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PreprintCC BY-NC-NDbioRxiv

A robust and scalable image analysis framework for phenotyping human thoracic aorta

  1. 1University of Miami

Abstract

Large-scale phenotyping of the thoracic aorta requires a workflow in which every step, from segmentation to phenotype extraction, runs without manual intervention. We present a robust and scalable framework that converts contrast-enhanced CT into anatomical landmarks, a patient-specific quadrilateral mesh, a wall-stress field and regional phenotypes of the thoracic aorta. Four nnU-Net segmentation tasks delineate the aorta, its anatomical regions and two partitions of the aortic root. A surface-curve-point procedure derives the annulus, the sinotubular junction, the ostia of the supra-aortic branches, the cusp nadirs and the commissures from the interfaces between segmented regions. We fit a structured template of 24,882 quadrilateral elements to the segmented aortic surface by staged, differentiable mesh deformation and compute the transmural mean wall stress with PyTorch-FEA. The structured mesh provides node-to-node correspondence across patients, anchored to the anatomy by the landmarks, from which the framework extracts regional morphological and biomechanical phenotypes.

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BibTeX
@misc{chen2026robust,
  title = {{A robust and scalable image analysis framework for phenotyping human thoracic aorta}},
  author = {J. Chen and L. Qian and R. Gong and C. Sun and T. Pham and C. Martin and M. Zafar and J. Elefteriades and W. Sun and L. Liang},
  howpublished = {bioRxiv},
  year = {2026},
  month = oct,
  doi = {10.64898/2026.10.11.758402},
  url = {https://www.biorxiv.org/content/10.64898/2026.10.11.758402v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - UNPB
TI  - A robust and scalable image analysis framework for phenotyping human thoracic aorta
AU  - J. Chen
AU  - L. Qian
AU  - R. Gong
AU  - C. Sun
AU  - T. Pham
AU  - C. Martin
AU  - M. Zafar
AU  - J. Elefteriades
AU  - W. Sun
AU  - L. Liang
PY  - 2026
DA  - 2026/10/11
PB  - bioRxiv
DO  - 10.64898/2026.10.11.758402
UR  - https://www.biorxiv.org/content/10.64898/2026.10.11.758402v1
AB  - Large-scale phenotyping of the thoracic aorta requires a workflow in which every step, from segmentation to phenotype extraction, runs without manual intervention. We present a robust and scalable framework that converts contrast-enhanced CT into anatomical landmarks, a patient-specific quadrilateral mesh, a wall-stress field and regional phenotypes of the thoracic aorta. Four nnU-Net segmentation tasks delineate the aorta, its anatomical regions and two partitions of the aortic root. A surface-curve-point procedure derives the annulus, the sinotubular junction, the ostia of the supra-aortic branches, the cusp nadirs and the commissures from the interfaces between segmented regions. We fit a structured template of 24,882 quadrilateral elements to the segmented aortic surface by staged, differentiable mesh deformation and compute the transmural mean wall stress with PyTorch-FEA. The structured mesh provides node-to-node correspondence across patients, anchored to the anatomy by the landmarks, from which the framework extracts regional morphological and biomechanical phenotypes.
ER  -