# Boundary-Emphasized Weight Maps for Distal Airway Segmentation

arXiv: https://arxiv.org/abs/2503.00242 · HTML: https://mlsanity.com/paper/2503.00242/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 16 of its 33 references that are in the map.
- First posted on arXiv 28 Feb 2025.

## Builds on (most cited first, 16 of 16)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [clDice -- A Novel Topology-Preserving Loss Function for Tubular Structure Segmentation](https://mlsanity.com/paper/2003.07311/) (2020)
- [Tversky loss function for image segmentation using 3D fully convolutional deep networks](https://mlsanity.com/paper/1706.05721/) (2017)
- [A Novel Focal Tversky loss function with improved Attention U-Net for lesion segmentation](https://mlsanity.com/paper/1810.07842/) (2018)
- [Alleviating Class-wise Gradient Imbalance for Pulmonary Airway Segmentation](https://mlsanity.com/paper/2011.11952/) (2020)
- [AirwayNet: A Voxel-Connectivity Aware Approach for Accurate Airway Segmentation Using Convolutional Neural Networks](https://mlsanity.com/paper/1907.06852/) (2019)
- [Automatic Airway Segmentation in chest CT using Convolutional Neural Networks](https://mlsanity.com/paper/1808.04576/) (2018)
- [Automatic airway segmentation from Computed Tomography using robust and efficient 3-D convolutional neural networks](https://mlsanity.com/paper/2103.16328/) (2021)
- [FDA: Feature Decomposition and Aggregation for Robust Airway Segmentation](https://mlsanity.com/paper/2109.02920/) (2021)
- [Hunting imaging biomarkers in pulmonary fibrosis: Benchmarks of the AIIB23 challenge](https://mlsanity.com/paper/2312.13752/) (2023)
- [Label Refinement Network from Synthetic Error Augmentation for Medical Image Segmentation](https://mlsanity.com/paper/2209.06353/) (2022)

## Abstract (arXiv)

Automated airway segmentation from lung CT scans is vital for diagnosing and monitoring pulmonary diseases. Despite advancements, challenges like leakage, breakage, and class imbalance persist, particularly in capturing small airways and preserving topology. We propose the Boundary-Emphasized Loss (BEL), which enhances boundary preservation using a boundary-based weight map and an adaptive weight refinement strategy. Unlike centerline-based approaches, BEL prioritizes boundary voxels to reduce misclassification, improve topology, and enhance structural consistency, especially on distal airway branches. Evaluated on ATM22 and AIIB23, BEL outperforms baseline loss functions, achieving higher topology-related metrics and comparable overall-based measures. Qualitative results further highlight BEL's ability to capture fine anatomical details and reduce segmentation errors, particularly in small airways. These findings establish BEL as a promising solution for accurate and topology-enhancing airway segmentation in medical imaging.