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Pukar Baral

Publications and source records attributed to Pukar Baral.

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A review on machine learning for arterial extraction and quantitative assessment on invasive coronary angiograms

Purpose of Review Recently, machine learning has developed rapidly in the field of medicine, playing an important role in disease diagnosis. Our aim of this paper is to provide an overview of the advancements in machine learning techniques applied to invasive coronary angiography (ICA) for segmentation of coronary arteries and quantitative evaluation like fractional flow reserve (FFR) and stenosis assessment. Recent Findings ICA are used extensively along with machine learning techniques for the segmentation of arteries and quantitative evaluation of stenosis, coronary artery disease and measurement of fractional flow reserve, representing a trend towards using computational methods for enhanced diagnostic precision in cardiovascular medicine. Summary Various research studies have been conducted in this field, each using different algorithms and datasets. The performance of these studies largely depends on the algorithms employed and the datasets used for training and evaluation. However, despite the progress made, there remains a need for machine learning (ML) algorithms that can be easily integrated into clinical practice.

physics.med-ph

Multi-graph Graph Matching for Coronary Artery Semantic Labeling

Coronary artery disease (CAD) stands as the leading cause of death worldwide, and invasive coronary angiography (ICA) remains the gold standard for assessing vascular anatomical information. However, deep learning-based methods encounter challenges in generating semantic labels for arterial segments, primarily due to the morphological similarity between arterial branches and varying anatomy of arterial system between different projection view angles and patients. To address this challenge, we model the vascular tree as a graph and propose a multi-graph graph matching (MGM) algorithm for coronary artery semantic labeling. The MGM algorithm assesses the similarity between arterials in multiple vascular tree graphs, considering the cycle consistency between each pair of graphs. As a result, the unannotated arterial segments are appropriately labeled by matching them with annotated segments. Through the incorporation of anatomical graph structure, radiomics features, and semantic mapping, the proposed MGM model achieves an impressive accuracy of 0.9471 for coronary artery semantic labeling using our multi-site dataset with 718 ICAs. With the semantic labeled arteries, an overall accuracy of 0.9155 was achieved for stenosis detection. The proposed MGM presents a novel tool for coronary artery analysis using multiple ICA-derived graphs, offering valuable insights into vascular health and pathology.

cs.CV