and judge whether the coronary artery and the atrial appendage still have adhesion on the gray value after the increase again; repeat this process until the coronary artery and the atrial appendage are no longer adhered, and this The corresponding increased gray value is the coronary artery growth gray value.
示例性地,图4为本发明实施例提供的一种示例性的确定冠状动脉生长灰度值的示意图,如图4所示,预设去粘连步长stepgray1为20,参见图4中的左上角图:主动脉灰度值为373.5,并且图像处理装置确定此时冠状动脉与心耳有粘连,从而将灰度值提升20,得到图4中的右上角图;在图4中的右上角图中:对应的灰度值为393.5,并且图像处理装置确定此时冠状动脉与心耳有粘连,从而将灰度值提升20,得到图4中的左下角图;在图4中的左下角图中:对应的灰度值为413.5,并且图像处理装置确定此时冠状动脉与心耳有粘连,从而将灰度值提升20,得到图4中的右下角图;在图4中的右下角图中:对应的灰度值为433.5,并且图像处理装置确定此时冠状动脉与心耳无粘连,从而确定冠状动脉生长灰度值为433.5。Exemplarily, FIG. 4 is a schematic diagram of an exemplary determination of the gray value of coronary artery growth provided by an embodiment of the present invention. As shown in FIG. 4 , the preset de-adhesion step size step gray1 is 20. The upper left picture: the gray value of the aorta is 373.5, and the image processing device determines that the coronary artery and the atrial appendage are adhered at this time, so the gray value is increased by 20, and the upper right picture in Fig. 4 is obtained; in the upper right corner of Fig. 4 In the figure: the corresponding gray value is 393.5, and the image processing device determines that the coronary artery and the atrial appendage are adhered at this time, so the gray value is increased by 20, and the lower left image in Fig. 4 is obtained; the lower left image in Fig. 4 Middle: the corresponding gray value is 413.5, and the image processing device determines that the coronary artery and the atrial appendage are adhered at this time, so the gray value is increased by 20, and the lower right image in Fig. 4 is obtained; in the lower right image in Fig. 4 : The corresponding gray value is 433.5, and the image processing device determines that there is no adhesion between the coronary artery and the atrial appendage at this time, so that the gray value of the coronary artery growth is determined to be 433.5.
在本发明实施例中,图像处理装置在得到了主动脉与左心室边界位置信息之后,将主动脉连通域三维图像中左心室所在的连通域去除,得到主动脉和冠状动脉的连通域,并在主动脉和冠状动脉的连通域中对冠状动脉与心耳进行去粘连处理,得到用于生长冠状动脉的主动脉和冠状动脉连通域图像。图5为本发明实施例提供的一种示例性的主动脉和冠状动脉连通域图像,如图5所示,主动脉10和冠状动脉20连通。In the embodiment of the present invention, after obtaining the boundary position information of the aorta and the left ventricle, the image processing device removes the connected domain where the left ventricle is located in the three-dimensional image of the connected domain of the aorta to obtain the connected domain of the aorta and the coronary artery, and Coronary arteries and atrial appendages were de-adhesed in the connected areas of the aorta and coronary arteries to obtain images of the connected areas of the aorta and coronary arteries for growing coronary arteries. FIG. 5 is an exemplary connected domain image of the aorta and the coronary arteries provided by an embodiment of the present invention. As shown in FIG. 5 , the
S104a2、根据主动脉与左心室边界位置信息,从初始冠状动脉三维图像中删除主动脉连通域三维图像,得到删除后的初始冠状动脉三维图像。S104a2 , according to the position information of the boundary between the aorta and the left ventricle, delete the three-dimensional image of the connected area of the aorta from the initial three-dimensional image of the coronary artery to obtain the deleted three-dimensional image of the initial coronary artery.
在本发明实施例中,当图像处理装置在得到主动脉和冠状动脉连通域图像之后,由于该主动脉和冠状动脉连通域图像对应的灰度值即冠状动脉生长灰度值较高,从而主动脉和冠状动脉连通域图像中包括的冠状动脉的信息量较少;因此,图像处理装置需根据主动脉与左心室边界位置信息,在初始冠状动脉三维图像中将主动脉连通域三维图像进行去除进而进行冠状动脉的再生长;这里,在初始冠状动脉三维图像中将主动脉连通域三维图像进行去除,就得到了删除后的初始冠状动脉三维图像。In the embodiment of the present invention, after the image processing device obtains the image of the connected area of the aorta and the coronary artery, because the gray value corresponding to the connected area image of the aorta and the coronary artery, that is, the gray value of the coronary artery growth, is relatively high, the main The information of the coronary arteries included in the arterial and coronary connected region images is relatively small; therefore, the image processing device needs to remove the aortic connected region 3D image from the initial coronary 3D image according to the boundary position information of the aorta and the left ventricle Then, the regrowth of the coronary artery is performed; here, the three-dimensional image of the aortic connected area is removed from the initial three-dimensional image of the coronary artery, and the deleted initial three-dimensional image of the coronary artery is obtained.
具体地,由于图像处理装置根据主动脉与左心室边界位置信息将主动脉连通域三维图像分成了两部分:冠状动脉所在连通域和心室所在连通域,因此,图像处理装置从初始冠状动脉三维图像中分别删除冠状动脉所在连通域和心室所在连通域;其中,图像处理装置将心室所在连通域根据预设程度进行膨胀之后,再从初始冠状动脉三维图像中将心室所在连通域删除;而图像处理装置从初始冠状动脉三维图像中直接将冠状动脉所在连通域进行删除。Specifically, because the image processing device divides the three-dimensional image of the aorta connected area into two parts according to the position information of the aorta and the left ventricle: the connected area where the coronary arteries are located and the connected area where the ventricle is located, therefore, the image processing device uses the initial three-dimensional image of the coronary arteries. The connected domain where the coronary artery is located and the connected domain where the ventricle is located are deleted respectively in the 3D image; wherein, after the image processing device expands the connected domain where the ventricle is located according to a preset degree, the connected domain where the ventricle is located is deleted from the initial three-dimensional image of the coronary artery; and the image processing device The device directly deletes the connected region where the coronary artery is located from the initial three-dimensional image of the coronary artery.
这里,删除处理表征在初始冠状动脉三维图像中将对应区域中的CT值信息置为零。Here, the deletion process represents setting the CT value information in the corresponding region to zero in the initial coronary three-dimensional image.
示例性地,图6为本发明实施例提供的一种示例性的删除后的初始冠状动脉三维图像的一平面图,如图6所示,左图为初始冠状动脉三维图像的第101层平面图;右图为清空主动脉连通域之后的初始冠状动脉三维图像的第101层平面图,即删除后的初始冠状动脉三维图像的第101层平面图。Exemplarily, FIG. 6 is a plan view of an exemplary deleted initial three-dimensional coronary artery image provided by an embodiment of the present invention. As shown in FIG. 6 , the left picture is a plan view of the 101st slice of the initial three-dimensional coronary artery image; The figure on the right is a plan view of the 101st slice of the initial coronary 3D image after clearing the aortic connected area, that is, the 101st slice plan of the deleted initial coronary 3D image.
可以理解的是,图像处理装置在初始冠状动脉三维图像中删除左心室所在连通域,从而初始冠状动脉三维图像中的心耳、左心房、左心室将被清零,后续冠状动脉再生长时已被清零的心耳、左心房、左心室这些组织将不会再长出来,也就不会再受到心耳等易与冠状动脉粘连部位的影响。而图像处理装置在初始冠状动脉三维图像中删除冠状动脉冠脉所在连通域,是为了后续冠状动脉再生长过程中降低灰度值构造连通域时,与冠脉、以及主动脉连通的连通域不再是一整个大的连通域,而是很多小连通域,并且这些小连通域之间互不连通。一旦小连通域粘连到其他组织,可以选择抛弃这一小连通域,而其他小连通域可以正常的生长。It can be understood that the image processing device deletes the connected domain where the left ventricle is located in the initial three-dimensional coronary artery image, so that the atrial appendage, left atrium, and left ventricle in the initial three-dimensional coronary artery image will be cleared, and the subsequent coronary artery regrowth has been removed. The cleared atrial appendage, left atrium, and left ventricle will not grow again, and will no longer be affected by the atrial appendage and other parts that are easy to adhere to the coronary arteries. The image processing device deletes the connected domain where the coronary artery is located in the initial three-dimensional image of the coronary artery, so as to reduce the gray value in the subsequent coronary regrowth process to construct the connected domain, the connected domain that is connected to the coronary artery and the aorta will not be connected. Then there is a whole large connected domain, but many small connected domains, and these small connected domains are not connected with each other. Once a small connected domain has adhered to other tissues, this small connected domain can be chosen to be discarded, while other small connected domains can grow normally.
S104a3、基于冠状动脉生长灰度值和删除后的初始冠状动脉三维图像进行冠状动脉生长,得到冠状动脉生长三维图像。S104a3, performing coronary artery growth based on the gray value of the coronary artery growth and the deleted initial three-dimensional image of the coronary artery to obtain a three-dimensional image of the coronary artery growth.
在本发明实施例中,图像处理装置在获得冠状动脉生长灰度值和删除后的初始冠状动脉三维图像之后,循环操作使得冠状动脉生长灰度值每次均降低预设生长步长,并将每一次降低灰度值后所生长出的连通域进行标记,直到将冠状动脉生长灰度值降低为预设最小生长灰度值时,统计所标记的所有连通域,即得到了冠状动脉生长三维图像。In the embodiment of the present invention, after obtaining the gray value of coronary artery growth and the deleted initial three-dimensional image of coronary artery, the image processing device performs a cyclic operation so that the gray value of coronary artery growth decreases by a preset growth step each time, and The connected domain that grows after each reduction of the gray value is marked until the gray value of the coronary artery growth is reduced to the preset minimum growth gray value, and all the marked connected domains are counted, that is, the three-dimensional coronary artery growth is obtained. image.
更进一步地,在本发明实施例中,S103d中图像处理装置基于冠状动脉生长灰度值和删除后的初始冠状动脉三维图像进行冠状动脉生长,得到冠状动脉生长三维图像,具体包括:图像处理装置根据冠状动脉生长灰度值和预设生长步长,对删除后的初始冠状动脉三维图像进行冠状动脉生成,直到冠状动脉生长灰度值降低为预设最小生长灰度值,得到冠状动脉生长三维图像,完成冠状动脉生长。Further, in the embodiment of the present invention, the image processing device in S103d performs coronary artery growth based on the grayscale value of the coronary artery growth and the deleted initial three-dimensional image of the coronary artery to obtain a three-dimensional image of the coronary artery growth, which specifically includes: an image processing device. According to the coronary artery growth gray value and the preset growth step size, the coronary artery generation is performed on the deleted initial coronary three-dimensional image until the coronary artery growth gray value is reduced to the preset minimum growth gray value, and the coronary artery growth three-dimensional image is obtained. Image, complete coronary growth.
需要说明的是,图像处理装置在进行冠状动脉的生长时,对每次标记的连通域中像素点数量进行判断,当标记的连通域中像素点数量大于预设数量阈值(比如,100000个)时,将该标记的连通域舍弃;而当标记的连通域中像素点数量不大于预设数量阈值时,将该标记的连通域加入到冠状动脉生长三维图像中,同时,将该标记的连通域在删除后的初始冠状动脉三维图像中删除。图像处理装置重复该操作,直到冠状动脉生长灰度值降低为预设最小生长灰度值,完成冠状动脉生长,得到冠状动脉生长三维图像,比如图7所示。It should be noted that the image processing device judges the number of pixels in each marked connected domain when growing the coronary arteries. When the number of pixels in the marked connected domain is greater than a preset number threshold (for example, 100,000) , the marked connected domain is discarded; and when the number of pixels in the marked connected domain is not greater than the preset number threshold, the marked connected domain is added to the three-dimensional image of coronary growth, and at the same time, the marked connected domain is Domains were removed in the initial coronary 3D image after removal. The image processing device repeats this operation until the coronary artery growth gray value is reduced to the preset minimum growth gray value, and the coronary artery growth is completed, and a three-dimensional image of the coronary artery growth is obtained, as shown in FIG. 7 .
S104b、利用预设算法,在冠状动脉生长三维图像上识别主动脉区域。S104b, using a preset algorithm to identify the aorta region on the three-dimensional image of coronary artery growth.
在本发明实施例中,由于冠状动脉三维图像中包含了冠状动脉区域和主动脉区域两部分,图像处理装置通过将冠状动脉生长三维图像中的主动脉区域去除,就得到了仅包含冠状动脉区域的目标图像,即冠状动脉三维图像。这里,图像处理装置根据预设算法对冠状动脉生长三维图像进行主动脉区域的识别。In the embodiment of the present invention, since the coronary artery three-dimensional image includes two parts, the coronary artery region and the aorta region, the image processing device obtains the coronary artery region only by removing the aortic region in the coronary artery growth three-dimensional image. The target image, namely the three-dimensional image of the coronary artery. Here, the image processing device performs the identification of the aorta region on the three-dimensional image of the coronary artery growth according to the preset algorithm.
优选地,预设算法为先腐蚀再膨胀的算法,图像处理装置通过对冠状动脉生长三维图像先腐蚀再膨胀,从而能够将冠状动脉生长三维图像中的冠状动脉区域去掉。Preferably, the preset algorithm is an algorithm of first eroding and then expanding, and the image processing device can remove the coronary artery region in the three-dimensional image of coronary artery growth by first eroding and then expanding the three-dimensional image of coronary artery growth.
需要说明的是,腐蚀算法是按照指定的规则对三维二值矩阵中的形体进行统一缩小,相当于去掉形体靠外层的几层点,膨胀算法则与腐蚀算法相反。It should be noted that the erosion algorithm uniformly shrinks the shape in the three-dimensional binary matrix according to the specified rules, which is equivalent to removing several layers of points near the outer layer of the shape. The expansion algorithm is the opposite of the erosion algorithm.
S104c、从冠状动脉生长三维图像中删除主动脉区域,得到冠状动脉三维图像。S104c, delete the aorta region from the three-dimensional image of the coronary artery growth to obtain a three-dimensional image of the coronary artery.
在本发明实施例中,图像处理装置在冠状动脉生长三维图像中识别出主动脉区域之后,将该主动脉区域从冠状动脉生长三维图像中删除,比如将冠状动脉生长三维图像和主动脉区域作差,就获得了去掉主动脉后仅保留有两个最大连通域的冠状动脉三维图像,其中,这两个最大连通域表征左冠状动脉和右冠状动脉。In the embodiment of the present invention, after the image processing device identifies the aortic region in the three-dimensional image of coronary artery growth, the aortic region is deleted from the three-dimensional image of coronary artery growth, for example, the three-dimensional image of coronary artery growth and the aortic region are combined If the difference is poor, a three-dimensional image of the coronary arteries with only two maximal connected domains remaining after removing the aorta is obtained, wherein the two maximal connected domains represent the left coronary artery and the right coronary artery.
优选地,图像处理装置在获得冠状动脉三维图像之后,在该冠状动脉三维图像中提取等值面数据,利用预设网格算法(比如泊松曲面重构算法)对该等值面数据进行曲面重建,并对曲面重建结果进行平滑处理,从而得到冠状动脉的三维网格模型,如图8所示。也就是说,冠状动脉三维图像为实心立体图像,图像处理装置将该实心立体图像处理为空心立体图像之后作为医学诊断依据。Preferably, after obtaining the three-dimensional image of the coronary artery, the image processing device extracts isosurface data from the three-dimensional image of the coronary artery, and uses a preset grid algorithm (such as a Poisson surface reconstruction algorithm) to perform a curved surface on the isosurface data Reconstruction, and smooth the surface reconstruction results to obtain a three-dimensional mesh model of the coronary artery, as shown in Figure 8. That is to say, the three-dimensional image of the coronary artery is a solid stereoscopic image, and the image processing apparatus processes the solid stereoscopic image into a hollow stereoscopic image as a basis for medical diagnosis.
可以理解的是,由于图像处理装置根据主动脉形态,以及主动脉生理结构这些形态学构造,在初始冠状动脉三维图像中对主动脉和冠状动脉进行精准识别,并基于识别出的主动脉与左心室边界位置信息进行冠状动脉自动生长,从而获得冠状动脉三维图像,实现了冠状动脉自动准确的提取,提高了冠状动脉获取的智能性,提升了冠状动脉获取的效果。It can be understood that, because the image processing device accurately identifies the aorta and coronary arteries in the initial three-dimensional image of the coronary arteries according to the morphological structures of the aorta and the physiological structure of the aorta, and based on the identified aorta and left The location information of the ventricular boundary is used to automatically grow the coronary artery, thereby obtaining a three-dimensional image of the coronary artery, realizing the automatic and accurate extraction of the coronary artery, improving the intelligence of coronary artery acquisition, and improving the effect of coronary artery acquisition.
实施例二Embodiment 2
基于实施例一同一发明构思,本发明实施例提供了一种图像处理装置30,图9为本发明实施例提供的一种图像处理装置的结构示意图一,如图9所示,该图像处理装置30包括:Based on the same inventive concept of the first embodiment, an embodiment of the present invention provides an
第一识别单元300,用于当获得初始冠状动脉三维图像时,基于主动脉形态,在所述初始冠状动脉三维图像中进行主动脉识别,得到主动脉位置信息;The
确定单元301,用于基于所述主动脉位置信息,从所述初始冠状动脉三维图像中确定主动脉连通域三维图像;a determining
第二识别单元302,用于基于所述主动脉位置信息和主动脉生理结构,在所述主动脉连通域三维图像中进行心窦识别,得到主动脉与左心室边界位置信息;The
再生长单元303,用于基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉三维图像。The
进一步地,所述图像处理装置30还包括叠加单元304,所述叠加单元304,用于当获取到至少两张冠状动脉造影二维图像时,从所述至少两张冠状动脉造影二维图像中分别获取对应的图像灰度修正信息,所述图像灰度修正信息包括所述至少两张冠状动脉造影二维图像对应的初始灰度值和格式信息;并根据所述初始灰度值和所述格式信息,得到所述至少两张冠状动脉造影二维图像对应的密度值;以及根据所述密度值和预设图像层次顺序,叠加所述至少两张冠状动脉造影二维图像,获得所述初始冠状动脉三维图像。Further, the
进一步地,所述第一识别单元300,具体用于根据所述主动脉形态,确定半径阈值;以及基于所述预设图像层次顺序,根据预设灰度值对所述初始冠状动脉三维图像中的层次冠状动脉三维图像进行二值化处理,并根据预设定位算法和所述半径阈值,在所述层次冠状动脉三维图像进行二值化处理对应的结果图像中识别所述主动脉,直到获得所述主动脉位置信息。Further, the first identifying
进一步地,所述确定单元301,具体用于根据所述主动脉位置信息,得到初始主动脉灰度值;并根据预设灰度值和所述初始主动脉灰度值,确定主动脉灰度值;以及根据所述主动脉灰度值,对所述初始冠状动脉三维图像进行二值化处理,得到二值化后的初始冠状动脉三维图像;以及根据所述主动脉位置信息,从所述二值化后的初始冠状动脉三维图像中确定主动脉连通区域,得到所述主动脉连通域三维图像。Further, the determining
进一步地,所述第二识别单元302,具体用于根据所述主动脉生理结构,确定位置判定条件,所述位置判断条件用于识别所述心窦;以及在所述主动脉连通域三维图像中,从所述主动脉位置信息处根据预设搜索步长确定搜索平面,直到所述搜索平面对应的主动脉截面面积满足所述位置判定条件时,将对应的所述搜索平面作为所述主动脉与左心室边界位置信息。Further, the
进一步地,所述再生长单元303,具体用于基于所述主动脉与左心室边界位置信息进行冠状动脉再生长,得到冠状动脉生长三维图像;并利用预设算法,在所述冠状动脉生长三维图像上识别主动脉区域;以及从所述冠状动脉生长三维图像中删除所述主动脉区域,得到所述冠状动脉三维图像。Further, the
进一步地,所述再生长单元303,还具体用于根据所述主动脉与左心室边界位置信息,以及所述主动脉位置信息,确定冠状动脉生长灰度值;并根据所述主动脉与左心室边界位置信息,从所述初始冠状动脉三维图像中删除所述主动脉连通域三维图像,得到删除后的初始冠状动脉三维图像;以及基于所述冠状动脉生长灰度值和所述删除后的初始冠状动脉三维图像进行冠状动脉生长,得到所述冠状动脉生长三维图像。Further, the
进一步地,所述再生长单元303,还具体用于根据所述主动脉与左心室边界位置信息,得到冠状动脉连通域;以及当所述冠状动脉连通域对应的体积大于预设体积时,在所述主动脉位置信息对应的主动脉灰度值的基础上,循环增加预设去粘连步长,直到所述冠状动脉连通域对应的体积不大于所述预设体积,将循环增加后的灰度值作为所述冠状动脉生长灰度值。Further, the
进一步地,所述再生长单元303,还具体用于根据所述冠状动脉生长灰度值和预设生长步长,对所述删除后的初始冠状动脉三维图像进行冠状动脉生成,直到所述冠状动脉生长灰度值降低为预设最小生长灰度值,完成冠状动脉生长,得到所述冠状动脉生长三维图像。Further, the
需要说明的是,在实际应用中,上述第一识别单元300、确定单元301、第二识别单元302和再生长单元303可由位于图像处理装置30上的处理器304实现,具体为CPU(CentralProcessing Unit,中央处理器)、MPU(Microprocessor Unit,微处理器)、DSP(DigitalSignal Processing,数字信号处理器)或现场可编程门阵列(FPGA,Field ProgrammableGate Array)等实现。It should be noted that, in practical applications, the above-mentioned
本发明实施例还提供了一种图像处理装置30,如图10所示,所述图像处理装置30包括:处理器304、存储器305和通信总线306,所述存储器305通过所述通信总线306与所述处理器304进行通信,所述存储器305存储所述处理器304可执行的程序,当所述程序被执行时,通过所述处理器305执行如实施例一所述的图像处理方法。An embodiment of the present invention further provides an
在实际应用中,上述存储器305可以是易失性存储器(volatile memory),例如随机存取存储器(Random-Access Memory,RAM);或者非易失性存储器(non-volatilememory),例如只读存储器(Read-Only Memory,ROM),快闪存储器(flash memory),硬盘(Hard Disk Drive,HDD)或固态硬盘(Solid-State Drive,SSD);或者上述种类的存储器的组合,并向处理器304提供指令和数据。In practical applications, the above-mentioned
本发明实施例提供了一种计算机可读存储介质,其上存储有程序,所述程序被处理器304执行时实现如实施例一所述的图像处理方法。An embodiment of the present invention provides a computer-readable storage medium on which a program is stored, and when the program is executed by the
可以理解的是,由于图像处理装置根据主动脉形态,以及主动脉生理结构这些形态学构造,在初始冠状动脉三维图像中对主动脉和冠状动脉进行精准识别,并基于识别出的主动脉与左心室边界位置信息进行冠状动脉自动生长,从而获得冠状动脉三维图像,实现了冠状动脉自动准确的提取,提高了冠状动脉获取的智能性,提升了冠状动脉获取的效果。It can be understood that, because the image processing device accurately identifies the aorta and coronary arteries in the initial three-dimensional image of the coronary arteries according to the morphological structures of the aorta and the physiological structure of the aorta, and based on the identified aorta and left The location information of the ventricular boundary is used to automatically grow the coronary artery, thereby obtaining a three-dimensional image of the coronary artery, realizing the automatic and accurate extraction of the coronary artery, improving the intelligence of coronary artery acquisition, and improving the effect of coronary artery acquisition.
本领域内的技术人员应明白,本发明的实施例可提供为方法、系统、或计算机程序产品。因此,本发明可采用硬件实施例、软件实施例、或结合软件和硬件方面的实施例的形式。而且,本发明可采用在一个或多个其中包含有计算机可用程序代码的计算机可用存储介质(包括但不限于磁盘存储器和光学存储器等)上实施的计算机程序产品的形式。As will be appreciated by one skilled in the art, embodiments of the present invention may be provided as a method, system, or computer program product. Accordingly, the invention may take the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware aspects. Furthermore, the present invention may take the form of a computer program product embodied on one or more computer-usable storage media having computer-usable program code embodied therein, including but not limited to disk storage, optical storage, and the like.
本发明是参照根据本发明实施例的方法、设备(系统)、和计算机程序产品的流程图和/或方框图来描述的。应理解可由计算机程序指令实现流程图和/或方框图中的每一流程和/或方框、以及流程图和/或方框图中的流程和/或方框的结合。可提供这些计算机程序指令到通用计算机、专用计算机、嵌入式处理机或其他可编程数据处理设备的处理器以产生一个机器,使得通过计算机或其他可编程数据处理设备的处理器执行的指令产生用于实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能的装置。The present invention is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems), and computer program products according to embodiments of the invention. It will be understood that each flow and/or block in the flowchart illustrations and/or block diagrams, and combinations of flows and/or blocks in the flowchart illustrations and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to the processor of a general purpose computer, special purpose computer, embedded processor or other programmable data processing device to produce a machine such that the instructions executed by the processor of the computer or other programmable data processing device produce Means for implementing the functions specified in a flow or flow of a flowchart and/or a block or blocks of a block diagram.
这些计算机程序指令也可存储在能引导计算机或其他可编程数据处理设备以特定方式工作的计算机可读存储器中,使得存储在该计算机可读存储器中的指令产生包括指令装置的制造品,该指令装置实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能。These computer program instructions may also be stored in a computer-readable memory capable of directing a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory result in an article of manufacture comprising instruction means, the instructions The apparatus implements the functions specified in the flow or flow of the flowcharts and/or the block or blocks of the block diagrams.
这些计算机程序指令也可装载到计算机或其他可编程数据处理设备上,使得在计算机或其他可编程设备上执行一系列操作步骤以产生计算机实现的处理,从而在计算机或其他可编程设备上执行的指令提供用于实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能的步骤。These computer program instructions can also be loaded on a computer or other programmable data processing device to cause a series of operational steps to be performed on the computer or other programmable device to produce a computer-implemented process such that The instructions provide steps for implementing the functions specified in the flow or blocks of the flowcharts and/or the block or blocks of the block diagrams.
以上所述,仅为本发明的较佳实施例而已,并非用于限定本发明的保护范围。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the protection scope of the present invention.
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