Multi-constraints based deep learning model for automated segmentation and diagnosis of coronary artery disease in X-ray angiographic images

Algarni, Mona and Al-Rezqi, Abdulkader and Saeed, Faisal and Alsaeedi, Abdullah and Ghabban, Fahad (2022) Multi-constraints based deep learning model for automated segmentation and diagnosis of coronary artery disease in X-ray angiographic images. Peerj Computer Science, 8. e993. ISSN 2376-5992

peerj-cs-993.pdf - Published Version
Available under License Creative Commons Attribution.

Download (23MB)


Background: The detection of coronary artery disease (CAD) from the X-ray coronary angiography is a crucial process which is hindered by various issues such as presence of noise, insufficient contrast of the input images along with the uncertainties caused by the motion due to respiration and variation of angles of vessels.
Methods: In this article, an Automated Segmentation and Diagnosis of Coronary Artery Disease (ASCARIS) model is proposed in order to overcome the prevailing challenges in detection of CAD from the X-ray images. Initially, the preprocessing of the input images was carried out by using the modified wiener filter for the removal of both internal and external noise pixels from the images. Then, the enhancement of contrast was carried out by utilizing the optimized maximum principal curvature to preserve the edge information thereby contributing to increasing the segmentation accuracy. Further, the binarization of enhanced images was executed by the means of OTSU thresholding. The segmentation of coronary arteries was performed by implementing the Attention-based Nested U-Net, in which the attention estimator was incorporated to overcome the difficulties caused by intersections and overlapped arteries. The increased segmentation accuracy was achieved by performing angle estimation. Finally, the VGG-16 based architecture was implemented to extract threefold features from the segmented image to perform classification of X-ray images into normal and abnormal classes.
Results: The experimentation of the proposed ASCARIS model was carried out in the MATLAB R2020a simulation tool and the evaluation of the proposed model was compared with several existing approaches in terms of accuracy, sensitivity, specificity, revised contrast to noise ratio, mean square error, dice coefficient, Jaccard similarity, Hausdorff distance, Peak signal-to-noise ratio (PSNR), segmentation accuracy and ROC curve.
Discussion: The results obtained conclude that the proposed model outperforms the existing approaches in all the evaluation metrics thereby achieving optimized classification of CAD. The proposed method removes the large number of background artifacts and obtains a better vascular structure.

Item Type: Article
Identification Number:
5 May 2022Accepted
3 June 2022Published Online
Uncontrolled Keywords: X-ray angiography, Noise removal, Coronary artery disease, Segmentation, Classification, Attention-based nested U-Net, VGG-16
Subjects: CAH11 - computing > CAH11-01 - computing > CAH11-01-05 - artificial intelligence
Divisions: Faculty of Computing, Engineering and the Built Environment > School of Computing and Digital Technology
Depositing User: Faisal Saeed
Date Deposited: 01 Jul 2022 15:13
Last Modified: 01 Jul 2022 15:13

Actions (login required)

View Item View Item


In this section...