# VesselFusion: Diffusion Models for Vessel Centerline Extraction from 3D CT Images

arXiv: https://arxiv.org/abs/2603.08135 · HTML: https://mlsanity.com/paper/2603.08135/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models.
- Builds on 17 of its 28 references that are in the map.
- First posted on arXiv 9 Mar 2026.

## Placed in

- Diffusion models / [Medical imaging and segmentation](https://mlsanity.com/diffusion/medical-imaging-and-segmentation/)

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

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Denoising Diffusion Implicit Models](https://mlsanity.com/paper/2010.02502/) (2020)
- [Analog Bits: Generating Discrete Data using Diffusion Models with Self-Conditioning](https://mlsanity.com/paper/2208.04202/) (2022)
- [Diffusion Models for Medical Image Analysis: A Comprehensive Survey](https://mlsanity.com/paper/2211.07804/) (2022)
- [MedSegDiff: Medical Image Segmentation with Diffusion Probabilistic Model](https://mlsanity.com/paper/2211.00611/) (2022)
- [MedSegDiff-V2: Diffusion based Medical Image Segmentation with Transformer](https://mlsanity.com/paper/2301.11798/) (2023)
- [Relationformer: A Unified Framework for Image-to-Graph Generation](https://mlsanity.com/paper/2203.10202/) (2022)
- [DeepVesselNet: Vessel Segmentation, Centerline Prediction, and Bifurcation Detection in 3-D Angiographic Volumes](https://mlsanity.com/paper/1803.09340/) (2018)
- [ImageCAS: A Large-Scale Dataset and Benchmark for Coronary Artery Segmentation based on Computed Tomography Angiography Images](https://mlsanity.com/paper/2211.01607/) (2022)
- [VecFusion: Vector Font Generation with Diffusion](https://mlsanity.com/paper/2312.10540/) (2023)
- [Coronary Artery Centerline Extraction in Cardiac CT Angiography Using a CNN-Based Orientation Classifier](https://mlsanity.com/paper/1810.03143/) (2018)
- [Learning Hybrid Representations for Automatic 3D Vessel Centerline Extraction](https://mlsanity.com/paper/2012.07262/) (2020)
- [Trexplorer Super: Topologically Correct Centerline Tree Tracking of Tubular Objects in CT Volumes](https://mlsanity.com/paper/2507.10881/) (2025)
- [Multi-Resolution 3D Convolutional Neural Networks for Automatic Coronary Centerline Extraction in Cardiac CT Angiography Scans](https://mlsanity.com/paper/2010.00925/) (2020)
- [Adaptive Pseudo Label Selection for Individual Unlabeled Data by Positive and Unlabeled Learning](https://mlsanity.com/paper/2508.07548/) (2025)

## Abstract (arXiv)

Vessel centerline extraction from 3D CT images is an important task because it reduces annotation effort to build a model that estimates a vessel structure. It is challenging to estimate natural vessel structures since conventional approaches are deterministic models, which cannot capture a complex human structure. In this study, we propose VesselFusion, which is a diffusion model to extract the vessel centerline from 3D CT image. The proposed method uses a coarse-to-fine representation of the centerline and a voting-based aggregation for a natural and stable extraction. VesselFusion was evaluated on a publicly available CT image dataset and achieved higher extraction accuracy and a more natural result than conventional approaches.