Multi-Class Segmentation of Aortic Branches and Zones in Computed Tomography Angiography: The AortaSeg24 Challenge

Multi-class segmentation of the aorta in computed tomography angiography (CTA) scans is essential for diagnosing and planning complex endovascular treatments for patients with aortic dissections. However, existing methods reduce aortic segmentation to a binary problem, limiting their ability to measure diameters across different branches and zones. Furthermore, no open-source dataset is currently available to support the development of multi-class aortic segmentation methods. To address this gap, we organized the AortaSeg24 MICCAI Challenge, introducing the first dataset of 100 CTA volumes annotated for 23 clinically relevant aortic branches and zones. This dataset was designed to facilitate both model development and validation. The challenge attracted 121 teams worldwide, with participants leveraging state-of-the-art frameworks such as nnU-Net and exploring novel techniques, including cascaded models, data augmentation strategies, and custom loss functions. We evaluated the submitted algorithms using the Dice Similarity Coefficient (DSC) and Normalized Surface Distance (NSD), highlighting the approaches adopted by the top five performing teams. This paper presents the challenge design, dataset details, evaluation metrics, and an in-depth analysis of the top-performing algorithms. The annotated dataset, evaluation code, and implementations of the leading methods are publicly available to support further research. All resources can be accessed at https://aortaseg24.grand-challenge.org.

Advancing Depth Anything Model for Unsupervised Monocular Depth Estimation in Endoscopy

Depth estimation is a cornerstone of 3D reconstruction and plays a vital role in minimally invasive endoscopic surgeries. However, most current depth estimation networks rely on traditional convolutional neural networks, which are limited in their ability to capture global information. Foundation models offer a promising avenue for enhancing depth estimation, but those currently available are primarily trained on natural images, leading to suboptimal performance when applied to endoscopic images. In this work, we introduce a novel fine-tuning strategy for the Depth Anything Model and integrate it with an intrinsic-based unsupervised monocular depth estimation framework. Our approach includes a low-rank adaptation technique based on random vectors, which improves the model's adaptability to different scales. Additionally, we propose a residual block built on depthwise separable convolution to compensate for the transformer's limited ability to capture high-frequency details, such as edges and textures. Our experimental results on the SCARED dataset show that our method achieves state-of-the-art performance while minimizing the number of trainable parameters. Applying this method in minimally invasive endoscopic surgery could significantly enhance both the precision and safety of these procedures.