clDice -- A Novel Topology-Preserving Loss Function for Tubular Structure Segmentation
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Abstract (arXiv)
Accurate segmentation of tubular, network-like structures, such as vessels, neurons, or roads, is relevant to many fields of research. For such structures, the topology is their most important characteristic; particularly preserving connectedness: in the case of vascular networks, missing a connected vessel entirely alters the blood-flow dynamics. We introduce a novel similarity measure termed centerlineDice (short clDice), which is calculated on the intersection of the segmentation masks and their (morphological) skeleta. We theoretically prove that clDice guarantees topology preservation up to homotopy equivalence for binary 2D and 3D segmentation. Extending this, we propose a computationally efficient, differentiable loss function (soft-clDice) for training arbitrary neural segmentation networks. We benchmark the soft-clDice loss on five public datasets, including vessels, roads and neurons (2D and 3D). Training on soft-clDice leads to segmentation with more accurate connectivity information, higher graph similarity, and better volumetric scores.
Key facts. Cited by 286 papers in the map (data through 7 Oct 2026). First posted on arXiv 16 Mar 2020.
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Citing papers per year: 2021: 8; 2022: 30; 2023: 33; 2024: 65; 2025: 63; 2026: 87.
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- 2022Metrics reloaded: Recommendations for image analysis validationcited by 190
- 2023Dynamic Snake Convolution based on Topological Geometric Constraints for Tubular Structure Segmentationcited by 83
- 2022Relationformer: A Unified Framework for Image-to-Graph Generationcited by 67
- 2021Common Limitations of Image Processing Metrics: A Picture Storycited by 58
- 2023Understanding metric-related pitfalls in image analysis validationcited by 57
- 2022ImageCAS: A Large-Scale Dataset and Benchmark for Coronary Artery Segmentation based on Computed Tomography Angiography Imagescited by 54
- 2022Topologically faithful image segmentation via induced matching of persistence barcodescited by 48
- 2023The TopCoW Challenge -- Topology-Aware Circle of Willis Segmentation for CT and MR Angiographycited by 48
- 2024Skeleton Recall Loss for Connectivity Conserving and Resource Efficient Segmentation of Thin Tubular Structurescited by 43
- 2023Topology-Aware Uncertainty for Image Segmentationcited by 32
- 2023Directional Connectivity-based Segmentation of Medical Imagescited by 30
- 2022Learning Topological Interactions for Multi-Class Medical Image Segmentationcited by 28
38 more
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- 2023Efficient automatic segmentation for multi-level pulmonary arteries: The PARSE challengecited by 26
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- 2022Learning Probabilistic Topological Representations Using Discrete Morse Theorycited by 20
- 2022blob loss: instance imbalance aware loss functions for semantic segmentationcited by 18
- 2024vesselFM: A Foundation Model for Universal 3D Blood Vessel Segmentationcited by 18
- 2021TA-Net: Topology-Aware Network for Gland Segmentationcited by 17
- 2023A skeletonization algorithm for gradient-based optimizationcited by 17
- 2024Topograph: An efficient Graph-Based Framework for Strictly Topology Preserving Image Segmentationcited by 17
- 2023Synthetic optical coherence tomography angiographs for detailed retinal vessel segmentation without human annotationscited by 16
- 2024TopoCellGen: Generating Histopathology Cell Topology with a Diffusion Modelcited by 16
- 2022RTNet: Relation Transformer Network for Diabetic Retinopathy Multi-lesion Segmentationcited by 14
- 2022Capturing Shape Information with Multi-Scale Topological Loss Terms for 3D Reconstructioncited by 14
- 2022Human Treelike Tubular Structure Segmentation: A Comprehensive Review and Future Perspectivescited by 14
- 2023SAM-OCTA: A Fine-Tuning Strategy for Applying Foundation Model to OCTA Image Segmentation Taskscited by 14
- 2024DeNVeR: Deformable Neural Vessel Representations for Unsupervised Video Vessel Segmentationcited by 13
- 2024Representing Topological Self-Similarity Using Fractal Feature Maps for Accurate Segmentation of Tubular Structurescited by 13
- 2021Do We Really Need Dice? The Hidden Region-Size Biases of Segmentation Lossescited by 12
- 2022Local Intensity Order Transformation for Robust Curvilinear Object Segmentationcited by 12
- 2022DTU-Net: Learning Topological Similarity for Curvilinear Structure Segmentationcited by 12
- 2022Physiology-based simulation of the retinal vasculature enables annotation-free segmentation of OCT angiographscited by 12
- 2024Topologically Faithful Multi-class Segmentation in Medical Imagescited by 12
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- 2022A Learning-based Framework for Topology-Preserving Segmentation using Quasiconformal Mappingscited by 10
- 2022RibSeg v2: A Large-scale Benchmark for Rib Labeling and Anatomical Centerline Extractioncited by 10
- 2023DIAS: A Dataset and Benchmark for Intracranial Artery Segmentation in DSA sequencescited by 10
- 2023Designing a Hybrid Neural System to Learn Real-world Crack Segmentation from Fractal-based Simulationcited by 10
- 2024TopoDiffusionNet: A Topology-aware Diffusion Modelcited by 10
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- 2023Multi-site, Multi-domain Airway Tree Modeling (ATM'22): A Public Benchmark for Pulmonary Airway Segmentationcited by 9
- 2025GLCP: Global-to-Local Connectivity Preservation for Tubular Structure Segmentationcited by 9
- 2022PointScatter: Point Set Representation for Tubular Structure Extractioncited by 8
- 2023VSR-Net: Vessel-like Structure Rehabilitation Network with Graph Clusteringcited by 8
- 2024Enhancing Boundary Segmentation for Topological Accuracy with Skeleton-based Methodscited by 8
- 2024DSCA: A Digital Subtraction Angiography Sequence Dataset and Spatio-Temporal Model for Cerebral Artery Segmentationcited by 8
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- 2023Accurate Airway Tree Segmentation in CT Scans via Anatomy-aware Multi-class Segmentation and Topology-guided Iterative Learningcited by 7
50 most cited of 286 All 286 (JSON)
- 2026SILSA: Sliding-Window Slice Latents for Topology-Preserving High-Resolution 3D Generation1 Oct 2026
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- 2026Sparse cubical complexes for efficient topology-preservation in image data29 Sep 2026
- 2026UniBuild: Unified Building Mapping From Multi-Source Optical Remote Sensing Imagery With Detail Decoding and Geometry Regularization29 Sep 2026
- 2026ConPro: Contrast Projection Pretraining for Label-Efficient Vessel Segmentation in DSA Sequences24 Sep 2026
- 2026Beyond Volume Overlap: Surface Matching for Topology-Aware Coronary Artery Segmentation22 Sep 2026
- 2026Multi-Stage NeRF for Efficient 3D Coronary Artery Reconstruction from Two Narrow-Angle Angiographic Projections14 Sep 2026
- 2026BSC-Net: A Small-Branch-Sensitive Structural Continuity Network for Coronary Vessel Segmentation and Quantitative Angiographic Analysis14 Sep 2026
- 2026CGGT: Curve-Grounded Geometry Transformer for 3D Parametric Curve Reconstruction13 Sep 2026
- 2026An Ultra-Widefield Swept-Source OCTA Dataset and a Polar-Gated Mamba Network for Retinal Vessel Segmentation11 Sep 2026
- 2026FPicker: Topology-Guided Evolution for Filament Tracing in Low-SNR Microscopy8 Sep 2026
- 2026CoRe-SAM3: Conditional Semantic--Visual Reconciliation for SAM3 Crack Segmentation5 Sep 2026
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- 2026MorVess: Morphology-Aware Pulmonary Vessel Segmentation Network23 Jun 2026
- 2026SEMIR: Topology-Preserving Graph Minors for Thin-Structure Segmentation22 Jun 2026
- 2026From Reconstruction to Decision: A Post-Encoder Plug-in Adapter for Curvilinear Segmentation22 Jun 2026
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- 2026vesselFM-CT: Segmenting All Blood Vessels in CT Images for System-Level Cardiovascular Analysis8 Jun 2026
- 2026SC-MFJ: A Simple Haptic Quality Metric for Medical Image Segmentation4 Jun 2026
50 newest of 286 All 286 (JSON)
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- 2026CurvSegFlow: Time-Conditioned Flow Matching for Robust Segmentation of Curvilinear Structures in Noisy Biomedical Images19 Jun 2026
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- 2024TopoCellGen: Generating Histopathology Cell Topology with a Diffusion Model8 Dec 2024
- 2024Continuous and complete liver vessel segmentation with graph-attention guided diffusion1 Nov 2024
- 2024TopoDiffusionNet: A Topology-aware Diffusion Model22 Oct 2024
- 2024A Diffusion Model for Simulation Ready Coronary Anatomy with Morpho-skeletal Control22 Jul 2024
- 2025A Novel Hybrid Approach for Retinal Vessel Segmentation with Dynamic Long-Range Dependency and Multi-Scale Retinal Edge Fusion Enhancementcited by 2
- 2025COMMA: Coordinate-aware Modulated Mamba Network for 3D Dispersed Vessel Segmentationcited by 1
- 2026DR-Mamba: Automatic Inference-Time Domain Adaptation for Document Image Binarization via Sample-Conditioned Detail-Background Suppressioncited by 0
- 2026Topology-Aware Global-Local Mamba Networks for Palm Vein Biometricscited by 0
- 2026An Ultra-Widefield Swept-Source OCTA Dataset and a Polar-Gated Mamba Network for Retinal Vessel Segmentationcited by 0
- 2026An Ultra-Widefield Swept-Source OCTA Dataset and a Polar-Gated Mamba Network for Retinal Vessel Segmentation11 Sep 2026
- 2026Topology-Aware Global-Local Mamba Networks for Palm Vein Biometrics9 Aug 2026
- 2026DR-Mamba: Automatic Inference-Time Domain Adaptation for Document Image Binarization via Sample-Conditioned Detail-Background Suppression21 Jun 2026
- 2025A Novel Hybrid Approach for Retinal Vessel Segmentation with Dynamic Long-Range Dependency and Multi-Scale Retinal Edge Fusion Enhancement18 Apr 2025
- 2025COMMA: Coordinate-aware Modulated Mamba Network for 3D Dispersed Vessel Segmentation4 Mar 2025
- 2022Metrics reloaded: Recommendations for image analysis validationcited by 190
- 2023Dynamic Snake Convolution based on Topological Geometric Constraints for Tubular Structure Segmentationcited by 83
- 2022Relationformer: A Unified Framework for Image-to-Graph Generationcited by 67
- 2021Common Limitations of Image Processing Metrics: A Picture Storycited by 58
- 2023Understanding metric-related pitfalls in image analysis validationcited by 57
- 2022ImageCAS: A Large-Scale Dataset and Benchmark for Coronary Artery Segmentation based on Computed Tomography Angiography Imagescited by 54
- 2022Topologically faithful image segmentation via induced matching of persistence barcodescited by 48
- 2023The TopCoW Challenge -- Topology-Aware Circle of Willis Segmentation for CT and MR Angiographycited by 48
- 2024Skeleton Recall Loss for Connectivity Conserving and Resource Efficient Segmentation of Thin Tubular Structurescited by 43
- 2023Topology-Aware Uncertainty for Image Segmentationcited by 32
- 2023Directional Connectivity-based Segmentation of Medical Imagescited by 30
- 2022Learning Topological Interactions for Multi-Class Medical Image Segmentationcited by 28
12 most cited of 269 All 269 (JSON)
- 2026SILSA: Sliding-Window Slice Latents for Topology-Preserving High-Resolution 3D Generation1 Oct 2026
- 2026MorphoBranch: A Fine-Structure-Preserving Workbench for Morphometric Analysis of Branched Cellular Structures1 Oct 2026
- 2026Sparse cubical complexes for efficient topology-preservation in image data29 Sep 2026
- 2026UniBuild: Unified Building Mapping From Multi-Source Optical Remote Sensing Imagery With Detail Decoding and Geometry Regularization29 Sep 2026
- 2026ConPro: Contrast Projection Pretraining for Label-Efficient Vessel Segmentation in DSA Sequences24 Sep 2026
- 2026Beyond Volume Overlap: Surface Matching for Topology-Aware Coronary Artery Segmentation22 Sep 2026
- 2026Multi-Stage NeRF for Efficient 3D Coronary Artery Reconstruction from Two Narrow-Angle Angiographic Projections14 Sep 2026
- 2026BSC-Net: A Small-Branch-Sensitive Structural Continuity Network for Coronary Vessel Segmentation and Quantitative Angiographic Analysis14 Sep 2026
- 2026CGGT: Curve-Grounded Geometry Transformer for 3D Parametric Curve Reconstruction13 Sep 2026
- 2026FPicker: Topology-Guided Evolution for Filament Tracing in Low-SNR Microscopy8 Sep 2026
- 2026CoRe-SAM3: Conditional Semantic--Visual Reconciliation for SAM3 Crack Segmentation5 Sep 2026
- 2026Topology-Aware Training and Spatial Diagnostics for Fiber Bundle Segmentation in Tracer Histology3 Sep 2026
12 newest of 269 All 269 (JSON)