🤖 AI Summary
Existing vascular segmentation methods struggle to accurately detect low-contrast, fine-scale vessel branches and often produce discontinuities—particularly at complex topological structures such as bifurcations—leading to degraded connectivity and structural integrity. To address these limitations, we propose a novel segmentation framework featuring: (1) a plug-and-play shape self-learning convolutional module that enhances tubular feature representation via learnable stripe convolutions; and (2) a three-level topological regularization mechanism—operating on line-, surface-, and volume-level structures—to enforce hierarchical topological consistency. Our method is architecture-agnostic and seamlessly integrates with mainstream backbones including U-Net and nnUNet. Evaluated across multiple public benchmarks, it achieves substantial improvements in fine-vessel recall and topological connectivity. Relative to nnUNet, it establishes new state-of-the-art performance, with significant gains in key metrics—including Average Distance (AVD), Hausdorff Distance, and Topological F1-score.
📝 Abstract
Accurate vessel segmentation is crucial to assist in clinical diagnosis by medical experts. However,
the intricate tree-like tubular structure of blood vessels poses significant challenges for existing
segmentation algorithms. Small vascular branches are often overlooked due to their low contrast
compared to surrounding tissues, leading to incomplete vessel segmentation. Furthermore, the
complex vascular topology prevents the model from accurately capturing and reconstructing vascular
structure, resulting in incorrect topology, such as breakpoints at the bifurcation of the vascular tree.
To overcome these challenges, we propose a novel vessel segmentation framework called PASC Net. It includes two key modules: a plug-and-play shape self-learning convolutional (SSL) module
that optimizes convolution kernel design, and a hierarchical topological constraint (HTC) module
that ensures vascular connectivity through topological constraints. Specifically, the SSL module
enhances adaptability to vascular structures by optimizing conventional convolutions into learnable
strip convolutions, which improves the network's ability to perceive fine-grained features of tubular
anatomies. Furthermore, to better preserve the coherence and integrity of vascular topology, the HTC
module incorporates hierarchical topological constraints-spanning linear, planar, and volumetric
levels-which serve to regularize the network's representation of vascular continuity and structural
consistency. We replaced the standard convolutional layers in U-Net, FCN, U-Mamba, and nnUNet
with SSL convolutions, leading to consistent performance improvements across all architectures.
Furthermore, when integrated into the nnUNet framework, our method outperformed other methods
on multiple metrics, achieving state-of-the-art vascular segmentation performance.