Circle of Willis Centerline Graphs: A Dataset and Baseline Algorithm

📅 2025-10-15
📈 Citations: 0
Influential: 0
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🤖 AI Summary
Traditional skeletonization methods exhibit poor robustness on the complex geometry of the Circle of Willis (CoW), and publicly available, anatomically annotated centerline graph datasets are lacking. To address these challenges, we propose a learning-driven skeletonization and graph connectivity fusion framework: an end-to-end U-Net architecture predicts probabilistic centerline maps, followed by anatomically plausible graph topology construction using the A* algorithm. We introduce and publicly release the first high-quality, expert-annotated CoW centerline graph dataset—derived from TopCoW’s MRA/CTA volumes—with detailed anatomical labeling. On the held-out test set, our method achieves 100% topological accuracy (F1 = 1), node localization error <1 voxel, median errors in key morphometric parameters (e.g., branch length, bifurcation angle) <5%, and Pearson correlations >0.95 with ground-truth measurements. These results substantially enhance the reliability and reproducibility of automated quantitative analysis of cerebral arteries.

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📝 Abstract
The Circle of Willis (CoW) is a critical network of arteries in the brain, often implicated in cerebrovascular pathologies. Voxel-level segmentation is an important first step toward an automated CoW assessment, but a full quantitative analysis requires centerline representations. However, conventional skeletonization techniques often struggle to extract reliable centerlines due to the CoW's complex geometry, and publicly available centerline datasets remain scarce. To address these challenges, we used a thinning-based skeletonization algorithm to extract and curate centerline graphs and morphometric features from the TopCoW dataset, which includes 200 stroke patients, each imaged with MRA and CTA. The curated graphs were used to develop a baseline algorithm for centerline and feature extraction, combining U-Net-based skeletonization with A* graph connection. Performance was evaluated on a held-out test set, focusing on anatomical accuracy and feature robustness. Further, we used the extracted features to predict the frequency of fetal PCA variants, confirm theoretical bifurcation optimality relations, and detect subtle modality differences. The baseline algorithm consistently reconstructed graph topology with high accuracy (F1 = 1), and the average Euclidean node distance between reference and predicted graphs was below one voxel. Features such as segment radius, length, and bifurcation ratios showed strong robustness, with median relative errors below 5% and Pearson correlations above 0.95. Our results demonstrate the utility of learning-based skeletonization combined with graph connection for anatomically plausible centerline extraction. We emphasize the importance of going beyond simple voxel-based measures by evaluating anatomical accuracy and feature robustness. The dataset and baseline algorithm have been released to support further method development and clinical research.
Problem

Research questions and friction points this paper is trying to address.

Extracting reliable centerline representations from complex cerebral artery geometry
Addressing scarcity of publicly available Circle of Willis centerline datasets
Developing anatomically accurate algorithms for vascular feature extraction
Innovation

Methods, ideas, or system contributions that make the work stand out.

U-Net-based skeletonization for centerline extraction
A* graph connection for anatomical accuracy
Thinning algorithm for robust feature extraction
F
Fabio Musio
Institute of Computational Life Sciences, Zurich University of Applied Sciences, Waedenswil, Switzerland
N
Norman Juchler
Institute of Computational Life Sciences, Zurich University of Applied Sciences, Waedenswil, Switzerland
K
Kaiyuan Yang
Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland
Suprosanna Shit
Suprosanna Shit
University of Zurich | ETH AI Center
Machine LearningMedical ImagingComputer VisionSignal Processing
C
Chinmay Prabhakar
Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland
B
Bjoern H Menze
Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland
S
Sven Hirsch
Institute of Computational Life Sciences, Zurich University of Applied Sciences, Waedenswil, Switzerland