Segmentation of separated Lumens in 3D CTA images of Aortic Dissection

Fuente: arXiv
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Main Authors: Lohou, Christophe, Miguel, Bruno
Format: Preprint
Published: 2025
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author Lohou, Christophe
Miguel, Bruno
author_facet Lohou, Christophe
Miguel, Bruno
contents Aortic dissection is a serious pathology and requires an emergency management. It is characterized by one or more tears of the intimal wall of the normal blood duct of the aorta (true lumen); the blood under pressure then creates a second blood lumen (false lumen) in the media tissue. The two lumens are separated by an intimal wall, called flap. From the segmentation of connected lumens (more precisely, blood inside lumens) of an aortic dissection 3D Computed Tomography Angiography (CTA) image, our previous studies allow us to retrieve the intimal flap by using Mathematical Morphology operators, and characterize intimal tears by 3d thin surfaces that fill them, these surfaces are obtained by operating the Aktouf et al. closing algorithm proposed in the framework of Digital Topology. Indeed, intimal tears are 3D holes in the intimal flap; although it is impossible to directly segment such non-concrete data, it is nevertheless possible to "materialize" them with these 3D filling surfaces that may be quantified or make easier the visualization of these holes. In this paper, we use these surfaces that fill tears to cut connections between lumens in order to separate them. This is the first time that surfaces filling tears are used as an image processing operator (to disconnect several parts of a 3D object). This lumen separation allows us to provide one of the first cartographies of an aortic dissection, that may better visually assist physicians during their diagnosis. Our method is able to disconnect lumens, that may also lead to enhance several current investigations (registration, segmentation, hemodynamics).
format Preprint
id arxiv_https___arxiv_org_abs_2507_03655
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Segmentation of separated Lumens in 3D CTA images of Aortic Dissection
Lohou, Christophe
Miguel, Bruno
Image and Video Processing
Computer Vision and Pattern Recognition
Quantitative Methods
Aortic dissection is a serious pathology and requires an emergency management. It is characterized by one or more tears of the intimal wall of the normal blood duct of the aorta (true lumen); the blood under pressure then creates a second blood lumen (false lumen) in the media tissue. The two lumens are separated by an intimal wall, called flap. From the segmentation of connected lumens (more precisely, blood inside lumens) of an aortic dissection 3D Computed Tomography Angiography (CTA) image, our previous studies allow us to retrieve the intimal flap by using Mathematical Morphology operators, and characterize intimal tears by 3d thin surfaces that fill them, these surfaces are obtained by operating the Aktouf et al. closing algorithm proposed in the framework of Digital Topology. Indeed, intimal tears are 3D holes in the intimal flap; although it is impossible to directly segment such non-concrete data, it is nevertheless possible to "materialize" them with these 3D filling surfaces that may be quantified or make easier the visualization of these holes. In this paper, we use these surfaces that fill tears to cut connections between lumens in order to separate them. This is the first time that surfaces filling tears are used as an image processing operator (to disconnect several parts of a 3D object). This lumen separation allows us to provide one of the first cartographies of an aortic dissection, that may better visually assist physicians during their diagnosis. Our method is able to disconnect lumens, that may also lead to enhance several current investigations (registration, segmentation, hemodynamics).
title Segmentation of separated Lumens in 3D CTA images of Aortic Dissection
topic Image and Video Processing
Computer Vision and Pattern Recognition
Quantitative Methods
url https://arxiv.org/abs/2507.03655