Catheters are commonly inserted life supporting devices. Because serious complications can arise from malpositioned catheters, X-ray images are used to assess the position of a catheter immediately after placement. Previous computer vision approaches to detect catheters on X-ray images were either rule-based or only capable of processing a limited number or type of catheters projecting over the chest. With the resurgence of deep learning, supervised training approaches are beginning to show promising results. However, dense annotation maps are required, and the work of a human annotator is difficult to scale. In this work, we propose an automatic approach for detection of catheters and tubes on pediatric X-ray images. We propose a simple way of synthesizing catheters on X-ray images to generate a training dataset by exploiting the fact that catheters are essentially tubular structures with various cross sectional profiles. Further, we develop a UNet-style segmentation network with a recurrent module that can process inputs at multiple scales and iteratively refine the detection result. By training on adult chest X-rays, the proposed network exhibits promising detection results on pediatric chest abdomen X-rays in terms of both precision and recall, with Fβ = 0.8. The approach described in this work may contribute to the development of clinical systems to detect and assess the placement of catheters on X-ray images. This may provide a solution to triage and prioritize X-ray images with potentially malpositioned catheters for a radiologist’s urgent review and help automate radiology reporting.
One of the most common elongated structures in medical imaging is a blood vessel. Its detection has been researched in many imaging modalities, such as in retinal fundus imaging @cite_27 and angiography @cite_4 . The methods used in the literature have evolved from hard coded rule based methods into machine learning based methods. In the early days, researchers tried to devise metrics to measure the vesselness'' directly from feature sources like Hessian matrix @cite_4 and co-occurrence matrix @cite_17 . Later on, rather than relying on a single feature, researchers started to aggregate features from multiple sources, such as ridge based @cite_20 , wavelets @cite_16 and then employed a supervised learning method on top to delineate the decision boundary between the vessel and non-vessel. Most recent progress was achieved by supervised deep learning where features were directly learnt from images without the intervention of domain expertise @cite_27 . Since blood vessels are of various diameters by nature, multi-scale approaches have also been explored in the literature @cite_23 .
@cite_4 @cite_27 @cite_23 @cite_16 @cite_20 @cite_17
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The automatic extraction of blood vessels in non-fluorescein eye fundus images is a tough task in applications such as diabetic retinopathy screening. However, vessel shapes have complex variations, and accurate modeling of retinal vascular structures is challenging. We have therefore developed a new approach to accurately extract blood vessels in non-fluorescein fundus images using an orientation-aware detector (OAD). The detector was designed according to the intrinsic property of vessels being locally oriented and having linearly elongated structures. We employ the OAD to extract vessel shapes with no assumptions on parametric orientations of vessel shapes. The orientations of vessels can be efficiently modeled by the energy distribution of Fourier transformation. Accordingly, both wide and thin vessels can be extracted with two-scale segmentation in which line operators are applied in large scale and the Gabor filter bank is applied in small scale. A post-processing technique, based on the path opening operation, is applied to eliminate false responses to nonvascular areas, such as retinal structures (optic disc and macula) and pathologies (exudates, hemorrhages,and microaneurysms). This makes the detector robust and structure-aware. By achieving a competitive CAL measurement of 80.82 for the DRIVE database and 68.94 for the STARE, the experimental results demonstrated that the OAD approach outperforms existing segmentation methods. Furthermore, the proposed approach effectively works with non-fluorescein fundus images and proves highly accurate and robust in complicated regions such as the central reflex, close vessels, and crossover points, despite a high level of illumination noise in the original data. In this paper we present a learning based method for vessel segmentation in angiographic videos. Vessel segmentation is an important task in medical imaging and has been investigated extensively in the past. Traditional approaches often require pre-processing steps, standard conditions or manually set seed points. Our method is automatic, fast and robust towards noise often seen in low radiation X-ray images. Furthermore, it can be easily trained and used for any kind of tubular structure. We formulate the segmentation task as a hierarchical learning problem over 3 levels: border points, cross-segments and vessel pieces, corresponding to the vessel's position, width and length. Following the marginal space learning paradigm the detection on each level is performed by a learned classifier. We use probabilistic boosting trees with Haar and steerable features. First results of segmenting the vessel which surrounds a guide wire in 200 frames are presented and future additions are discussed. Abstract Since the retinal blood vessel has been acknowledged as an indispensable element in both ophthalmological and cardiovascular disease diagnosis, the accurate segmentation of the retinal vessel tree has become the prerequisite step for automated or computer-aided diagnosis systems. In this paper, a supervised method is presented based on a pre-trained fully convolutional network through transfer learning. This proposed method has simplified the typical retinal vessel segmentation problem from full-size image segmentation to regional vessel element recognition and result merging. Meanwhile, additional unsupervised image post-processing techniques are applied to this proposed method so as to refine the final result. Extensive experiments have been conducted on DRIVE, STARE, CHASE_DB1 and HRF databases, and the accuracy of the cross-database test on these four databases is state-of-the-art, which also presents the high robustness of the proposed approach. This successful result has not only contributed to the area of automated retinal blood vessel segmentation but also supports the effectiveness of transfer learning when applying deep learning technique to medical imaging. Blood vessels usually have poor local contrast, and the application of existing edge detection algorithms yield results which are not satisfactory. An operator for feature extraction based on the optical and spatial properties of objects to be recognized is introduced. The gray-level profile of the cross section of a blood vessel is approximated by a Gaussian-shaped curve. The concept of matched filter detection of signals is used to detect piecewise linear segments of blood vessels in these images. Twelve different templates that are used to search for vessel segments along all possible directions are constructed. Various issues related to the implementation of these matched filters are discussed. The results are compared to those obtained with other methods. >