Skip to main content

Toward Robust Myocardial Blush Grade Estimation in Contrast Angiography

  • Conference paper
Pattern Recognition and Image Analysis (IbPRIA 2009)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 5524))

Included in the following conference series:

Abstract

The assessment of Myocardial Blush Grade after primary angioplasty is a precious diagnostic tool to understand if the patient needs further medication or the use of specifics drugs. Unfortunately, the assessment of MBG is difficult for non highly specialized staff. Experimental data show that there is poor correlation between MBG assessment of low and high specialized staff, thus reducing its applicability. This paper proposes a method able to achieve an objective measure of MBG, or a set of parameters that correlates with the MBG. The method tracks the blush area starting from just one single frame tagged by the physician. As a consequence, the blush area is kept isolated from contaminating phenomena such as diaphragm and arteries movements. We also present a method to extract four parameters that are expected to correlate with the MBG. Preliminary results show that the method is capable of extracting interesting information regarding the behavior of the myocardial perfusion.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
eBook
USD 39.99
Price excludes VAT (USA)
Softcover Book
USD 54.99
Price excludes VAT (USA)

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. van’t Hof, A.W., Liem, A., Suryapranata, H., Hoorntje, J.C., de Boer, M.J., Zijlstra, F.: Angiographic assessment of myocardial reperfusion in patients treated with primary angioplasty for acute myocardial infarction: myocardial blush grade. zwolle myocardial infarction study group. Circulation 97(23), 2302–2306 (1998)

    Article  Google Scholar 

  2. Bertomeu-González, V., Bodí, V., Sanchis, J., Núñz, J., López-Lereu, M.P., Peña, G., Losada, A., Gómez, C., Chorro, F.J., Llácer, A.: Limitations of myocardial blush grade in the evaluation of myocardial perfusion in patients with acute myocardial infarction and timi 3 grade flow. Rev. Espa. Cardiol. 59, 575–581 (2006)

    Article  Google Scholar 

  3. Henriques, J.P.S., Zijlstra, F., van’t Hof, A.W.J., de Boer, M.J., Dambrink, J.H.E., Gosselink, M., Hoorntje, J.C.A., Suryapranata, H.: Angiographic assessment of reperfusion in acute myocardial infarction by myocardial blush grade. Circulation 107(16), 2115–2119 (2003)

    Article  Google Scholar 

  4. Gibson, C.M., Cannon, C.P., Murphy, S.A., Ryan, K.A., Mesley, R., Marble, S.J., McCabe, C.H., Van De Werf, F., Braunwald, E.: Relationship of timi myocardial perfusion grade to mortality after administration of thrombolytic drugs. Circulation 101(2), 125–130 (2000)

    Article  Google Scholar 

  5. Gibson, C.M., Cannon, C.P., Murphy, S.A., Marble, S.J., Barron, H.V., Braunwald, E., Group, T.I.M.I.S.: Relationship of the timi myocardial perfusion grades, flow grades, frame count, and percutaneous coronary intervention to long-term outcomes after thrombolytic administration in acute myocardial infarction. Circulation 105(16), 1909–1913 (2002)

    Article  Google Scholar 

  6. Gil, D., Rodriguez-Leor, O., Radeva, P., Mauri, J.: Myocardial perfusion characterization from contrast angiography spectral distribution. IEEE Trans. Med. Imaging 27(5), 641–649 (2008)

    Article  Google Scholar 

  7. Black, M.J., Anandan, P.: The robust estimation of multiple motions: parametric and piecewise-smooth flow fields. Comput. Vis. Image Underst. 63(1), 75��104 (1996)

    Article  Google Scholar 

  8. Otsu, N.: A threshold selection method from gray-level histograms. IEEE Transactions On Systems, Man, and Cybernetics 9(1), 62–66 (1979)

    Article  Google Scholar 

  9. Coleman, T.F., Li, Y.: An interior trust region approach for nonlinear minimization subject to bounds. SIAM Journal on Optimization 6(2), 418–445 (1996)

    Article  MathSciNet  MATH  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Gatta, C., Gomez Valencia, J.D., Ciompi, F., Rodriguez Leor, O., Radeva, P. (2009). Toward Robust Myocardial Blush Grade Estimation in Contrast Angiography. In: Araujo, H., Mendonça, A.M., Pinho, A.J., Torres, M.I. (eds) Pattern Recognition and Image Analysis. IbPRIA 2009. Lecture Notes in Computer Science, vol 5524. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02172-5_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-02172-5_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02171-8

  • Online ISBN: 978-3-642-02172-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics