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Main Authors: Neelakantan, Sunder, Mukherjee, Tanmay, Mendiola, Emilio A., Myers, Kyle, Avazmohammadi, Reza
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2507.01867
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author Neelakantan, Sunder
Mukherjee, Tanmay
Mendiola, Emilio A.
Myers, Kyle
Avazmohammadi, Reza
author_facet Neelakantan, Sunder
Mukherjee, Tanmay
Mendiola, Emilio A.
Myers, Kyle
Avazmohammadi, Reza
contents Pulmonary hypertension (PH) can lead to significant vascular remodeling, resulting in altered pulmonary blood flow. Estimating the patient-specific contributions of each remodeling event is necessary to optimize and individualize clinical intervention strategies. In-silico modeling has emerged as a powerful tool to simulate pulmonary hemodynamics, and one of the primary requirements for robust in-silico modeling is an accurate representation of the pulmonary vasculature structure. Computed tomography (CT) imaging can be used to segment and reconstruct the proximal vasculature. However, contrast-enhanced imaging, such as CT pulmonary angiography, is required to obtain a comprehensive and high-fidelity view of the pulmonary vasculature. The clinical use of CT pulmonary angiography is limited by the complications associated with the injection of contrast agents. Machine learning (ML) approaches have emerged to effectively segment and reconstruct the pulmonary vasculature without the need for contrast-enhanced imaging. We have developed a method to create in-silico pulmonary angiogram phantoms with varying simulated contrast levels. The results indicated that adding simulated contrast can allow for successful segmentation of the pulmonary vasculature. We expect this method to assist with developing and training ML-based segmentation frameworks and aid in their validation, thereby improving the capability to segment and reconstruct pulmonary vasculature without using contrast-enhanced imaging.
format Preprint
id arxiv_https___arxiv_org_abs_2507_01867
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle An in-silico lung phantom to assess the performance of pulmonary artery segmentation using angiogram
Neelakantan, Sunder
Mukherjee, Tanmay
Mendiola, Emilio A.
Myers, Kyle
Avazmohammadi, Reza
Biological Physics
Pulmonary hypertension (PH) can lead to significant vascular remodeling, resulting in altered pulmonary blood flow. Estimating the patient-specific contributions of each remodeling event is necessary to optimize and individualize clinical intervention strategies. In-silico modeling has emerged as a powerful tool to simulate pulmonary hemodynamics, and one of the primary requirements for robust in-silico modeling is an accurate representation of the pulmonary vasculature structure. Computed tomography (CT) imaging can be used to segment and reconstruct the proximal vasculature. However, contrast-enhanced imaging, such as CT pulmonary angiography, is required to obtain a comprehensive and high-fidelity view of the pulmonary vasculature. The clinical use of CT pulmonary angiography is limited by the complications associated with the injection of contrast agents. Machine learning (ML) approaches have emerged to effectively segment and reconstruct the pulmonary vasculature without the need for contrast-enhanced imaging. We have developed a method to create in-silico pulmonary angiogram phantoms with varying simulated contrast levels. The results indicated that adding simulated contrast can allow for successful segmentation of the pulmonary vasculature. We expect this method to assist with developing and training ML-based segmentation frameworks and aid in their validation, thereby improving the capability to segment and reconstruct pulmonary vasculature without using contrast-enhanced imaging.
title An in-silico lung phantom to assess the performance of pulmonary artery segmentation using angiogram
topic Biological Physics
url https://arxiv.org/abs/2507.01867