# SDF4CHD: Generative Modeling of Cardiac Anatomies with Congenital Heart Defects

arXiv: https://arxiv.org/abs/2311.00332 · HTML: https://mlsanity.com/paper/2311.00332/

## Key facts

- Cited by 17 papers in the map (data through 14 Oct 2026).
- Builds on 25 of its 58 references that are in the map.
- First posted on arXiv 1 Nov 2023.

## Builds on (most cited first, 25 of 25)

- [Neural Ordinary Differential Equations](https://mlsanity.com/paper/1806.07366/) (2018)
- [DeepSDF: Learning Continuous Signed Distance Functions for Shape Representation](https://mlsanity.com/paper/1901.05103/) (2019)
- [Fourier Features Let Networks Learn High Frequency Functions in Low Dimensional Domains](https://mlsanity.com/paper/2006.10739/) (2020)
- [Conditional Generative Adversarial Nets](https://mlsanity.com/paper/1411.1784/) (2014)
- [Semantic Image Synthesis with Spatially-Adaptive Normalization](https://mlsanity.com/paper/1903.07291/) (2019)
- [Deformed Implicit Field: Modeling 3D Shapes with Learned Dense Correspondence](https://mlsanity.com/paper/2011.13650/) (2020)
- [Deep Implicit Templates for 3D Shape Representation](https://mlsanity.com/paper/2011.14565/) (2020)
- [Learning Smooth Neural Functions via Lipschitz Regularization](https://mlsanity.com/paper/2202.08345/) (2022)
- [Topology-Preserving Shape Reconstruction and Registration via Neural Diffeomorphic Flow](https://mlsanity.com/paper/2203.08652/) (2022)
- [Neural Template: Topology-aware Reconstruction and Disentangled Generation of 3D Meshes](https://mlsanity.com/paper/2206.04942/) (2022)
- [Deep Implicit Statistical Shape Models for 3D Medical Image Delineation](https://mlsanity.com/paper/2104.02847/) (2021)
- [CortexODE: Learning Cortical Surface Reconstruction by Neural ODEs](https://mlsanity.com/paper/2202.08329/) (2022)
- [Learning Whole Heart Mesh Generation From Patient Images For Computational Simulations](https://mlsanity.com/paper/2203.10517/) (2022)
- [Explainable Anatomical Shape Analysis through Deep Hierarchical Generative Models](https://mlsanity.com/paper/1907.00058/) (2019)
- [ImageCHD: A 3D Computed Tomography Image Dataset for Classification of Congenital Heart Disease](https://mlsanity.com/paper/2101.10799/) (2021)
- [4D Myocardium Reconstruction with Decoupled Motion and Shape Model](https://mlsanity.com/paper/2308.14083/) (2023)
- [CHeart: A Conditional Spatio-Temporal Generative Model for Cardiac Anatomy](https://mlsanity.com/paper/2301.13098/) (2023)
- [Implicit Neural Representations for Generative Modeling of Living Cell Shapes](https://mlsanity.com/paper/2207.06283/) (2022)
- [Controllable cardiac synthesis via disentangled anatomy arithmetic](https://mlsanity.com/paper/2107.01748/) (2021)
- [3D Cardiac Shape Prediction with Deep Neural Networks: Simultaneous Use of Images and Patient Metadata](https://mlsanity.com/paper/1907.01913/) (2019)
- [Pathology Synthesis of 3D-Consistent Cardiac MR Images using 2D VAEs and GANs](https://mlsanity.com/paper/2209.04223/) (2022)
- [A Conditional Flow Variational Autoencoder for Controllable Synthesis of Virtual Populations of Anatomy](https://mlsanity.com/paper/2306.14680/) (2023)
- [UNIST: Unpaired Neural Implicit Shape Translation Network](https://mlsanity.com/paper/2112.05381/) (2021)
- [LinFlo-Net: A two-stage deep learning method to generate simulation ready meshes of the heart](https://mlsanity.com/paper/2310.20065/) (2023)
- [Accurate Congenital Heart Disease Model Generation for 3D Printing](https://mlsanity.com/paper/1907.05273/) (2019)

## Built on by (most cited first, 17 of 17)

- [A personalized time-resolved 3D mesh generative model for unveiling normal heart dynamics](https://mlsanity.com/paper/2409.13825/) (2024)
- [CardiacFlow: 3D+t Four-Chamber Cardiac Shape Completion and Generation via Flow Matching](https://mlsanity.com/paper/2509.05754/) (2025)
- [Liquid Fourier Latent Dynamics Networks for fast GPU-based numerical simulations in computational cardiology](https://mlsanity.com/paper/2408.09818/) (2024)
- [Full-field surrogate modeling of cardiac function encoding geometric variability](https://mlsanity.com/paper/2504.20479/) (2025)
- [UltrON: Ultrasound Occupancy Networks](https://mlsanity.com/paper/2509.08991/) (2025)
- [Image2Flow: A hybrid image and graph convolutional neural network for rapid patient-specific pulmonary artery segmentation and CFD flow field calculation from 3D cardiac MRI data](https://mlsanity.com/paper/2402.18236/) (2024)
- [MorphiNet: A Graph Subdivision Network for Adaptive Bi-ventricle Surface Reconstruction](https://mlsanity.com/paper/2412.10985/) (2024)
- [CardioComposer: Leveraging Differentiable Geometry for Compositional Control of Anatomical Diffusion Models](https://mlsanity.com/paper/2509.08015/) (2025)
- [FalconBC: Flow matching for Amortized inference of Latent-CONditioned physiologic Boundary Conditions](https://mlsanity.com/paper/2603.19331/) (2026)
- [VecHeart: Holistic Four-Chamber Cardiac Anatomy Modeling via Hybrid VecSets](https://mlsanity.com/paper/2604.19403/) (2026)
- [Anatomica: Localized Control over Geometric and Topological Properties for Anatomical Diffusion Models](https://mlsanity.com/paper/2511.20587/) (2025)
- [Uncertainty Quantification for Cardiac Shape Reconstruction with Deep Signed Distance Functions via MCMC methods](https://mlsanity.com/paper/2605.07987/) (2026)
- [RePCM: Region-Specific and Phenotype-Adaptive Bi-Ventricular Cardiac Motion Synthesis](https://mlsanity.com/paper/2605.21237/) (2026)
- [From Raw Segmentations to Simulation-Ready Cardiac Meshes: An Automated Framework for Anatomical Reconstruction and Virtual Cohort Generation](https://mlsanity.com/paper/2607.02564/) (2026)
- [Flow-based conditional cardiac anatomy generation for virtual cohorts](https://mlsanity.com/paper/2608.09460/) (2026)
- [SV-Cine: Diagnosis-Conditioned Segmentation of Single Ventricle Physiology via Generative Data Augmentation](https://mlsanity.com/paper/2609.12997/) (2026)
- [Beyond In-Distribution Metrics: A Systematic Out-of-Distribution Evaluation of Congenital Heart Disease Segmentation](https://mlsanity.com/paper/2609.17068/) (2026)

## Abstract (arXiv)

Congenital heart disease (CHD) encompasses a spectrum of cardiovascular structural abnormalities, often requiring customized treatment plans for individual patients. Computational modeling and analysis of these unique cardiac anatomies can improve diagnosis and treatment planning and may ultimately lead to improved outcomes. Deep learning (DL) methods have demonstrated the potential to enable efficient treatment planning by automating cardiac segmentation and mesh construction for patients with normal cardiac anatomies. However, CHDs are often rare, making it challenging to acquire sufficiently large patient cohorts for training such DL models. Generative modeling of cardiac anatomies has the potential to fill this gap via the generation of virtual cohorts; however, prior approaches were largely designed for normal anatomies and cannot readily capture the significant topological variations seen in CHD patients. Therefore, we propose a type- and shape-disentangled generative approach suitable to capture the wide spectrum of cardiac anatomies observed in different CHD types and synthesize differently shaped cardiac anatomies that preserve the unique topology for specific CHD types. Our DL approach represents generic whole heart anatomies with CHD type-specific abnormalities implicitly using signed distance fields (SDF) based on CHD type diagnosis, which conveniently captures divergent anatomical variations across different types and represents meaningful intermediate CHD states. To capture the shape-specific variations, we then learn invertible deformations to morph the learned CHD type-specific anatomies and reconstruct patient-specific shapes. Our approach has the potential to augment the image-segmentation pairs for rarer CHD types for cardiac segmentation and generate cohorts of CHD cardiac meshes for computational simulation.
