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Carotid Artery Lumen Segmentation in 3D Free-Hand Ultrasound Images Using Surface Graph Cuts

Andrés M. Arias Lorza1, Diego D.B. Carvalho1, Jens Petersen2, Anouk C. van Dijk3, Aad van der Lugt3, Wiro J. Niessen1, 4, Stefan Klein1, and Marleen de Bruijne1, 2

1Departments of Radiology and Medical Informatics, Erasmus MC, The Netherlands

2Department of Computer Science, University of Copenhagen, Denmark

3Department of Radiology, Erasmus MC, The Netherlands

4Faculty of Applied Sciences, Delft University of Technology, The Netherlands

Abstract. We present a new approach for automated segmentation of the carotid lumen bifurcation from 3D free-hand ultrasound using a 3D surface graph cut method. The method requires only the manual selection of single seed points in the internal, external, and common carotid arteries. Subsequently, the centerline between these points is automatically traced, and the optimal lumen surface is found around the centerline using graph cuts. To refine the result, the latter process was iterated. The method was tested on twelve carotid arteries from six subjects including three patients with a moderate carotid artery stenosis. Our method successfully segmented the lumen in all cases. We obtained an average dice overlap with respect to a manual segmentation of 84% for healthy volunteers. For the patient data, we obtained a dice overlap of 66.7%.

LNCS 8150, p. 542 ff.

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