arXiv:2512.12539cs.CV2025-12被引 2

通过融合解剖先验与多尺度频域建模,提升冠状动脉造影分割精度。

Anatomy Guided Coronary Artery Segmentation from CCTA Using Spatial Frequency Joint Modeling

  • 结合心肌解剖先验与残差注意力,增强血管结构表征
  • 3D小波变换实现多尺度结构一致性保持,Dice达0.8082
  • 适用于复杂分支和模糊边界的冠脉分割,适合临床分析

从冠状动脉计算机断层血管造影(CCTA)中准确分割冠状动脉对于定量分析和临床决策支持至关重要。然而,由于血管口径小、分支复杂、边界模糊及心肌干扰,可靠分割仍具挑战。本文提出一种整合心肌解剖先验、结构感知特征编码以及三维小波逆变换的分割框架。在编码阶段引入心肌先验与基于残差注意力的特征增强,以强化冠脉结构表示;小波逆变换实现下采样与上采样,支持联合空间-频率建模并保持多尺度结构一致性;解码阶段通过多尺度特征融合模块整合语义与几何信息。模型在公开的ImageCAS数据集上采用3D重叠块策略训练与评估,训练/验证/测试比例为7:1:2。实验结果表明,该方法取得Dice系数0.8082、敏感度0.7946、精确度0.8471、HD95为9.77 mm,优于多个主流分割模型。消融实验证实各组件互补贡献。所提方法在复杂几何条件下实现更稳定一致的冠脉分割,为后续冠脉结构分析提供可靠结果。

原文摘要 · Abstract (English)

Accurate coronary artery segmentation from coronary computed tomography angiography is essential for quantitative coronary analysis and clinical decision support. Nevertheless, reliable segmentation remains challenging because of small vessel calibers, complex branching, blurred boundaries, and myocardial interference. We propose a coronary artery segmentation framework that integrates myocardial anatomical priors, structure aware feature encoding, and three dimensional wavelet inverse wavelet transformations. Myocardial priors and residual attention based feature enhancement are incorporated during encoding to strengthen coronary structure representation. Wavelet inverse wavelet based downsampling and upsampling enable joint spatial frequency modeling and preserve multi scale structural consistency, while a multi scale feature fusion module integrates semantic and geometric information in the decoding stage. The model is trained and evaluated on the public ImageCAS dataset using a 3D overlapping patch based strategy with a 7:1:2 split for training, validation, and testing. Experimental results demonstrate that the proposed method achieves a Dice coefficient of 0.8082, Sensitivity of 0.7946, Precision of 0.8471, and an HD95 of 9.77 mm, outperforming several mainstream segmentation models. Ablation studies further confirm the complementary contributions of individual components. The proposed method enables more stable and consistent coronary artery segmentation under complex geometric conditions, providing reliable segmentation results for subsequent coronary structure analysis tasks.

医学图像血管分割小波变换CCTA

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