Abstract
OBJECTIVE: To develop an automated method for 3D magnetic resonance (MR) vessel wall image analysis to facilitate morphologic quantification of intra- and extracranial arteries, including vessel centerline tracking, vessel straightening and reformation, vessel wall segmentation based on convoluted neural networks (CNNs), and morphological measurement. METHODS: MR vessel wall images acquired using DANTE-SPACE sequences and corresponding time-of-flight-MRA images of 67 subjects (including 47 healthy volunteers and 20 patients with atherosclerosis) were included in this study. The centerline of the vessel was firstly extracted from the MRA images and copyed to the 3D MR vessel wall images through the registration relationship between the MRA images and the MR vessel wall images to extract, straighten, and reconstruct interested vessel segments into 2D slices. Then a complete CNN-based Unet-like method was used to automatically segment the vessel wall to obtain quantitative morphological measurements such as maximum wall thicknesses and normalized wall index (NWI). RESULTS: The proposed automatic segmentation network was trained and validated with 11,735 slices and tested on 2517 slices. The method showed satisfactory agreement with manual segmentation method. The Dice coefficients of intracranial arteries were 0.90 for lumen and 0.78 for vessel wall, while the Dice coefficients of extracranial arteries were 0.90 for lumen and 0.82 for vessel wall. The maximum wall thickness and NWI obtained from the proposed automatic method were slightly larger than those obtained from the manual method for both intra- and extracranial arteries. However, there was no significant difference of the quantitative measurements between the two methods (p > 0.05). In addition, the automatically measured NWI of plaque slice was significantly larger than that of normal slice. CONCLUSION: We propose an automatic analysis method of MR vessel wall images, which can realize automatic segmentation of intra- and extracranial vessel wall. It is expected to facilitate large-scale arterial vessel wall morphological quantification. ADVANCES IN KNOWLEDGE: We have proposed an automatic method for analysis of intra- and extracranial MR vessel wall images simultaneously based on CNN, which can facilitate large-scale quantitative analyses of vessel walls.