Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model

Abdominal Aortic Aneurysm (AAA) is still a socially relevant public health challenge, evidenced by an 82.1% increase in associated fatalities from 1990 to 2019 (with 172,427 deaths in 2019 alone). In a clinical setting, computed tomography angiography (CTA) is the imaging modality of choice for moni...

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Main Authors: Merjulah Roby, Juan C. Restrepo, Haehwan Park, Satish C. Muluk, Mark K. Eskandari, Seungik Baek, Ender A. Finol
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Access
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Online Access:https://ieeexplore.ieee.org/document/10850917/
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author Merjulah Roby
Juan C. Restrepo
Haehwan Park
Satish C. Muluk
Mark K. Eskandari
Seungik Baek
Ender A. Finol
author_facet Merjulah Roby
Juan C. Restrepo
Haehwan Park
Satish C. Muluk
Mark K. Eskandari
Seungik Baek
Ender A. Finol
author_sort Merjulah Roby
collection DOAJ
description Abdominal Aortic Aneurysm (AAA) is still a socially relevant public health challenge, evidenced by an 82.1% increase in associated fatalities from 1990 to 2019 (with 172,427 deaths in 2019 alone). In a clinical setting, computed tomography angiography (CTA) is the imaging modality of choice for monitoring and/or presurgical planning of AAA patients. However, manual segmentation of CTA images is labor intensive and time consuming. Hence, there is a growing need for automated segmentation algorithms, particularly when these influence treatment planning. The deep-learning pipeline proposed in this work is designed to automatically segment AAA CTA images. The framework adapted a fully developed patch-based dilated modified U-Net model, which shows remarkable efficiency in accurately delineating AAA regions within the CTA scans. During the prediction phase, the deep learning architecture demonstrates exceptional speed, requiring <inline-formula> <tex-math notation="LaTeX">$17~\pm ~0.02$ </tex-math></inline-formula> milliseconds per frame to generate the final segmented output. Building upon this work, we included the application of Non-Uniform Rational B-Splines (NURBS) to enhance the segmentation process. This advancement is essential in addressing the critical need for clinical accuracy in medical image segmentation. NURBS enables the creation of continuous curves that seamlessly conform to the intricate contours of anatomical structures, offering a significant improvement in segmentation accuracy. Through the integration of advanced deep learning architectures and the precision of NURBS for segmentation refinement, coupled with the fast processing time and accurate segmentation, the the proposed model represents a promising clinical tool that can be used in the clinical management of AAAs.
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spelling doaj-art-3bb1b11c116c4214ac3674b261dd027f2025-02-11T00:01:31ZengIEEEIEEE Access2169-35362025-01-0113245442455410.1109/ACCESS.2025.353341710850917Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet ModelMerjulah Roby0https://orcid.org/0009-0003-3786-4785Juan C. Restrepo1https://orcid.org/0009-0004-6032-7969Haehwan Park2https://orcid.org/0009-0003-2488-4808Satish C. Muluk3https://orcid.org/0000-0002-1025-961XMark K. Eskandari4Seungik Baek5https://orcid.org/0000-0003-2007-339XEnder A. Finol6https://orcid.org/0000-0002-0811-9482Department of Mechanical Engineering, The University of Texas at San Antonio, San Antonio, TX, USADepartment of Mechanical Engineering, The University of Texas at San Antonio, San Antonio, TX, USALG Electronics, Gasan Research and Development Campus, Seoul, South KoreaDepartment of Thoracic and Cardiovascular Surgery, Allegheny Health Network, Allegheny General Hospital, Pittsburgh, PA, USAFeinberg School of Medicine, Northwestern University, Chicago, IL, USADepartment of Mechanical Engineering, Michigan State University, East Lansing, MI, USADepartment of Mechanical Engineering, The University of Texas at San Antonio, San Antonio, TX, USAAbdominal Aortic Aneurysm (AAA) is still a socially relevant public health challenge, evidenced by an 82.1% increase in associated fatalities from 1990 to 2019 (with 172,427 deaths in 2019 alone). In a clinical setting, computed tomography angiography (CTA) is the imaging modality of choice for monitoring and/or presurgical planning of AAA patients. However, manual segmentation of CTA images is labor intensive and time consuming. Hence, there is a growing need for automated segmentation algorithms, particularly when these influence treatment planning. The deep-learning pipeline proposed in this work is designed to automatically segment AAA CTA images. The framework adapted a fully developed patch-based dilated modified U-Net model, which shows remarkable efficiency in accurately delineating AAA regions within the CTA scans. During the prediction phase, the deep learning architecture demonstrates exceptional speed, requiring <inline-formula> <tex-math notation="LaTeX">$17~\pm ~0.02$ </tex-math></inline-formula> milliseconds per frame to generate the final segmented output. Building upon this work, we included the application of Non-Uniform Rational B-Splines (NURBS) to enhance the segmentation process. This advancement is essential in addressing the critical need for clinical accuracy in medical image segmentation. NURBS enables the creation of continuous curves that seamlessly conform to the intricate contours of anatomical structures, offering a significant improvement in segmentation accuracy. Through the integration of advanced deep learning architectures and the precision of NURBS for segmentation refinement, coupled with the fast processing time and accurate segmentation, the the proposed model represents a promising clinical tool that can be used in the clinical management of AAAs.https://ieeexplore.ieee.org/document/10850917/Abdominal aortic aneurysmdeep learningimage segmentationcomputed tomography imagingNURBS
spellingShingle Merjulah Roby
Juan C. Restrepo
Haehwan Park
Satish C. Muluk
Mark K. Eskandari
Seungik Baek
Ender A. Finol
Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model
IEEE Access
Abdominal aortic aneurysm
deep learning
image segmentation
computed tomography imaging
NURBS
title Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model
title_full Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model
title_fullStr Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model
title_full_unstemmed Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model
title_short Automatic Segmentation of Abdominal Aortic Aneurysm From Computed Tomography Angiography Using a Patch-Based Dilated UNet Model
title_sort automatic segmentation of abdominal aortic aneurysm from computed tomography angiography using a patch based dilated unet model
topic Abdominal aortic aneurysm
deep learning
image segmentation
computed tomography imaging
NURBS
url https://ieeexplore.ieee.org/document/10850917/
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