Accurate identification of the coronary ostia from 3D coronary computed tomography angiography (CCTA) is a essential prerequisite step for automatically tracking and segmenting three main coronary arteries. In this paper, we propose a novel deep reinforcement learning (DRL) framework to localize the two coronary ostia from 3D CCTA. An optimal action policy is determined using a fully explicit spatial-sequential encoding policy network applying 2.5D Markovian states with three past histories. The proposed network is trained using a dueling DRL framework on the CAT08 dataset. The experiment results show that our method is more efficient and accurate than the other methods. blueFloating-point operations (FLOPs) are calculated to measure computational efficiency. The result shows that there are 2.5M FLOPs on the proposed method, which is about 10 times smaller value than 3D box-based methods. In terms of accuracy, the proposed method shows that 2.22 ± 1.12 mm and 1.94 ± 0.83 errors on the left and right coronary ostia, respectively. The proposed method can be applied to the tasks to identify other target objects by changing the target locations in the ground truth data. Further, the proposed method can be utilized as a pre-processing method for coronary artery tracking methods.
Deep Reinforcement Learning with Explicit Spatio-Sequential Encoding Network for Coronary Ostia Identification in CT Images.