🤖 AI Summary
3D vascular segmentation in multimodal medical imaging suffers from poor generalizability and high annotation costs. To address these challenges, we propose the first foundation model specifically designed for general-purpose 3D vascular segmentation. Our method introduces a novel tri-source collaborative training paradigm—uniquely integrating real expert annotations, domain-randomized synthetic data, and flow-matching–generated data—to overcome modality- and annotation-specific limitations. Built upon a foundation model architecture, the framework incorporates domain randomization, continuous flow-matching generative modeling, and joint optimization over heterogeneous data sources. Evaluated across four clinical modalities—CTA, MRA, DSA, and Micro-CT—the model achieves state-of-the-art performance under zero-shot, one-shot, and few-shot settings, significantly outperforming existing medical segmentation foundation models. Notably, it is the first to demonstrate robust cross-modal and cross-protocol zero-shot generalization without fine-tuning.
📝 Abstract
Segmenting 3D blood vessels is a critical yet challenging task in medical image analysis. This is due to significant imaging modality-specific variations in artifacts, vascular patterns and scales, signal-to-noise ratios, and background tissues. These variations, along with domain gaps arising from varying imaging protocols, limit the generalization of existing supervised learning-based methods, requiring tedious voxel-level annotations for each dataset separately. While foundation models promise to alleviate this limitation, they typically fail to generalize to the task of blood vessel segmentation, posing a unique, complex problem. In this work, we present vesselFM, a foundation model designed specifically for the broad task of 3D blood vessel segmentation. Unlike previous models, vesselFM can effortlessly generalize to unseen domains. To achieve zero-shot generalization, we train vesselFM on three heterogeneous data sources: a large, curated annotated dataset, data generated by a domain randomization scheme, and data sampled from a flow matching-based generative model. Extensive evaluations show that vesselFM outperforms state-of-the-art medical image segmentation foundation models across four (pre-)clinically relevant imaging modalities in zero-, one-, and few-shot scenarios, therefore providing a universal solution for 3D blood vessel segmentation.