Precise 3D segmentation of cerebral vasculature from T1-weighted contrast-enhanced (T1CE) MRI is crucial for safe neurosurgical planning. Manual delineation is time-consuming and prone to inter-observer variability, while current automated methods often trade accuracy for computational cost, limiting clinical use. We present NeuroVascU-Net, the first deep learning architecture specifically designed to segment cerebrovascular structures directly from clinically standard T1CE MRI in neuro-oncology patients, addressing a gap in prior work dominated by TOF-MRA-based approaches. NeuroVascU-Net builds on a dilated U-Net and integrates two specialized modules: a Multi-Scale Contextual Feature Fusion ($MSC^2F$) module at the bottleneck and a Cross-Domain Adaptive Feature Fusion ($CDA^2F$) module at deeper hierarchical layers. $MSC^2F$ captures both local and global information via multi-scale dilated convolutions, while $CDA^2F$ dynamically integrates domain-specific features, enhancing representation while keeping computation low. The model was trained and validated on a curated dataset of T1CE scans from 137 brain tumor biopsy patients, annotated by a board-certified functional neurosurgeon. NeuroVascU-Net achieved a Dice score of 0.8609 and precision of 0.8841, accurately segmenting both major and fine vascular structures. Notably, it requires only 12.4M parameters, significantly fewer than transformer-based models such as Swin U-NetR. This balance of accuracy and efficiency positions NeuroVascU-Net as a practical solution for computer-assisted neurosurgical planning.

The precise cerebrovascular segmentation in time-of-flight magnetic resonance angiography (TOF-MRA) data is crucial for clinically computer-aided diagnosis. However, the sparse distribution of cerebrovascular structures in TOF-MRA results in an exceedingly high cost for manual data labeling. The use of unlabeled TOF-MRA data holds the potential to enhance model performance significantly. In this study, we construct the largest preprocessed unlabeled TOF-MRA datasets (1510 subjects) to date. We also provide three additional labeled datasets totaling 113 subjects. Furthermore, we propose a simple yet effective pertraining strategy based on Frangi filtering, known for enhancing vessel-like structures, to fully leverage the unlabeled data for 3D cerebrovascular segmentation. Specifically, we develop a Frangi filtering-based preprocessing workflow to handle the large-scale unlabeled dataset, and a multi-task pretraining strategy is proposed to effectively utilize the preprocessed data. By employing this approach, we maximize the knowledge gained from the unlabeled data. The pretrained model is evaluated on four cerebrovascular segmentation datasets. The results have demonstrated the superior performance of our model, with an improvement of approximately 3\% compared to state-of-the-art semi- and self-supervised methods. Furthermore, the ablation studies also demonstrate the generalizability and effectiveness of the pretraining method regarding the backbone structures. The code and data have been open source at: \url{https://github.com/shigen-StoneRoot/FFPN}.

Due to the lack of automated methods, to diagnose cerebrovascular disease, time-of-flight magnetic resonance angiography (TOF-MRA) is assessed visually, making it time-consuming. The commonly used encoder-decoder architectures for cerebrovascular segmentation utilize redundant features, eventually leading to the extraction of low-level features multiple times. Additionally, convolutional neural networks (CNNs) suffer from performance degradation when the batch size is small, and deeper networks experience the vanishing gradient problem. Methods: In this paper, we attempt to solve these limitations and propose the 3D cerebrovascular attention UNet method, named CV-AttentionUNet, for precise extraction of brain vessel images. We proposed a sequence of preprocessing techniques followed by deeply supervised UNet to improve the accuracy of segmentation of the brain vessels leading to a stroke. To combine the low and high semantics, we applied the attention mechanism. This mechanism focuses on relevant associations and neglects irrelevant anatomical information. Furthermore, the inclusion of deep supervision incorporates different levels of features that prove to be beneficial for network convergence. Results: We demonstrate the efficiency of the proposed method by cross-validating with an unlabeled dataset, which was further labeled by us. We believe that the novelty of this algorithm lies in its ability to perform well on both labeled and unlabeled data with image processing-based enhancement. The results indicate that our method performed better than the existing state-of-the-art methods on the TubeTK dataset. Conclusion: The proposed method will help in accurate segmentation of cerebrovascular structure leading to stroke

Accurate cerebrovascular segmentation from Magnetic Resonance Angiography (MRA) and Computed Tomography Angiography (CTA) is of great significance in diagnosis and treatment of cerebrovascular pathology. Due to the complexity and topology variability of blood vessels, complete and accurate segmentation of vascular network is still a challenge. In this paper, we proposed a Vessel Oriented Filtering Network (VOF-Net) which embeds domain knowledge into the convolutional neural network. We design oriented filters for blood vessels according to vessel orientation field, which is obtained by orientation estimation network. Features extracted by oriented filtering are injected into segmentation network, so as to make use of the prior information that the blood vessels are slender and curved tubular structure. Experimental results on datasets of CTA and MRA show that the proposed method is effective for vessel segmentation, and embedding the specific vascular filter improves the segmentation performance.