Deep learning-based classification of DSA image sequences of patients with acute ischemic stroke.

Journal: International journal of computer assisted radiology and surgery
PMID:

Abstract

PURPOSE: Recently, a large number of patients with acute ischemic stroke benefited from the use of thrombectomy, a minimally invasive intervention technique for mechanically removing thrombi from the cerebrovasculature. During thrombectomy, 2D digital subtraction angiography (DSA) image sequences are acquired simultaneously from the posterior-anterior and the lateral view to control whether thrombus removal was successful, and to possibly detect newly occluded areas caused by thrombus fragments split from the main thrombus. However, such new occlusions, which would be treatable by thrombectomy, may be overlooked during the intervention. To prevent this, we developed a deep learning-based approach to automatic classification of DSA sequences into thrombus-free and non-thrombus-free sequences.

Authors

  • Benjamin J Mittmann
    Medical Faculty, Heidelberg University, Im Neuenheimer Feld 672, 69120, Heidelberg, BW, Germany. benjamin.mittmann@thu.de.
  • Michael Braun
    Neuroradiology Section, District Hospital Guenzburg, Lindenallee 2, 89312, Guenzburg, BY, Germany.
  • Frank Runck
    Neuroradiology Section, District Hospital Guenzburg, Lindenallee 2, 89312, Guenzburg, BY, Germany.
  • Bernd Schmitz
    Neuroradiology Section, District Hospital Guenzburg, Lindenallee 2, 89312, Guenzburg, BY, Germany.
  • Thuy N Tran
    Department of Computer Assisted Medical Interventions, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 223, 69120, Heidelberg, BW, Germany.
  • Amine Yamlahi
    Department of Computer Assisted Medical Interventions, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 223, 69120, Heidelberg, BW, Germany.
  • Lena Maier-Hein
    German Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.
  • Alfred M Franz
    Department of Computer Science, Ulm University of Applied Sciences, Albert-Einstein-Allee 55, 89081, Ulm, BW, Germany. alfred.franz@thu.de.