AutoComb: Automated Comb Sign Detector for 3D CTE Scans

Fuente: arXiv
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Hauptverfasser: Gupta, Shashwat, Gupta, Sarthak, Agrawal, Akshan, Naaz, Mahim, Yadav, Rajanikanth, Bagade, Priyanka
Format: Preprint
Veröffentlicht: 2025
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author Gupta, Shashwat
Gupta, Sarthak
Agrawal, Akshan
Naaz, Mahim
Yadav, Rajanikanth
Bagade, Priyanka
author_facet Gupta, Shashwat
Gupta, Sarthak
Agrawal, Akshan
Naaz, Mahim
Yadav, Rajanikanth
Bagade, Priyanka
contents Comb Sign is an important imaging biomarker to detect multiple gastrointestinal diseases. It shows up as increased blood flow along the intestinal wall indicating potential abnormality, which helps doctors diagnose inflammatory conditions. Despite its clinical significance, current detection methods are manual, time-intensive, and prone to subjective interpretation due to the need for multi-planar image-orientation. To the best of our knowledge, we are the first to propose a fully automated technique for the detection of Comb Sign from CTE scans. Our novel approach is based on developing a probabilistic map that shows areas of pathological hypervascularity by identifying fine vascular bifurcations and wall enhancement via processing through stepwise algorithmic modules. These modules include utilising deep learning segmentation model, a Gaussian Mixture Model (GMM), vessel extraction using vesselness filter, iterative probabilistic enhancement of vesselness via neighborhood maximization and a distance-based weighting scheme over the vessels. Experimental results demonstrate that our pipeline effectively identifies Comb Sign, offering an objective, accurate, and reliable tool to enhance diagnostic accuracy in Crohn's disease and related hypervascular conditions where Comb Sign is considered as one of the important biomarkers.
format Preprint
id arxiv_https___arxiv_org_abs_2502_21311
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle AutoComb: Automated Comb Sign Detector for 3D CTE Scans
Gupta, Shashwat
Gupta, Sarthak
Agrawal, Akshan
Naaz, Mahim
Yadav, Rajanikanth
Bagade, Priyanka
Image and Video Processing
Computer Vision and Pattern Recognition
Comb Sign is an important imaging biomarker to detect multiple gastrointestinal diseases. It shows up as increased blood flow along the intestinal wall indicating potential abnormality, which helps doctors diagnose inflammatory conditions. Despite its clinical significance, current detection methods are manual, time-intensive, and prone to subjective interpretation due to the need for multi-planar image-orientation. To the best of our knowledge, we are the first to propose a fully automated technique for the detection of Comb Sign from CTE scans. Our novel approach is based on developing a probabilistic map that shows areas of pathological hypervascularity by identifying fine vascular bifurcations and wall enhancement via processing through stepwise algorithmic modules. These modules include utilising deep learning segmentation model, a Gaussian Mixture Model (GMM), vessel extraction using vesselness filter, iterative probabilistic enhancement of vesselness via neighborhood maximization and a distance-based weighting scheme over the vessels. Experimental results demonstrate that our pipeline effectively identifies Comb Sign, offering an objective, accurate, and reliable tool to enhance diagnostic accuracy in Crohn's disease and related hypervascular conditions where Comb Sign is considered as one of the important biomarkers.
title AutoComb: Automated Comb Sign Detector for 3D CTE Scans
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2502.21311