Fully automatic four-module deep learning pipeline for identifying, segmenting, and Stanford-subtyping aortic dissection (AD) from CT angiography (CTA). A 3D full-resolution nnU-Net first segments the aorta; the segmented boundary is then multi-view projected for AD identification; for AD-positive cases, a second 3D nnU-Net segments the true lumen (TL) and false lumen (FL); finally, a classifier performs Stanford subtyping from multi-view maximum-density projections of the TL/FL. On 386 CTA scans, the pipeline achieved 0.979 accuracy for AD identification, Dice of 0.968 (TL) and 0.971 (FL) for lumen segmentation, and 0.990 accuracy for Stanford subtyping.

Open-source, fully automated framework for end-to-end aortic analysis from CT angiography (CTA), built on top of TotalSegmentator baseline segmentations with additional refinement. AortaExplorer extracts established biomarkers such as diameters across anatomical segments defined by the European Society of Cardiology, and introduces new metrics including aortic tortuosity. Diameter measurements were validated against expert manual readings in more than 10,000 CTA scans from Danish population cohorts, and the tortuosity index's increase with age is consistent with prior literature; the tool reduces per-case analysis time from about 15 minutes to under 5 minutes.

nnU-Net-based pipeline for automated detection and sub-classification of acute thoracic aortic dissection (AD) on heterogeneous CT imaging, formulated as a semantic segmentation task rather than direct image classification. The model segments the false lumen (ascending and descending) and the dissection membrane -- along with optional indirect signs such as hemopericardium, aortic wall hematoma, and supra-aortic branch dissection -- and a patient is classified as AD-positive if at least two of the three primary segmented regions exceed a volume threshold tuned via Youden's index; the same pipeline additionally flags Stanford type A dissections. Trained on 157 heterogeneous internal CT studies (not restricted to a single contrast protocol) from Mannheim University Medical Centre and evaluated on an internal held-out test set as well as public external datasets (ImageTBAD and AVT), the model reached an AUROC of 98.7% internally and 97.0% externally, and correctly flagged 93.3% of dissection cases that had not been clinically suspected before imaging. The authors state the trained network will be made publicly available as a non-medical device for further scientific research.

Two-stage convolutional neural network that automatically detects and anatomically labels coronary artery, thoracic aorta, and cardiac-valve calcifications in low-dose chest CT acquired for lung-cancer screening. A first CNN with a large receptive field (via dilated convolutions) identifies and anatomically labels candidate calcifications; a second CNN filters true positives from the candidates. Trained and evaluated on 1,744 CT scans from the National Lung Screening Trial (NLST), reaching an F1 of 0.89 (soft-filter reconstructions) / 0.84 (sharp-filter reconstructions) for coronary artery calcifications and a linearly-weighted kappa of 0.90-0.91 for per-subject cardiovascular risk categorization versus the manual reference standard.

Deep learning pipeline for detection and quantification of abdominal aortic aneurysm (AAA) -- a typically asymptomatic condition often missed incidentally by radiologists -- from abdominal-pelvic CT. A modified 3D U-Net segments the aorta on both contrast and non-contrast CT volumes with a variable number of images, after which an ellipse-fitting post-processing step measures the aortic cross-sectional diameter along the vessel to detect aneurysmal dilation. Trained and validated on 321 abdominal-pelvic CT examinations from Massachusetts General Hospital, the model reached a sensitivity/specificity of 0.91/0.95 on the primary validation set, and 0.85/1.0 on a separate 57-exam generalization test set with different patient demographics and acquisition characteristics; the authors report that DeepAAA exceeded literature-reported radiologist performance for incidental AAA detection.

U-Net-variant segmentation model that identifies and quantifies coronary artery calcium (CAC) directly from routine non-gated, non-contrast chest CT scans -- the kind ordered for lung-cancer screening or unrelated indications rather than a dedicated cardiac scan -- so that the tens of millions of such scans performed annually can be opportunistically screened for cardiovascular risk without any extra imaging. Predicted calcium masks are combined with the CT's Hounsfield units to compute an Agatston-equivalent score. Trained on 446 expert-segmented scans from 98 medical centers across the U.S. Department of Veterans Affairs national health system (capturing substantial heterogeneity in scanners and protocols) and benchmarked against 795 patients with a paired same-year gated CAC study: nongated AI-CAC differentiates zero-vs-nonzero and <100-vs->=100 Agatston categories with 89.4% (F1 0.93) and 87.3% (F1 0.89) accuracy respectively, and its score stratifies 10-year all-cause mortality (CAC 0 vs. >400: 25.4% vs. 60.2%, hazard ratio 3.49) and composite stroke/MI/death risk (33.5% vs. 63.8%, hazard ratio 3.00). In a simulated opportunistic-screening run across 8,052 low-dose CT scans, cardiologists confirmed 99.2% of patients flagged with AI-CAC >400 would benefit from lipid-lowering therapy. Code and trained model weights are both public under an MIT license.

Fully automatic pipeline that localizes the heart, segments coronary calcium, and produces an Agatston-style coronary artery calcium score from gated and non-gated chest/cardiac CT. A three-stage 3D CNN performs each step in sequence. Validated across the Framingham, NLST, PROMISE, and ROMICAT-II cohorts, where the resulting calcium score predicted cardiovascular events with hazard ratios up to 4.3. Developed by the Harvard AIM Lab.

3D CNN that segments seven cardiac substructures - both ventricles, both atria, the LV myocardium, ascending aorta, and pulmonary artery trunk - from cardiac CT angiography. Trained with a hybrid loss function combining multiple segmentation objectives. Developed at CUHK for the MICCAI 2017 Multi-Modality Whole Heart Segmentation (MM-WHS) challenge.