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Abdominal Segmentation and Blood Vessel Detection in CTA Scans for Diep Reconstruction Procedures

  • Shir Ashkenazi
  • , Nahum Kiryati
  • , Dor Freidin
  • , Ariel Tessone
  • , Shai Tejman-Yarden
  • , Arnaldo Mayer

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Deep Inferior Epigastric Perforator (DIEP) flap reconstruction requires precise identification of perforator vessels traversing the abdominal muscle to supply the fat and skin tissues. Computed tomography angiography (CTA) reveals contrast-enhanced blood vessels critical for the DIEP surgical harvesting selection. CTA annotation is time-consuming and expertise-dependent, requiring clinicians to trace small perforator vessels through hundreds of image slices. We present an end-to-end automated pipeline that receives raw CTA scans and performs ROI extraction, deep learning multi-class segmentation and detection of perforation points. The pipeline achieves effective segmentation with reliable detection of critical anatomical landmarks. It can reduce pre-operative preparation time while maintaining clinical accuracy for improved surgical planning and navigation.

Original languageEnglish
Title of host publicationISBI 2026 - 23rd IEEE International Symposium on Biomedical Imaging
PublisherIEEE Computer Society
ISBN (Electronic)9798331577636
DOIs
StatePublished - 2026
Event23rd IEEE International Symposium on Biomedical Imaging, ISBI 2026 - London, United Kingdom
Duration: 8 Apr 202611 Apr 2026

Publication series

NameProceedings - International Symposium on Biomedical Imaging
Volume2026-April

Conference

Conference23rd IEEE International Symposium on Biomedical Imaging, ISBI 2026
Country/TerritoryUnited Kingdom
CityLondon
Period8/04/2611/04/26

Keywords

  • Breast reconstruction
  • CTA
  • DIEP
  • Deep Learning
  • Plastic surgical planning

ASJC Scopus subject areas

  • Biomedical Engineering
  • Radiology Nuclear Medicine and imaging

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