Abstract: In this thesis, several methods for the automatic analysis of Intravascular Ultrasound
(IVUS) sequences are presented, aimed at assisting physicians in the diagnosis, the assessment of the intervention and the monitoring of the patients with coronary disease.
The basis for the developed frameworks are machine learning, pattern recognition and
image processing techniques.
First, a novel approach for the automatic detection of vascular bifurcations in
IVUS is presented. The task is addressed as a binary classication problem (identifying bifurcation and non-bifurcation angular sectors in the sequence images). The
multiscale stacked sequential learning algorithm is applied, to take into account the
spatial and temporal context in IVUS sequences, and the results are rened using
a-priori information about branching dimensions and geometry. The achieved performance is comparable to intra- and inter-observer variability.
Then, we propose a novel method for the automatic non-rigid alignment of IVUS
sequences of the same patient, acquired at dierent moments (before and after percutaneous coronary intervention, or at baseline and follow-up examinations). The
method is based on the description of the morphological content of the vessel, obtained by extracting temporal morphological proles from the IVUS acquisitions, by
means of methods for segmentation, characterization and detection in IVUS. A technique for non-rigid sequence alignment – the Dynamic Time Warping algorithm -
is applied to the proles and adapted to the specic clinical problem. Two dierent robust strategies are proposed to address the partial overlapping between frames
of corresponding sequences, and a regularization term is introduced to compensate
for possible errors in the prole extraction. The benets of the proposed strategy
are demonstrated by extensive validation on synthetic and in-vivo data. The results
show the interest of the proposed non-linear alignment and the clinical value of the
method.
Finally, a novel automatic approach for the extraction of the luminal border in
IVUS images is presented. The method applies the multiscale stacked sequential
learning algorithm and extends it to 2-D+T, in a rst classication phase (the identi-
cation of lumen and non-lumen regions of the images), while an active contour model
is used in a second phase, to identify the lumen contour. The method is extended
to the longitudinal dimension of the sequences and it is validated on a challenging
data-set.