# Rethinking Intracranial Aneurysm Vessel Segmentation: A Perspective from Computational Fluid Dynamics Applications

arXiv: https://arxiv.org/abs/2512.01319 · HTML: https://mlsanity.com/paper/2512.01319/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 37 references that are in the map.
- First posted on arXiv 1 Dec 2025.

## Builds on (most cited first, 15 of 15)

- [3D U-Net: Learning Dense Volumetric Segmentation from Sparse Annotation](https://mlsanity.com/paper/1606.06650/) (2016)
- [Objects as Points](https://mlsanity.com/paper/1904.07850/) (2019)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [The Medical Segmentation Decathlon](https://mlsanity.com/paper/2106.05735/) (2021)
- [AMOS: A Large-Scale Abdominal Multi-Organ Benchmark for Versatile Medical Image Segmentation](https://mlsanity.com/paper/2206.08023/) (2022)
- [clDice -- A Novel Topology-Preserving Loss Function for Tubular Structure Segmentation](https://mlsanity.com/paper/2003.07311/) (2020)
- [nnU-Net Revisited: A Call for Rigorous Validation in 3D Medical Image Segmentation](https://mlsanity.com/paper/2404.09556/) (2024)
- [AbdomenCT-1K: Is Abdominal Organ Segmentation A Solved Problem?](https://mlsanity.com/paper/2010.14808/) (2020)
- [Boundary IoU: Improving Object-Centric Image Segmentation Evaluation](https://mlsanity.com/paper/2103.16562/) (2021)
- [Learning with Limited Annotations: A Survey on Deep Semi-Supervised Learning for Medical Image Segmentation](https://mlsanity.com/paper/2207.14191/) (2022)
- [nnDetection: A Self-configuring Method for Medical Object Detection](https://mlsanity.com/paper/2106.00817/) (2021)
- [AbdomenAtlas-8K: Annotating 8,000 CT Volumes for Multi-Organ Segmentation in Three Weeks](https://mlsanity.com/paper/2305.09666/) (2023)
- [SCPM-Net: An Anchor-free 3D Lung Nodule Detection Network using Sphere Representation and Center Points Matching](https://mlsanity.com/paper/2104.05215/) (2021)
- [Aneumo: A Large-Scale Comprehensive Synthetic Dataset of Aneurysm Hemodynamics](https://mlsanity.com/paper/2501.09980/) (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)

## Abstract (arXiv)

The precise segmentation of intracranial aneurysms and their parent vessels (IA-Vessel) is a critical step for hemodynamic analyses, which mainly depends on computational fluid dynamics (CFD). However, current segmentation methods predominantly focus on image-based evaluation metrics, often neglecting their practical effectiveness in subsequent CFD applications. To address this deficiency, we present the Intracranial Aneurysm Vessel Segmentation (IAVS) dataset, the first comprehensive, multi-center collection comprising 641 3D MRA images with 587 annotations of aneurysms and IA-Vessels. In addition to image-mask pairs, IAVS dataset includes detailed hemodynamic analysis outcomes, addressing the limitations of existing datasets that neglect topological integrity and CFD applicability. To facilitate the development and evaluation of clinically relevant techniques, we construct two evaluation benchmarks including global localization of aneurysms (Stage I) and fine-grained segmentation of IA-Vessel (Stage II) and develop a simple and effective two-stage framework, which can be used as a out-of-the-box method and strong baseline. For comprehensive evaluation of applicability of segmentation results, we establish a standardized CFD applicability evaluation system that enables the automated and consistent conversion of segmentation masks into CFD models, offering an applicability-focused assessment of segmentation outcomes. The dataset, code, and model will be public available at https://github.com/AbsoluteResonance/IAVS.