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Abstract:
Airway segmentation and reconstruction are critical for preoperative lesion localization and surgical planning in pulmonary interventions. However, this task remains challenging due to the intrinsically complex tree structure of the airway and the imbalance in branch sizes. While current deep learning methods focus on model architecture optimization, they underutilize anatomical priors such as the spatial correlation between pulmonary arteries and bronchi beyond geometric grading level III. To address this limitation, we propose dual-decoding segmentation network (DDS-Net) integrated with a pulmonary-bronchial extension generative adversarial network (PBE-GAN), which explicitly embeds artery-bronchus adjacency priors to enhance distal bronchial identification. Experimental results demonstrate state-of-the-art performance, achieving a Dice Similarity Coefficient (DSC) of 88.46%, Branch Detection Rate (BD) of 88.31%, and Tree Length Detection Rate (TD) of 84.93%, with significant improvements in detecting peripheral bronchi near pulmonary arteries. This study confirms that incorporating anatomical relationships substantially improves segmentation accuracy, particularly for fine structures. Future work should prioritize clinical validation through multi-center trials and explore integration with real-time surgical navigation systems, while extending similar anatomical synergy principles to other organ-specific segmentation tasks.
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ENGINEERING APPLICATIONS OF ARTIFICIAL INTELLIGENCE
ISSN: 0952-1976
Year: 2025
Volume: 153
7 . 5 0 0
JCR@2023
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ESI Highly Cited Papers on the List: 0 Unfold All
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30 Days PV: 0
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