A Comprehensive Pipeline for Aortic Segmentation and Shape Analysis

Fuente: arXiv
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Autores principales: Shehata, Nairouz, Elsawy, Amr, Nagy, Mohamed, ElMahdy, Muhammad, Ali, Mariam, Romeih, Soha, Aguib, Heba, Yacoub, Magdi, Glocker, Ben
Formato: Preprint
Publicado: 2025
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author Shehata, Nairouz
Elsawy, Amr
Nagy, Mohamed
ElMahdy, Muhammad
Ali, Mariam
Romeih, Soha
Aguib, Heba
Yacoub, Magdi
Glocker, Ben
author_facet Shehata, Nairouz
Elsawy, Amr
Nagy, Mohamed
ElMahdy, Muhammad
Ali, Mariam
Romeih, Soha
Aguib, Heba
Yacoub, Magdi
Glocker, Ben
contents Aortic shape analysis plays a key role in cardiovascular diagnostics, treatment planning, and understanding disease progression. We present a robust, fully automated pipeline for aortic shape analysis from cardiac MRI, combining deep learning and statistical techniques across segmentation, 3D surface reconstruction, and mesh registration. We benchmark leading segmentation models including nnUNet, TotalSegmentator, and MedSAM2 highlighting the effectiveness of domain specific training and transfer learning on a curated dataset. Following segmentation, we reconstruct high quality 3D meshes and introduce a DL based mesh registration method that directly optimises vertex displacements. This approach significantly outperforms classical rigid and nonrigid methods in geometric accuracy and anatomical consistency. Using the registered meshes, we perform statistical shape analysis on a cohort of 599 healthy subjects. Principal Component Analysis reveals dominant modes of aortic shape variation, capturing both global morphology and local structural differences under rigid and similarity transformations. Our findings demonstrate the advantages of integrating traditional geometry processing with learning based models for anatomically precise and scalable aortic analysis. This work lays the groundwork for future studies into pathological shape deviations and supports the development of personalised diagnostics in cardiovascular medicine.
format Preprint
id arxiv_https___arxiv_org_abs_2509_09718
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Comprehensive Pipeline for Aortic Segmentation and Shape Analysis
Shehata, Nairouz
Elsawy, Amr
Nagy, Mohamed
ElMahdy, Muhammad
Ali, Mariam
Romeih, Soha
Aguib, Heba
Yacoub, Magdi
Glocker, Ben
Tissues and Organs
Image and Video Processing
Aortic shape analysis plays a key role in cardiovascular diagnostics, treatment planning, and understanding disease progression. We present a robust, fully automated pipeline for aortic shape analysis from cardiac MRI, combining deep learning and statistical techniques across segmentation, 3D surface reconstruction, and mesh registration. We benchmark leading segmentation models including nnUNet, TotalSegmentator, and MedSAM2 highlighting the effectiveness of domain specific training and transfer learning on a curated dataset. Following segmentation, we reconstruct high quality 3D meshes and introduce a DL based mesh registration method that directly optimises vertex displacements. This approach significantly outperforms classical rigid and nonrigid methods in geometric accuracy and anatomical consistency. Using the registered meshes, we perform statistical shape analysis on a cohort of 599 healthy subjects. Principal Component Analysis reveals dominant modes of aortic shape variation, capturing both global morphology and local structural differences under rigid and similarity transformations. Our findings demonstrate the advantages of integrating traditional geometry processing with learning based models for anatomically precise and scalable aortic analysis. This work lays the groundwork for future studies into pathological shape deviations and supports the development of personalised diagnostics in cardiovascular medicine.
title A Comprehensive Pipeline for Aortic Segmentation and Shape Analysis
topic Tissues and Organs
Image and Video Processing
url https://arxiv.org/abs/2509.09718