# An Intra- and Cross-frame Topological Consistency Scheme for Semi-supervised Atherosclerotic Coronary Plaque Segmentation

arXiv: https://arxiv.org/abs/2501.07850 · HTML: https://mlsanity.com/paper/2501.07850/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 17 of its 31 references that are in the map.
- First posted on arXiv 14 Jan 2025.

## Builds on (most cited first, 17 of 17)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Semi-Supervised Semantic Segmentation with Cross Pseudo Supervision](https://mlsanity.com/paper/2106.01226/) (2021)
- [Uncertainty-aware Self-ensembling Model for Semi-supervised 3D Left Atrium Segmentation](https://mlsanity.com/paper/1907.07034/) (2019)
- [What Matters in Unsupervised Optical Flow](https://mlsanity.com/paper/2006.04902/) (2020)
- [Mutual Consistency Learning for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2109.09960/) (2021)
- [Efficient Semi-Supervised Gross Target Volume of Nasopharyngeal Carcinoma Segmentation via Uncertainty Rectified Pyramid Consistency](https://mlsanity.com/paper/2012.07042/) (2020)
- [Semi-Supervised Medical Image Segmentation via Cross Teaching between CNN and Transformer](https://mlsanity.com/paper/2112.04894/) (2021)
- [Exploring Smoothness and Class-Separation for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2203.01324/) (2022)
- [MSRF-Net: A Multi-Scale Residual Fusion Network for Biomedical Image Segmentation](https://mlsanity.com/paper/2105.07451/) (2021)
- [UPFlow: Upsampling Pyramid for Unsupervised Optical Flow Learning](https://mlsanity.com/paper/2012.00212/) (2020)
- [SwinMM: Masked Multi-view with Swin Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2307.12591/) (2023)
- [Adaptive Bidirectional Displacement for Semi-Supervised Medical Image Segmentation](https://mlsanity.com/paper/2405.00378/) (2024)
- [ScribFormer: Transformer Makes CNN Work Better for Scribble-based Medical Image Segmentation](https://mlsanity.com/paper/2402.02029/) (2024)
- [ScribbleVC: Scribble-supervised Medical Image Segmentation with Vision-Class Embedding](https://mlsanity.com/paper/2307.16226/) (2023)
- [A Recurrent CNN for Automatic Detection and Classification of Coronary Artery Plaque and Stenosis in Coronary CT Angiography](https://mlsanity.com/paper/1804.04360/) (2018)
- [Transformer Network for Significant Stenosis Detection in CCTA of Coronary Arteries](https://mlsanity.com/paper/2107.03035/) (2021)
- [Structure-Preserving Instance Segmentation via Skeleton-Aware Distance Transform](https://mlsanity.com/paper/2310.05262/) (2023)

## Built on by (most cited first, 1 of 1)

- [Scale-aware Adaptive Supervised Network with Limited Medical Annotations](https://mlsanity.com/paper/2601.01005/) (2026)

## Abstract (arXiv)

Enhancing the precision of segmenting coronary atherosclerotic plaques from CT Angiography (CTA) images is pivotal for advanced Coronary Atherosclerosis Analysis (CAA), which distinctively relies on the analysis of vessel cross-section images reconstructed via Curved Planar Reformation. This task presents significant challenges due to the indistinct boundaries and structures of plaques and blood vessels, leading to the inadequate performance of current deep learning models, compounded by the inherent difficulty in annotating such complex data. To address these issues, we propose a novel dual-consistency semi-supervised framework that integrates Intra-frame Topological Consistency (ITC) and Cross-frame Topological Consistency (CTC) to leverage labeled and unlabeled data. ITC employs a dual-task network for simultaneous segmentation mask and Skeleton-aware Distance Transform (SDT) prediction, achieving similar prediction of topology structure through consistency constraint without additional annotations. Meanwhile, CTC utilizes an unsupervised estimator for analyzing pixel flow between skeletons and boundaries of adjacent frames, ensuring spatial continuity. Experiments on two CTA datasets show that our method surpasses existing semi-supervised methods and approaches the performance of supervised methods on CAA. In addition, our method also performs better than other methods on the ACDC dataset, demonstrating its generalization.