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Segmentation of the aorta in 4D flow MRI using 4D convolutional kernels and learning from sparse annotations

arXiv · AI, language, vision and robotics · article · Sep 3, 2026 · UTC

Automated aortic segmentation in 4D flow MRI is essential for reproducible hemodynamic assessment but is limited by scarce dense annotations and high computational demands. We developed a fully automated 4D (3D+time) U-Net for segmenting the ascending aorta, arch, and proximal descending aorta, using a parameter-efficient hybrid 4D kernel to capture temporal context and sparse 4D labels derived from existing 2D expert contours and centerlines, thereby avoiding the need for dense 4D annotations. Training comprised 268 scans from 8 centers and 2 vendors, with evaluation on an internal test set (

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