An automatic algorithm for detecting stent endothelialization from volumetric optical coherence tomography datasets.

Abstract:

:Recent research has suggested that endothelialization of vascular stents is crucial to reducing the risk of late stent thrombosis. With a resolution of approximately 10 microm, optical coherence tomography (OCT) may be an appropriate imaging modality for visualizing the vascular response to a stent and measuring the percentage of struts covered with an anti-thrombogenic cellular lining. We developed an image analysis program to locate covered and uncovered stent struts in OCT images of tissue-engineered blood vessels. The struts were found by exploiting the highly reflective and shadowing characteristics of the metallic stent material. Coverage was evaluated by comparing the luminal surface with the depth of the strut reflection. Strut coverage calculations were compared to manual assessment of OCT images and epi-fluorescence analysis of the stented grafts. Based on the manual assessment, the strut identification algorithm operated with a sensitivity of 93% and a specificity of 99%. The strut coverage algorithm was 81% sensitive and 96% specific. The present study indicates that the program can automatically determine percent cellular coverage from volumetric OCT datasets of blood vessel mimics. The program could potentially be extended to assessments of stent endothelialization in native stented arteries.

journal_name

Phys Med Biol

authors

Bonnema GT,Cardinal KO,Williams SK,Barton JK

doi

10.1088/0031-9155/53/12/001

subject

Has Abstract

pub_date

2008-06-21 00:00:00

pages

3083-98

issue

12

eissn

0031-9155

issn

1361-6560

pii

S0031-9155(08)70243-4

journal_volume

53

pub_type

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