Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202200811
Jornal Vascular Brasileiro
Inovação

Pós-processamento da mediana de escala de cinza (GSM), posterização e remapeamento de cores para ultrassonografia de carótidas

Grayscale median (GSM) post-processing, posterizing, and color mapping for carotid ultrasound

Pedro Luciano Mellucci Filho; Matheus Bertanha; Rodrigo Gibin Jaldin; Winston Bonetti Yoshida; Marcone Lima Sobreira

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Resumo

Fatores relativos à placa aterosclerótica podem indicar instabilidade como ulcerações, hemorragias intraplaca, núcleo lipídico, capa fibrosa delgada ou irregular e inflamação. A mediana de escala de cinza (GSM, de greyscale median) da placa é um dos métodos mais difundidos de estudo da placa aterosclerótica; nesse sentido, é importante criar uma padronização da pós-processamento de forma compreensível. O pós-processamento foi realizado no software Photoshop 23.1.1. A padronização da imagem foi alcançada com o ajuste de curvas do histograma de escalas de cinza definindo o ponto mais escuro do lúmen vascular (sangue) para zero e a adventícia distal para 190. A posterização e o remapeamento de cores foram realizados. Um método que apresenta o atual estado da arte da técnica de forma acessível e ilustrativa pode contribuir para disseminação da análise de GSM. Neste artigo, esse processo é demonstrado passo a passo.

Palavras-chave

doenças das artérias carótidas, estenose das carótidas, ultrassonografia Doppler, pós-imagem, interpretação de imagem assistida por computador

Abstract

Factors related to atherosclerotic plaques may indicate instability, such as ulcerations, intraplaque hemorrhages, lipid core, thin or irregular fibrous cap, and inflammation. The grayscale median (GSM) value is one of the most widespread methods of studying atherosclerotic plaques and it is therefore important to comprehensively standardize image postprocessing. Post-processing was performed using Photoshop 23.1.1.202. Images were standardized by adjusting the grayscale histogram curves, setting the darkest point of the vascular lumen (blood) to zero and the distal adventitia to 190. Posterization and color mapping were performed. A methodology that presents the current state of the art in an accessible and illustrative way should contribute to the dissemination of GSM analysis. This article describes and illustrates the process step by step.

Keywords

carotid artery diseases; carotid stenosis; Doppler ultrasound; afterimage; computer-assisted image interpretation.

Referências

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Submetido em:
07/08/2022

Aceito em:
02/12/2022

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