Skip to main content

Angio-AI: Cerebral Perfusion Angiography with Machine Learning

  • Conference paper
  • First Online:
Advances in Visual Computing (ISVC 2019)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 11844))

Included in the following conference series:

Abstract

Angiography is a medical imaging technique used to visualize blood vessels. Perfusion angiography, where perfusion is defined as the passage of blood through the vasculature and tissue, is a computational tool created to quantify blood flow from angiography images. Perfusion angiography is critical in areas such as stroke diagnosis, where identification of areas with low blood flow and where assessment of revascularization are essential. Currently, perfusion angiography is performed through deconvolution methods that are susceptible to noise present in angiographic imaging. This paper introduces a machine learning-based formulation to perfusion angiography that can greatly speed-up the process. Specifically, kernel spectral regression (KSR) is used to learn the function mapping between digital subtraction angiography (DSA) frames and blood flow parameters. Model performance is evaluated by examining the similarity of the parametric maps produced by the model as compared those obtained via deconvolution. Our experiments on 15 patients show that the proposed Angio-AI framework can reliably compute parametric cerebral perfusion characterization in terms of cerebral blood volume (CBV), cerebral blood flow (CBF), arterial cerebral blood volume, and time-to-peak (TTP).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Altman, D.G., Bland, J.M.: Measurement in medicine: the analysis of method comparison studies. J. R. Stat. Soc. Ser. D (Stat.) 32(3), 307–317 (1983). http://www.jstor.org/stable/2987937

    Google Scholar 

  2. Cai, D., He, X., Han, J.: Spectral regression for efficient regularized subspace learning. In: ICCV (2007). https://doi.org/10.1109/ICCV.2007.4408855

  3. Cunli, Y., Khoo, L.S., Lim, P.J., Lim, E.H.: CT angiography versus digital subtraction angiography for intracranial vascular pathology in a clinical setting. Med. J. Malays. 68(5), 415 (2013)

    Google Scholar 

  4. Hanley, M., Zenzen, W., Brown, M., Gaughen, J., Evans, A.: Comparing the accuracy of digital subtraction angiography, CT angiography and MR angiography at estimating the volume of cerebral aneurysms. Interv. Neuroradiol. 14(2), 173–177 (2008)

    Article  Google Scholar 

  5. Ho, K.C., Scalzo, F., Sarma, K.V., Speier, W., El-Saden, S., Arnold, C.: Predicting ischemic stroke tissue fate using a deep convolutional neural network on source magnetic resonance perfusion images. J. Med. Imaging (Bellingham) 6(2), 026001 (2019)

    Google Scholar 

  6. Ho, K.C., Speier, W., Zhang, H., Scalzo, F., El-Saden, S., Arnold, C.W.: A machine learning approach for classifying ischemic stroke onset time from imaging. IEEE Trans. Med. Imaging 38(7), 1666–1676 (2019)

    Article  Google Scholar 

  7. Liebeskind, D.S., et al.: Abstract WP39: perfusion angiography in TREVO2: quantitative reperfusion after endovascular therapy in acute stroke. Stroke 44, AWP39 (2013)

    Google Scholar 

  8. McKinley, R., Hung, F., Wiest, R., Liebeskind, D.S., Scalzo, F.: A machine learning approach to perfusion imaging with dynamic susceptibility contrast MR. Front. Neurol. 9, 717 (2018)

    Article  Google Scholar 

  9. Musuka, T.D., Wilton, S.B., Traboulsi, M., Hill, M.D.: Diagnosis and management of acute ischemic stroke: speed is critical. CMAJ 187(12), 887–893 (2015)

    Article  Google Scholar 

  10. Otsu, N.: A threshold selection method from gray-level histograms. IEEE Trans. Syst. Man Cybern. 9(1), 62–66 (1979). https://doi.org/10.1109/TSMC.1979.4310076

    Article  Google Scholar 

  11. Prabhakaran, S., Ruff, I., Bernstein, R.A.: Acute stroke intervention: a systematic review. JAMA 313(14), 1451–1462 (2015)

    Article  Google Scholar 

  12. Scalzo, F., Hao, Q., Alger, J.R., Hu, X., Liebeskind, D.S.: Regional prediction of tissue fate in acute ischemic stroke. Ann. Biomed. Eng. 40(10), 2177–2187 (2012)

    Article  Google Scholar 

  13. Scalzo, F., Liebeskind, D.S.: Perfusion angiography in acute ischemic stroke. Comput. Math. Methods Med. 2016, 14 (2016)

    Article  MathSciNet  Google Scholar 

  14. Yu, Y., Guo, D., Lou, M., Liebeskind, D., Scalzo, F.: Prediction of hemorrhagic transformation severity in acute stroke from source perfusion MRI. IEEE Trans. Biomed. Eng. 65(9), 2058–2065 (2018)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fabien Scalzo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Feghhi, E., Zhou, Y., Tran, J., Liebeskind, D.S., Scalzo, F. (2019). Angio-AI: Cerebral Perfusion Angiography with Machine Learning. In: Bebis, G., et al. Advances in Visual Computing. ISVC 2019. Lecture Notes in Computer Science(), vol 11844. Springer, Cham. https://doi.org/10.1007/978-3-030-33720-9_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-33720-9_27

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-33719-3

  • Online ISBN: 978-3-030-33720-9

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics