This work describes a robust and fast semi-automatic approach for Abdominal Aortic Aneurysm (AAA) centerline
detection. AAA is a vascular disease accompanied by progressive enlargement of the abdominal aorta, which leads to
rupture if left untreated, an event that accounts for the 13th leading cause of death in the U.S. The lumen centerline can
be used to provide the initial starting points for thrombus segmentation. Different from other methods, which are mostly
based on region growing and suffer from problems of leakage and heavy computational burden, we propose a novel
method based on online classification. An online version of the adaboost classifier based on steerable features is applied
to AAA MRI data sets with a rectangular box enclosing the lumen in the first slice. The classifier is updated during the
tracking process by using the testing result of the previous image as the new training data. Unlike traditional offline
versions, the online classifier can adjust parameters automatically when a leakage occurs. With the help of integral
images on the computation of haar-like features, the method can achieve nearly real time processing (about 2 seconds
per image on a standard workstation). Ten ruptured and ten unruptured AAA data sets were processed and the tortuosity
of the 20 centerlines was calculated. The correlation coefficient of the tortuosity was calculated to illustrate the
significance of the prediction with the proposed method. The mean relative accuracy is 95.68% with a standard deviation
of 0.89% when compared to a manual segmentation procedure. The correlation coefficient is 0.394.
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