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Paper · arXiv

Shape Over Intensity: Directional Topological Encoding for False Positive Reduction in Intracranial Aneurysm Detection

Automated detection of intracranial aneurysms (IAs) from CT angiography (CTA) is severely hindered by high false-positive rates. Convolutional neural networks (CNNs) rely on local pixel intensities, causing systematic confusion between saccular aneurysms and vascular bifurcations - a problem especially acute for small lesions (<3 mm), where detection sensitivity falls below 60%. We propose a plug-and-play, topology-aware false-positive reduction framework evaluating the Smooth Euler Characteristic Transform (SECT) - a directional representation encoding global 3D vascular geometry independently of intensity - against persistence-based summaries (Persistence Images and Landscapes), tested ...

AuthorsAkshay Gokhale, Mansi Dhamne
Primary categorycs.CV
Published6 July 2026
Last updated at source7 July 2026
cs.CVcs.AIcs.LG
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