# VascuSR: Iterative Anatomy-Aware Diffusion for CT Super-Resolution

arXiv: https://arxiv.org/abs/2610.20509 · HTML: https://mlsanity.com/paper/2610.20509/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 24 of its 36 references that are in the map.
- First posted on arXiv 14 Oct 2026.

## Builds on (most cited first, 24 of 24)

- [The Unreasonable Effectiveness of Deep Features as a Perceptual Metric](https://mlsanity.com/paper/1801.03924/) (2018)
- [Flow Straight and Fast: Learning to Generate and Transfer Data with Rectified Flow](https://mlsanity.com/paper/2209.03003/) (2022)
- [Photo-Realistic Single Image Super-Resolution Using a Generative Adversarial Network](https://mlsanity.com/paper/1609.04802/) (2016)
- [SwinIR: Image Restoration Using Swin Transformer](https://mlsanity.com/paper/2108.10257/) (2021)
- [Enhanced Deep Residual Networks for Single Image Super-Resolution](https://mlsanity.com/paper/1707.02921/) (2017)
- [Image Super-Resolution via Iterative Refinement](https://mlsanity.com/paper/2104.07636/) (2021)
- [Diffusion Posterior Sampling for General Noisy Inverse Problems](https://mlsanity.com/paper/2209.14687/) (2022)
- [Image Super-Resolution Using Very Deep Residual Channel Attention Networks](https://mlsanity.com/paper/1807.02758/) (2018)
- [The Medical Segmentation Decathlon](https://mlsanity.com/paper/2106.05735/) (2021)
- [TotalSegmentator: robust segmentation of 104 anatomical structures in CT images](https://mlsanity.com/paper/2208.05868/) (2022)
- [Exploiting Diffusion Prior for Real-World Image Super-Resolution](https://mlsanity.com/paper/2305.07015/) (2023)
- [Activating More Pixels in Image Super-Resolution Transformer](https://mlsanity.com/paper/2205.04437/) (2022)
- [Deep Learning for Image Super-resolution: A Survey](https://mlsanity.com/paper/1902.06068/) (2019)
- [ResShift: Efficient Diffusion Model for Image Super-resolution by Residual Shifting](https://mlsanity.com/paper/2307.12348/) (2023)
- [clDice -- A Novel Topology-Preserving Loss Function for Tubular Structure Segmentation](https://mlsanity.com/paper/2003.07311/) (2020)
- [DiffusionPDE: Generative PDE-Solving Under Partial Observation](https://mlsanity.com/paper/2406.17763/) (2024)
- [CT Super-resolution GAN Constrained by the Identical, Residual, and Cycle Learning Ensemble(GAN-CIRCLE)](https://mlsanity.com/paper/1808.04256/) (2018)
- [MR Image Denoising and Super-Resolution Using Regularized Reverse Diffusion](https://mlsanity.com/paper/2203.12621/) (2022)
- [ImageCAS: A Large-Scale Dataset and Benchmark for Coronary Artery Segmentation based on Computed Tomography Angiography Images](https://mlsanity.com/paper/2211.01607/) (2022)
- [Rethinking Diffusion Model for Multi-Contrast MRI Super-Resolution](https://mlsanity.com/paper/2404.04785/) (2024)
- [Assessing the Impact of Deep Neural Network-based Image Denoising on Binary Signal Detection Tasks](https://mlsanity.com/paper/2104.14037/) (2021)
- [Tackling Hallucination from Conditional Models for Medical Image Reconstruction with DynamicDPS](https://mlsanity.com/paper/2503.01075/) (2025)
- [CMISR: Circular Medical Image Super-Resolution](https://mlsanity.com/paper/2308.08567/) (2023)
- [PosteriorBench: From Point Estimates to Posterior Matching in Evaluating Generative Inverse Solvers](https://mlsanity.com/paper/2609.20794/) (2026)

## Abstract (arXiv)

Generative super-resolution (SR) can recover sharp detail in computed tomography (CT) images from severely downsampled observations, but the missing high-frequency content is not uniquely determined by the low-resolution input. Consequently, visually plausible reconstructions may contain anatomically unsupported vascular detail, such as missing, spurious, or incorrectly connected vessels. To overcome this challenge, we introduce VascuSR, an iterative anatomy-aware diffusion framework that combines image reconstruction with explicit 3D vascular guidance. First, to provide richer anatomical guidance, we use an explicit 3D vascular representation that captures structural information beyond individual slices. This representation also simplifies vascular refinement by allowing a lightweight 3D generative refiner to focus on vascular structure rather than complex CT appearance. Second, to guide slice-wise SR, a lightweight anatomy controller injects the refined structure into the diffusion decoder, while iterative feedback updates this guidance from each new SR volume. On re-annotated MSD Task08 and HVM datasets, VascuSR outperforms interpolation and learning-based SR baselines in segmentation accuracy (Dice and clDice) and 3D vascular structure (connectivity and mean centerline distance), while maintaining image quality comparable to its SR backbone. Compared with learning-based baselines, VascuSR reduces class-averaged connected-component counts by over 20% on both datasets and mean centerline distance by over 10% on MSD.