Carotid wall segmentation in longitudinal ultrasound images using structured random forest

Abstract

Edge detection is a primary image processing technique used for object detection, data extraction, and image segmentation. Recently, edge-based segmentation using structured classifiers has been receiving increasing attention. The intima media thickness (IMT) of the common carotid artery is mainly used as a primitive indicator for the development of cardiovascular disease. For efficient measurement of the IMT, we propose a fast edge-detection technique based on a structured random forest classifier. The accuracy of IMT measurement is degraded owing to the speckle noise found in carotid ultrasound images. To address this issue, we propose the use of a state-of-the-art denoising method to reduce the speckle noise, followed by an enhancement technique to increase the contrast. Furthermore, we present a novel approach for an automatic region of interest extraction in which a pre-trained structured random forest classifier algorithm is applied for quantifying the IMT. The proposed method exhibits IMTmean standard deviation of 0.66mm 0.14, which is closer to the ground truth value 0.67mm 0.15 as compared to the state-of-the-art techniques. 2018 Elsevier Ltd