Preserving Anatomical Continuity: Three-Stage Pipeline for Colon Segmentation in 3D Abdominal CT Scans

Accurate segmentation of aortic dissection (AD) lumens in CT angiography (CTA) is essential for quantitative morphological assessment and clinical decision-making. However, reliable 3D delineation remains challenging due to limited long-range context modeling, which compromises inter-slice coherence, and insufficient structural discrimination under low-contrast conditions. To address these limitations, we propose BiM-GeoAttn-Net, a lightweight framework that integrates linear-time depth-wise state-space modeling with geometry-aware vessel refinement. Our approach is featured by Bidirectional Depth Mamba (BiM) to efficiently capture cross-slice dependencies and Geometry-Aware Vessel Attention (GeoAttn) module that employs orientation-sensitive anisotropic filtering to refine tubular structures and sharpen ambiguous boundaries. Extensive experiments on a multi-source AD CTA dataset demonstrate that BiM-GeoAttn-Net achieves a Dice score of 93.35% and an HD95 of 12.36 mm, outperforming representative CNN-, Transformer-, and SSM-based baselines in overlap metrics while maintaining competitive boundary accuracy. These results suggest that coupling linear-time depth modeling with geometry-aware refinement provides an effective, computationally efficient solution for robust 3D AD segmentation.

Accurate 3D reconstruction of colonoscopy data, accounting for complex peristaltic movements, is crucial for advanced surgical navigation and retrospective diagnostics. While recent novel view synthesis and 3D reconstruction methods have demonstrated remarkable success in general endoscopic scenarios, they struggle in the highly constrained environment of the colon. Due to the limited field of view of a camera moving through an actively deforming tubular structure, existing endoscopic methods reconstruct the colon appearance only for initial camera trajectory. However, the underlying anatomy remains largely static; instead of updating Gaussians' spatial coordinates (xyz), these methods encode deformation through either rotation, scale or opacity adjustments. In this paper, we first present a benchmark analysis of state-of-the-art dynamic endoscopic methods for realistic colonoscopic scenes, showing that they fail to model true anatomical motion. To enable rigorous evaluation of global reconstruction quality, we introduce DynamicColon, a synthetic dataset with ground-truth point clouds at every timestep. Building on these insights, we propose ColonSplat, a dynamic Gaussian Splatting framework that captures peristaltic-like motion while preserving global geometric consistency, achieving superior geometric fidelity on C3VDv2 and DynamicColon datasets. Project page: https://wmito.github.io/ColonSplat

In CT angiography, the accurate segmentation of abdominal aortic aneurysms (AAAs) is difficult due to large anatomical variability, low-contrast vessel boundaries, and the close proximity of organs whose intensities resemble vascular structures, often leading to false positives. To address these challenges, we propose an anatomy-aware segmentation framework that integrates organ exclusion masks derived from TotalSegmentator into the training process. These masks encode explicit anatomical priors by identifying non-vascular organsand penalizing aneurysm predictions within these regions, thereby guiding the U-Net to focus on the aorta and its pathological dilation while suppressing anatomically implausible predictions. Despite being trained on a relatively small dataset, the anatomy-aware model achieves high accuracy, substantially reduces false positives, and improves boundary consistency compared to a standard U-Net baseline. The results demonstrate that incorporating anatomical knowledge through exclusion masks provides an efficient mechanism to enhance robustness and generalization, enabling reliable AAA segmentation even with limited training data.