A novel retrospective gating method for intracoronary ultrasound images based on image properties

Intracoronary ultrasound (ICUS) provides high-resolution tomographic images of selected segments of coronary arteries. Series of cross-sectional images are acquired with motorized pullback imaging catheters and used for quantitative analysis in intracoronary ultrasound studies (ICUS). Due to catheter displacement in the vascular lumen during the cardiac cycle the images that are typically acquired at 0.5 mm/s are anatomically shuffled. This results in a saw-tooth shaped appearance of the coronary segment in longitudinal reconstructed views (L-views) used frequently in quantitative coronary ultrasound (QCU) software. This paper describes a novel image-based gating method called "Intelligate", which overcomes this problem by automatic retrospective selection of end-diastolic frames from pre-recorded ICUS studies. Our evaluation shows that there are no quantitative differences between analysis results of hardware ECG-gated and intelligated ICUS studies.