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arXiv 2602.09949cs.CVcs.AI

利用混合注意力-卷积框架进行膀胱血管分割

Bladder Vessel Segmentation using a Hybrid Attention-Convolution Framework

Institute for System Dynamics in the University of Stuttgart(斯图加特大学系统动力学研究所);University Hospital Tübingen(图宾根大学医院);Department of Mechanical Engineering, Stanford University(斯坦福大学机械工程系)

Franziska Krauß, Matthias Ege, Zoltan Lovasz, Albrecht Bartz-Schmidt, Igor Tsaur, Oliver Sawodny, Carina Veil

AI总结:

本文提出混合注意力-卷积框架,通过结合Transformer和CNN实现高精度膀胱血管分割,解决内窥镜数据中复杂变形和黏膜褶皱等挑战。

摘要:

尿液膀胱癌的监测需要在多次干预中追踪肿瘤部位,但变形且空心的膀胱缺乏稳定的标志物用于定位。虽然内窥镜下可见的血管在导航中提供患者特异性的'血管指纹',但自动分割受到不完美的内窥镜数据的挑战,包括稀疏标签、气泡等伪影、照明变化、连续变形和黏膜褶皱,这些都可能模仿血管。最先进的血管分割方法往往未能解决这些领域特定的复杂性。我们引入了一种混合注意力-卷积(HAC)架构,结合Transformer来捕捉全球血管拓扑先验信息,以及CNN学习残差细化图以精确恢复细血管细节。为了优先考虑结构连接性,Transformer在优化的地面真实数据上进行训练,该数据排除了短且终端分支。此外,为了解决数据稀缺问题,我们采用了一种物理意识的预训练方法,即使用临床基础的增强策略在未标记数据上进行自监督学习。在BlaVeS数据集上评估,该数据集包含内窥镜视频帧,我们的方法在准确率(0.94)和精度(0.61)以及clDice(0.66)方面优于最先进的医学分割模型。关键的是,我们的方法成功抑制了从动态出现和消失的黏膜褶皱中产生的假阳性。因此,HAC提供了临床导航所需的可靠结构稳定性。

英文摘要:

Urinary bladder cancer surveillance requires tracking tumor sites across repeated interventions, yet the deformable and hollow bladder lacks stable landmarks for orientation. While blood vessels visible during endoscopy offer a patient-specific "vascular fingerprint" for navigation, automated segmentation is challenged by imperfect endoscopic data, including sparse labels, artifacts like bubbles or variable lighting, continuous deformation, and mucosal folds that mimic vessels. State-of-the-art vessel segmentation methods often fail to address these domain-specific complexities. We introduce a Hybrid Attention-Convolution (HAC) architecture that combines Transformers to capture global vessel topology prior with a CNN that learns a residual refinement map to precisely recover thin-vessel details. To prioritize structural connectivity, the Transformer is trained on optimized ground truth data that exclude short and terminal branches. Furthermore, to address data scarcity, we employ a physics-aware pretraining, that is a self-supervised strategy using clinically grounded augmentations on unlabeled data. Evaluated on the BlaVeS dataset, consisting of endoscopic video frames, our approach achieves high accuracy (0.94) and superior precision (0.61) and clDice (0.66) compared to state-of-the-art medical segmentation models. Crucially, our method successfully suppresses false positives from mucosal folds that dynamically appear and vanish as the bladder fills and empties during surgery. Hence, HAC provides the reliable structural stability required for clinical navigation.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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