Segmentation of the aorta in 4D flow MRI using 4D convolutional kernels and learning from sparse annotations
The researchers developed an automatic 4D U-Net based on parameter-efficient hybrid 4D convolutional kernels for segmenting the ascending, arch, and proximal descending parts of the aorta. This method utilizes sparse 4D labels derived from existing 2D expert contours and centerlines, eliminating the need for dense 4D annotation. The training data consisted of 268 scans from 8 centers and 2 manufacturers, and the model was evaluated on an internal test set (32 scans) and an external post-contrast enhancement dataset (30 scans). Compared with time-resolved annotation, the model achieved Dice scores of 0.927 and 0.911 in internal and external tests, respectively, outperforming frame-based 3D networks, static PC-MRA, and registration-based propagation methods; indicators such as peak velocity, net flow, shear stress, and diameter showed excellent consistency with expert contours (ICC ≥ 0.954/0.980). The model achieved reproducible time-resolved aortic segmentation across centers, manufacturers, and independent post-contrast enhancement data, and has been published on public platforms.