Femoropopliteal Artery Stent Detection in Fluoroscopy Using Otsu's Preprocessing and CNN Segmentation

Computer algorithm supported medical image analysis is a prevalent method in clinics, which effectively alleviates the diagnostic burden associated with traditional image assessment methods. This study aims to create a method that utilizes a Convolutional-Neural-Network (CNN) to accurately segment the Femoropopliteal Artery Stent (FAS) in Digital Fluoroscopy Images (DFI). In order to improve the accuracy of segmentation, this study used the combination of Otsu's tri-level thresholding and the Lévy-Flight Distribution Algorithm (LFDA). The suggested technique consists of many stages: collecting and resizing images and masks, boosting the DFI using Otsu and LFDA, using CNN-segmentation to extract the stent region, comparing segmented stent with mask, and calculating the required performance metrics. The efficacy of the suggested system is validated by analyzing the raw and thresholded DFI. The investigational results of this work affirm that this method achieves a higher level of accuracy (>96%) in segmenting images when the Otsu's preprocessed image is utilized. The experimental study employs the UNet-variants, and in the future, alternative CNN-segmentation methodologies can be utilized to validate the effectiveness of the presented scheme.