arXiv:2509.23165eess.IV2025-09

将复杂血管树转化为二维导航图,提升介入手术精准度。

Untangling Vascular Trees for Surgery and Interventional Radiology

  • 用递归嵌入算法保留血管拓扑与方向性,生成可读性强的二维图
  • 输入3D造影图像,数秒内输出高保真血管地图,支持脑/盆/膝动脉
  • 适合临床术前规划与研究血管分支模式,降低操作风险

微创血管介入技术的发展推动了复杂血管网络可视化方法的需求。本文提出一种平面化血管树表示法,保留导管导航中最关键的拓扑、长度和弯曲特性。基于三维数字造影输入,算法可在数秒内生成患者血管的高保真二维地图。为此,我们优化了标准形态学滤波器,并提出一种新型递归嵌入算法,有效保持血管网络的全局方向性。方法在脑、盆腔及膝关节动脉网络的术中图像上进行了验证。临床层面,该方法简化了术前及术中器械选择,降低导管导航或器械释放失败风险,有助于缩小专家中心与普通中心之间的差距。从研究角度看,该方法模拟解剖标本中动脉树的显示效果,为大规模人群研究细小血管的分支模式与迂曲程度提供了可能。代码已开源,采用MIT许可,集成于scikit-shapes Python库(https://scikit-shapes.github.io)。

原文摘要 · Abstract (English)

The diffusion of minimally invasive, endovascular interventions motivates the development of visualization methods for complex vascular networks. We propose a planar representation of blood vessel trees which preserves the properties that are most relevant to catheter navigation: topology, length and curvature. Taking as input a three-dimensional digital angiography, our algorithm produces a faithful two-dimensional map of the patient's vessels within a few seconds. To this end, we propose optimized implementations of standard morphological filters and a new recursive embedding algorithm that preserves the global orientation of the vascular network. We showcase our method on peroperative images of the brain, pelvic and knee artery networks. On the clinical side, our method simplifies the choice of devices prior to and during the intervention. This lowers the risk of failure during navigation or device deployment and may help to reduce the gap between expert and common intervention centers. From a research perspective, our method simulates the cadaveric display of artery trees from anatomical dissections. This opens the door to large population studies on the branching patterns and tortuosity of fine human blood vessels. Our code is released under the permissive MIT license as part of the scikit-shapes Python library (https://scikit-shapes.github.io ).

血管建模医学影像导航可视化三维转二维

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