The accurate and efficient segmentation of coronary arteries in X-ray angiograms represents an essential task for computer-aided diagnosis. This paper presents a new multiscale Gaussian-matched filter (MGMF) based on artificial neural networks. The proposed method consists of two different stages. In the first stage, MGMF is used for detecting vessel-like structures while reducing image noise. The results of MGMF are compared with those obtained using six GMF-based detection methods in terms of the area (Az) under the receiver operating characteristic (ROC) curve. In the second stage, ten thresholding methods of the state of the art are compared in order to classify the magnitude of the multiscale Gaussian response into vessel and nonvessel pixels, respectively. The accuracy measure is used to analyze the segmentation methods, by comparing the results with a set of 100 X-ray coronary angiograms, which were outlined by a specialist to form the ground truth. Finally, the proposed method is compared with seven state-of-the-art vessel segmentation methods. The vessel detection results using the proposed MGMF method achieved an Az=0.9357 with a training set of 50 angiograms and Az=0.9362 with the test set of 50 images. In addition, the segmentation results using the intraclass variance thresholding method provided a segmentation accuracy of 0.9568 with the test set of coronary angiograms.
Two new stenosis detection methods of coronary angiograms