Image analysis apparatus, image analysis system, and storage medium
Provided is an image analysis apparatus including a hardware processor that analyzes at least one dynamic radiograph formed from a plurality of two-dimensional images acquired by radiographing dynamics of a subject including a trachea and/or a bronchus to measure a feature amount representing a stenotic state of the trachea and/or the bronchus, and estimates the stenotic state of the trachea and/or the bronchus based on a result of the measurement.
1. An image analysis apparatus, comprising a hardware processor that:
analyzes at least one dynamic radiograph formed from a plurality of two-dimensional images acquired by radiographing dynamics of a subject including a trachea and/or a bronchus to measure feature amounts representing a stenotic state of the trachea and/or the bronchus, the feature amounts including a diameter and concentration of the trachea and/or bronchus; and
estimates the stenotic state based on a result of the measurement of at least one of the diameter and the concentration of the trachea and/or the bronchus and identifies an individual specific disorder by selecting the individual specific disorder from a plurality of specific disorders of the trachea and/or the bronchus based on a result of the measurement of both of the diameter and the concentration of the trachea and/or the bronchus.
2. The image analysis apparatus according to claim 1 , wherein, as the feature amounts, the hardware processor further measures an area of a trachea region and/or a bronchus region in the at least one dynamic radiograph.
3. The image analysis apparatus according to claim 1 , wherein:
the at least one dynamic radiograph is acquired by radiographing the dynamics of the subject including the trachea and/or the bronchus from one direction; and
the hardware processor measures the diameter and the concentration of a trachea region and/or a bronchus region from the at least one dynamic radiograph.
4. The image analysis apparatus according to claim 1 , wherein:
the at least one dynamic radiograph comprises a plurality of dynamic radiographs acquired by radiographing the dynamics of the subject including the trachea and/or the bronchus from two different directions; and
the hardware processor measures the diameter of a trachea region and/or a bronchus region in the dynamic radiographs and measures the concentration from both of the dynamic radiographs radiographed from the two directions.
5. The image analysis apparatus according to claim 4 , wherein the dynamic radiographs are acquired by radiographing the subject from the two directions from front and side.
6. The image analysis apparatus according to claim 1 , wherein the at least one dynamic radiograph is radiographed at a timing including expiration.
7. The image analysis apparatus according to claim 1 , wherein the stenotic state is estimated by a change rate of the at least one of the diameter and the concentration of the trachea and/or the bronchus and the individual specific disorder of the trachea and/or the bronchus is identified based on a change rate of both of the diameter and the concentration of the trachea and/or the bronchus.
8. The image analysis apparatus according to claim 7 , wherein the change rate of each feature amount of the feature amounts is based on (FAmax−FAmin)/FAmax,
where FAmax is a maximum value of the each feature amount in the plurality of two-dimensional images and FAmin is a minimum value of the each feature amount in the plurality of two-dimensional images.
9. The image analysis apparatus according to claim 1 , wherein the stenotic state is estimated by a change rate of the at least one of the diameter and the concentration of the trachea and/or the bronchus and the individual specific disorder of the trachea and/or the bronchus is identified based on a change rate of both of the diameter and the concentration of the trachea and/or the bronchus and whether at least one the diameter and the concentration of the trachea and/or the bronchus is expanded.
10. The image analysis apparatus according to claim 9 , wherein the change rate of each feature amount of the feature amounts based on (FAmax−FAmin)/FAmax,
where FAmax is a maximum value of the each feature amount in the plurality of two-dimensional images and FAmin is a minimum value of the each feature amount in the plurality of two-dimensional images.
11. The image analysis apparatus according to claim 1 , wherein the at least one dynamic radiograph is acquired by radiographing the subject from a side view of the subject,
the stenotic state is estimated based on a change rate of the diameter, and
the specific disorder is identified as one of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse based on at least one of whether the diameter is expanded, the change rate of the concentration, and whether the concentration is increased.
12. The image analysis apparatus according to claim 1 , wherein the at least one dynamic radiograph is acquired by radiographing the subject from a front view of the subject,
the stenotic state is estimated based on a change rate of the concentration, and
the specific disorder is identified as one of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse based on at least one of whether the concentration is increased, the change rate of the diameter, and whether the diameter is expanded.
13. The image analysis apparatus according to claim 1 , wherein the at least one dynamic radiograph is acquired by radiographing the subject from a front view and a side view of the subject,
the stenotic state is estimated based on a change rate of the diameter in the side view, and
the specific disorder is identified as one of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse based on at least one of whether the diameter in the side view is expanded, the change rate of the diameter in the front view, and whether the diameter in the front view is expanded.
14. The image analysis apparatus according to claim 1 , wherein the at least one dynamic radiograph is acquired by radiographing the subject from a front view and a side view of the subject,
the hardware processor further measures a sectional area of a trachea region and/or a bronchus region,
the stenotic state is estimated based on a change rate of the sectional area, and
the specific disorder is identified as one of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse based on at least one of whether the diameter in the side view is expanded, the change rate of the diameter in the front view, and whether the diameter in the front view is expanded.
15. The image analysis apparatus according to claim 1 , wherein the specific disorder is selected from a group of disorders consisting of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse.
16. An image analysis apparatus, comprising a hardware processor that:
analyzes a plurality of two-dimensional images acquired by continuously radiographing a subject including a trachea and/or a bronchus at a time interval shorter than a respiratory cycle to measure feature amounts representing a stenotic state of the trachea and/or the bronchus, the feature amounts including a diameter and concentration of the trachea and/or bronchus; and
estimates the stenotic state based on a result of the measurement of at least one of the diameter and the concentration of the trachea and/or the bronchus and identifies an individual specific disorder by selecting the individual specific disorder from a plurality of specific disorders of the trachea and/or the bronchus based on a result of the measurement of both of the diameter and the concentration of the trachea and/or the bronchus.
17. The image analysis apparatus according to claim 16 , wherein the specific disorder is selected from a group of disorders consisting of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse.
18. An image analysis system, comprising:
a radiographic imaging apparatus that acquires at least one dynamic radiograph formed from a plurality of two-dimensional images by radiographing dynamics of a subject including a trachea and/or a bronchus; and
the image analysis apparatus according to claim 1 .
19. An image analysis system, comprising:
a radiographic imaging apparatus that acquires at least one dynamic radiograph formed from a plurality of two-dimensional images by radiographing dynamics of a subject including a trachea and/or a bronchus; and
the image analysis apparatus according to claim 16 .
20. A non-transitory storage medium storing a program that causes a computer to:
analyze at least one dynamic radiograph formed from a plurality of two-dimensional images acquired by radiographing dynamics of a subject including a trachea and/or a bronchus to measure feature amounts representing a stenotic state of the trachea and/or the bronchus, the feature amounts including a diameter and concentration of the trachea and/or bronchus; and
estimate the stenotic state based on a result of the measurement of at least one of the diameter and the concentration of the trachea and/or the bronchus and identify an individual specific disorder by selecting the individual specific disorder from a plurality of specific disorders of the trachea and/or the bronchus based on a result of the measurement of both of the diameter and the concentration of the trachea and/or the bronchus.
21. The non-transitory storage medium of claim 20 , wherein the specific disorder is selected from a group of disorders consisting of tracheobronchomalacia (saber-sheath type), tracheobronchomalacia (crescent type), tracheobronchomalacia (circumferential type), and excessive dynamic airway collapse.