Classification of Left and Right Coronary Arteries in Coronary Angiographies Using Deep Learning

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Multi-frame X-ray images (videos) of the coronary arteries obtained using coronary angiography (CAG) provide detailed information about the anatomy and blood flow in the coronary arteries and play a pivotal role in diagnosing and treating ischemic heart disease. Deep learning has the potential to quickly and accurately quantify narrowings and blockages of the arteries from CAG videos. A CAG consists of videos acquired separately for the left coronary artery and the right coronary artery (LCA and RCA, respectively). The pathology for LCA and RCA is typically only reported for the entire CAG, and not for the individual videos. However, training of stenosis quantification models is difficult when the RCA and LCA information of the videos are unknown. Here, we present a deep learning-based approach for classifying LCA and RCA in CAG videos. Our approach enables linkage of videos with the reported pathological findings. We manually labeled 3545 and 520 videos (approximately seven videos per CAG) to enable training and testing of the models, respectively. We obtained F1 scores of 0.99 on the test set for LCA and RCA classification LCA and RCA classification on the test set. The classification performance was further investigated with extensive experiments across different model architectures (R(2+1)D, X3D, and MVIT), model input sizes, data augmentations, and the number of videos used for training. Our results showed that CAG videos could be accurately curated using deep learning, which is an essential preprocessing step for a downstream application in diagnostics of coronary artery disease.

OriginalsprogEngelsk
Artikelnummer2087
TidsskriftElectronics (Switzerland)
Vol/bind11
Udgave nummer13
Antal sider9
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
Funding: This work was supported by Novo Nordisk Foundation (grants NNF17OC0027594 and NNF14CC0001) and the Danish Innovation Found (5184-00102B) project.

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

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