Understanding symptomatology of atherosclerotic plaque by image-based tissue characterization.

Abstract:

:Characterization of carotid atherosclerosis and classification into either symptomatic or asymptomatic is crucial in terms of diagnosis and treatment planning for a range of cardiovascular diseases. This paper presents a computer-aided diagnosis (CAD) system (Atheromatic) that analyzes ultrasound images and classifies them into symptomatic and asymptomatic. The classification result is based on a combination of discrete wavelet transform, higher order spectra (HOS) and textural features. In this study, we compare support vector machine (SVM) classifiers with different kernels. The classifier with a radial basis function (RBF) kernel achieved an average accuracy of 91.7% as well as a sensitivity of 97%, and specificity of 80%. Thus, it is evident that the selected features and the classifier combination can efficiently categorize plaques into symptomatic and asymptomatic classes. Moreover, a novel symptomatic asymptomatic carotid index (SACI), which is an integrated index that is based on the significant features, has been proposed in this work. Each analyzed ultrasound image yields on SACI number. A high SACI value indicates that the image shows symptomatic and low value indicates asymptomatic plaques. We hope this SACI can support vascular surgeons during routine screening for asymptomatic plaques.

authors

Acharya UR,Faust O,S VS,Alvin AP,Krishnamurthi G,Seabra JC,Sanches J,Suri JS

doi

10.1016/j.cmpb.2012.09.008

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

66-75

issue

1

eissn

0169-2607

issn

1872-7565

pii

S0169-2607(12)00223-4

journal_volume

110

pub_type

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