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| Main Authors: | , , , , |
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| Format: | Preprint |
| Published: |
2026
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| Subjects: | |
| Online Access: | https://arxiv.org/abs/2604.10312 |
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Table of Contents:
- In CT angiography, the accurate segmentation of abdominal aortic aneurysms (AAAs) is difficult due to large anatomical variability, low-contrast vessel boundaries, and the close proximity of organs whose intensities resemble vascular structures, often leading to false positives. To address these challenges, we propose an anatomy-aware segmentation framework that integrates organ exclusion masks derived from TotalSegmentator into the training process. These masks encode explicit anatomical priors by identifying non-vascular organsand penalizing aneurysm predictions within these regions, thereby guiding the U-Net to focus on the aorta and its pathological dilation while suppressing anatomically implausible predictions. Despite being trained on a relatively small dataset, the anatomy-aware model achieves high accuracy, substantially reduces false positives, and improves boundary consistency compared to a standard U-Net baseline. The results demonstrate that incorporating anatomical knowledge through exclusion masks provides an efficient mechanism to enhance robustness and generalization, enabling reliable AAA segmentation even with limited training data.