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ARPN Journal of Engineering and Applied Sciences

Automatic measurement of Cardiothoracic Ratio in chest X-ray images with ProGAN-Generated dataset

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Author G. Jagadeeshawar Reddy, Subba Reddy Borra, A. V. Subba Rao and Vaddithandra Vijaya
e-ISSN 1819-6608
On Pages 2080-2087
Volume No. 18
Issue No. 18
Issue Date November 30, 2023
DOI https://doi.org/10.59018/0923255
Keywords the cardiothoracic ratio (CTR), segmentation, progressive growing of GANs (PGAN), cardiomegaly, CTR computation, classification.


Abstract

Cardiomegaly could be identified using the CTR (Cardiothoracic Ratio), which could be assessed on a chest image or X-ray. It is determined using the link between the size of the heart and chest’s transverse dimension. When the ratio exceeds a certain threshold, cardiomegaly is diagnosed. The objective of the study is to offer an approach for calculating the ratio for categorizing cardiomegaly within chest X-ray pictures. The suggested method begins by building heart and lung segmentation models on the basis of U-Net design utilizing publicly accessible datasets containing lung and heart mask ground truth. The segmented lung and heart portion sizes are then used to calculate the ratio. Additionally, chest X-ray images from 3 classes-cardiomegaly, female,and male normal - are created using a novel dataset using PGAN (Progressive Growing of GANs). This dataset is then utilized to evaluate the suggested solution. The suggested approach is also utilized to assess the quality of PGAN-generated chest X-ray pictures. In the trials, lung and heart areas in chest images of X-rays are segmented using trained models and a self-gathered dataset. The computed values of CTR are contrasted with those that were manually assessed by specialists. The average inaccuracy is 3.08 percent. The models are then used to segment areas of the lung and heart for CTR computation on the PGAN dataset. The cardiomegaly is then measured utilizing multiple attempts with varying cut-off threshold values. The proposed approach yields 94.20 percent specificity,88.31% sensitivity, and 94.61% accuracy with the usual cut-off of 0.50. The suggested approach is shown to be resilient across hitherto unexplored datasets for computation of CTR, segmentation, as well as cardiomegaly classification, such as the PGAN dataset. To increase sensitivity, modify the cut-off value to be less than 0.50. The proposed solution is then assessed from a variety of angles, such as lung and heart segmentation, CTR computation, as well as cardiomegaly classification. Tests are also carried out on publicly available datasets, self-collected datasets, as well as ProGAN- reconstructed datasets.

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