Abstract:Accurate characterization of hippocampal substructure is crucial for detecting subtle structural changes and identifying early neurodegenerative biomarkers. However, high inter-subject variability and complex folding pattern of human hippocampus hinder consistent cross-subject and longitudinal analysis. Most existing approaches rely on subject-specific modelling and lack a stable intrinsic coordinate system to accommodate anatomical variability, which limits their ability to establish reliable inter- and intra-individual correspondence. To address this, we propose HippMetric, a skeletal representation (s-rep)-based framework for hippocampal substructural morphometry and point-wise correspondence across individuals and scans. HippMetric builds on the Axis-Referenced Morphometric Model (ARMM) and employs a deformable skeletal coordinate system aligned with hippocampal anatomy and function, providing a biologically grounded reference for correspondence. Our framework comprises two core modules: a skeletal-based coordinate system that respects the hippocampus' conserved longitudinal lamellar architecture, in which functional units (lamellae) are stacked perpendicular to the long-axis, enabling anatomically consistent localization across subjects and time; and individualized s-reps generated through surface reconstruction, deformation, and geometrically constrained spoke refinement, enforcing boundary adherence, orthogonality and non-intersection to produce mathematically valid skeletal geometry. Extensive experiments on two international cohorts demonstrate that HippMetric achieves higher accuracy, reliability, and correspondence stability compared to existing shape models.




Abstract:Efficient automatic segmentation of multi-level (i.e. main and branch) pulmonary arteries (PA) in CTPA images plays a significant role in clinical applications. However, most existing methods concentrate only on main PA or branch PA segmentation separately and ignore segmentation efficiency. Besides, there is no public large-scale dataset focused on PA segmentation, which makes it highly challenging to compare the different methods. To benchmark multi-level PA segmentation algorithms, we organized the first \textbf{P}ulmonary \textbf{AR}tery \textbf{SE}gmentation (PARSE) challenge. On the one hand, we focus on both the main PA and the branch PA segmentation. On the other hand, for better clinical application, we assign the same score weight to segmentation efficiency (mainly running time and GPU memory consumption during inference) while ensuring PA segmentation accuracy. We present a summary of the top algorithms and offer some suggestions for efficient and accurate multi-level PA automatic segmentation. We provide the PARSE challenge as open-access for the community to benchmark future algorithm developments at \url{https://parse2022.grand-challenge.org/Parse2022/}.