arXiv subjects

Rasmus R. Paulsen

Publications and source records attributed to Rasmus R. Paulsen.

8 recordsLinked to original sources

arXiv2026

ImageCAS-X: a dataset and benchmark for coronary artery segmentation and centerline extraction in coronary CT angiography

Accurate segmentation of the coronary vessel lumen is a prerequisite for quantitative assessment of atherosclerotic plaque and perivascular adipose tissue in coronary computed tomography angiography (CCTA). Cardiologists rely on semi-automated methods for this task because manual vessel tracing and segmentation are labour-intensive. Although many automated methods have been proposed, their validation remains limited by the lack of large, high-quality publicly available datasets. We provide a new dataset of voxel-wise annotations of the vessel lumen and coronary segments, alongside centerlines, and mesh surfaces for 800 scans from the publicly available ImageCAS dataset. Using this dataset, we benchmark established lumen segmentation methods against inter-observer variability, stratifying performance by disease, image quality, coronary dominance, coronary segment, vessel diameter, and lumen attenuation. These labels allow segmentation accuracy to be described in anatomical and clinical context rather than reported as a single aggregate score. The dataset supports the development and validation of methods for lumen segmentation, plaque and perivascular quantification, and haemodynamic modelling.

cs.CV↗

arXiv2026

Anatomy-Aware 3D Mesh Refinement of Pericardium Segmentations on Computed Tomography

Accurate delineation of the pericardium in a cardiac CT scan is essential for quantifying epicardial adipose tissue, yet it remains one of the most challenging structures to segment due to its poor contrast boundaries. Instead of solely relying on image gradients, our framework leverages the anatomical context of surrounding anatomical structures to guide the segmentation. This work introduces a novel 3D iterative mesh refinement framework that balances anatomical and geometric forces derived from inherent anatomical rules to refine an initial, possibly ambiguous, segmentation into a high-precision, anatomically plausible result. Designed as a model-agnostic post-processing step, our method uses a 3D vector field to iteratively push the vertices to the correct anatomical locations. Evaluating the refinement on both a high-resolution in-house dataset and a coarse, sparsely annotated open-source dataset, our method consistently improves all volumetric, surface, and anatomical metrics. The framework demonstrates greater improvement when applied to weaker initial segmentations, highlighting its potential for improving segmentations for out-of-domain models and in limited-training-data scenarios. The method is formulated as a gradient-based, GPU-accelerated framework that can be easily extended to other anatomical use cases.

cs.CV↗

arXiv2025

A public cardiac CT dataset featuring the left atrial appendage

Despite the success of advanced segmentation frameworks such as TotalSegmentator (TS), accurate segmentations of the left atrial appendage (LAA), coronary arteries (CAs), and pulmonary veins (PVs) remain a significant challenge in medical imaging. In this work, we present the first open-source, anatomically coherent dataset of curated, high-resolution segmentations for these structures, supplemented with whole-heart labels produced by TS on the publicly available ImageCAS dataset consisting of 1000 cardiac computed tomography angiography (CCTA) scans. One purpose of the data set is to foster novel approaches to the analysis of LAA morphology. LAA segmentations on ImageCAS were generated using a state-of-the-art segmentation framework developed specifically for high resolution LAA segmentation. We trained the network on a large private dataset with manual annotations provided by medical readers guided by a trained cardiologist and transferred the model to ImageCAS data. CA labels were improved from the original ImageCAS annotations, while PV segmentations were refined from TS outputs. In addition, we provide a list of scans from ImageCAS that contains common data flaws such as step artefacts, LAAs extending beyond the scanner's field of view, and other types of data defects.

cs.CV↗

arXiv2025

Implicit Neural Representations for Registration of Left Ventricle Myocardium During a Cardiac Cycle

Understanding the movement of the left ventricle myocardium (LVmyo) during the cardiac cycle is essential for assessing cardiac function. One way to model this movement is through a series of deformable image registrations (DIRs) of the LVmyo. Traditional deep learning methods for DIRs, such as those based on convolutional neural networks, often require substantial memory and computational resources. In contrast, implicit neural representations (INRs) offer an efficient approach by operating on any number of continuous points. This study extends the use of INRs for DIR to cardiac computed tomography (CT), focusing on LVmyo registration. To enhance the precision of the registration around the LVmyo, we incorporate the signed distance field of the LVmyo with the Hounsfield Unit values from the CT frames. This guides the registration of the LVmyo, while keeping the tissue information from the CT frames. Our framework demonstrates high registration accuracy and provides a robust method for temporal registration that facilitates further analysis of LVmyo motion.

eess.IV↗

arXiv2022

Geometric Deep Learning for the Assessment of Thrombosis Risk in the Left Atrial Appendage

The assessment of left atrial appendage (LAA) thrombogenesis has experienced major advances with the adoption of patient-specific computational fluid dynamics (CFD) simulations. Nonetheless, due to the vast computational resources and long execution times required by fluid dynamics solvers, there is an ever-growing body of work aiming to develop surrogate models of fluid flow simulations based on neural networks. The present study builds on this foundation by developing a deep learning (DL) framework capable of predicting the endothelial cell activation potential (ECAP), linked to the risk of thrombosis, solely from the patient-specific LAA geometry. To this end, we leveraged recent advancements in Geometric DL, which seamlessly extend the unparalleled potential of convolutional neural networks (CNN), to non-Euclidean data such as meshes. The model was trained with a dataset combining 202 synthetic and 54 real LAA, predicting the ECAP distributions instantaneously, with an average mean absolute error of 0.563. Moreover, the resulting framework manages to predict the anatomical features related to higher ECAP values even when trained exclusively on synthetic cases.

cs.LG↗

arXiv2022

Was that so hard? Estimating human classification difficulty

When doctors are trained to diagnose a specific disease, they learn faster when presented with cases in order of increasing difficulty. This creates the need for automatically estimating how difficult it is for doctors to classify a given case. In this paper, we introduce methods for estimating how hard it is for a doctor to diagnose a case represented by a medical image, both when ground truth difficulties are available for training, and when they are not. Our methods are based on embeddings obtained with deep metric learning. Additionally, we introduce a practical method for obtaining ground truth human difficulty for each image case in a dataset using self-assessed certainty. We apply our methods to two different medical datasets, achieving high Kendall rank correlation coefficients, showing that we outperform existing methods by a large margin on our problem and data.

cs.CV↗

arXiv2022

Multi-modal data generation with a deep metric variational autoencoder

We present a deep metric variational autoencoder for multi-modal data generation. The variational autoencoder employs triplet loss in the latent space, which allows for conditional data generation by sampling in the latent space within each class cluster. The approach is evaluated on a multi-modal dataset consisting of otoscopy images of the tympanic membrane with corresponding wideband tympanometry measurements. The modalities in this dataset are correlated, as they represent different aspects of the state of the middle ear, but they do not present a direct pixel-to-pixel correlation. The approach shows promising results for the conditional generation of pairs of images and tympanograms, and will allow for efficient data augmentation of data from multi-modal sources.

eess.IV↗

arXiv2019

Multi-view consensus CNN for 3D facial landmark placement

The rapid increase in the availability of accurate 3D scanning devices has moved facial recognition and analysis into the 3D domain. 3D facial landmarks are often used as a simple measure of anatomy and it is crucial to have accurate algorithms for automatic landmark placement. The current state-of-the-art approaches have yet to gain from the dramatic increase in performance reported in human pose tracking and 2D facial landmark placement due to the use of deep convolutional neural networks (CNN). Development of deep learning approaches for 3D meshes has given rise to the new subfield called geometric deep learning, where one topic is the adaptation of meshes for the use of deep CNNs. In this work, we demonstrate how methods derived from geometric deep learning, namely multi-view CNNs, can be combined with recent advances in human pose tracking. The method finds 2D landmark estimates and propagates this information to 3D space, where a consensus method determines the accurate 3D face landmark position. We utilise the method on a standard 3D face dataset and show that it outperforms current methods by a large margin. Further, we demonstrate how models trained on 3D range scans can be used to accurately place anatomical landmarks in magnetic resonance images.

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