Uncertainty as key element in the analysis of X–ray angiography images

Abstract

The X–ray angiography images are routinely used to assess the blood vessels. The acquisition procedure considers a medical imaging system which allows obtaining views of the vessel while the blood flows thought them. The X–ray source is influenced on the region to be viewed and then, the projection of the all anatomical structures in the champ of view is shown through an image intensifier. The information of the blood vessel is impacted for the other structures. Additionally, the blood and the contrast product required in the acquisition are not mixed homogeneously, producing artifacts in the images. Finally, the noise is also an impact factor in the quality of the angiography images. In the coronary vessel case, the branches of the network are superposed. In this paper, an enhancement procedure to diminish the uncertainty associated to X–ray angiography images is reported. The relation between two versions of the angiograms is determined using a fuzzy connector considering that this relation diminishes the images intrinsic uncertainty. These versions correspond with images filtered with low-pass and high-pass image filters, respectively. The technique is tested with images of the coronary and kidney vessels. The qualitative results show a good enhanced of the angiography images.