Rayan Merghani Ahmed

Adnan Iltaf, Rayan Merghani Ahmed, Zhenxi Zhang et al.

Medical image segmentation is crucial for clinical diagnosis and treatment planning, especially when dealing with complex anatomical structures such as vessels. However, accurately segmenting vessels remains challenging due to their small size, intricate edge structures, and susceptibility to artifacts and imaging noise. In this work, we propose VesselSAM, an enhanced version of the Segment Anything Model (SAM), specifically tailored for aortic vessel segmentation. VesselSAM incorporates AtrousLoRA, a novel module integrating Atrous Attention and Low-Rank Adaptation (LoRA), to enhance segmentation performance. Atrous Attention enables the model to capture multi-scale contextual information, preserving both fine-grained local details and broader global context. Additionally, LoRA facilitates efficient fine-tuning of the frozen SAM image encoder, reducing the number of trainable parameters and thereby enhancing computational efficiency. We evaluate VesselSAM using two challenging datasets: the Aortic Vessel Tree (AVT) dataset and the Type-B Aortic Dissection (TBAD) dataset. VesselSAM achieves state-of-the-art performance, attaining DSC scores of 93.50\%, 93.25\%, 93.02\%, and 93.26\% across multi-center datasets. Our results demonstrate that VesselSAM delivers high segmentation accuracy while significantly reducing computational overhead compared to existing large-scale models. This development paves the way for enhanced AI-based aortic vessel segmentation in clinical environments. The code and models will be released at https://github.com/Adnan-CAS/AtrousLora.

Rayan Merghani Ahmed, Adnan Iltaf, Mohamed Elmanna et al.

Accurate segmentation of coronary Digital Subtraction Angiography images is essential to diagnose and treat coronary artery diseases. Despite advances in deep learning, challenges such as high intra-class variance and class imbalance limit precise vessel delineation. Most existing approaches for coronary DSA segmentation cannot address these issues. Also, existing segmentation network's encoders do not directly generate semantic embeddings, which could enable the decoder to reconstruct segmentation masks effectively from these well-defined features. We propose a Supervised Prototypical Contrastive Loss that fuses supervised and prototypical contrastive learning to enhance coronary DSA image segmentation. The supervised contrastive loss enforces semantic embeddings in the encoder, improving feature differentiation. The prototypical contrastive loss allows the model to focus on the foreground class while alleviating the high intra-class variance and class imbalance problems by concentrating only on the hard-to-classify background samples. We implement the proposed SPCL loss within an MSA-UNet3+: a Multi-Scale Attention-Enhanced UNet3+ architecture. The architecture integrates key components: a Multi-Scale Attention Encoder and a Multi-Scale Dilated Bottleneck designed to enhance multi-scale feature extraction and a Contextual Attention Fusion Module built to keep fine-grained details while improving contextual understanding. Experiments on a private coronary DSA dataset show that MSA-UNet3+ outperforms state-of-the-art methods, achieving the highest Dice coefficient and F1-score and significantly reducing ASD and ACD. The developed framework provides clinicians with precise vessel segmentation, enabling accurate identification of coronary stenosis and supporting informed diagnostic and therapeutic decisions. The code will be released at https://github.com/rayanmerghani/MSA-UNet3plus.