Joint aortic root segmentation and landmark localization on intraoperative fluoroscopy for TAVI guidance - Report - MDSpire

Joint aortic root segmentation and landmark localization on intraoperative fluoroscopy for TAVI guidance

  • By

  • Nikita V. Laptev

  • Olga M. Gerget

  • Julia K. Panteleeva

  • Mikhail A. Chernyavsky

  • Viacheslav V. Danilov

  • July 15, 2026

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Clinical Report: Simultaneous Segmentation of the Aortic Root and Anatomical Landmark Identification Using Intraoperative Fluoroscopy for TAVI Assistance

Overview

This study presents a multitask deep learning model, BAMNet, for simultaneous segmentation of the aortic root and localization of anatomical landmarks during TAVI. The model demonstrated real-time inference capabilities.

Background

Accurate visualization of the aortic root and anatomical landmarks is crucial during transcatheter aortic valve implantation (TAVI) to ensure optimal valve positioning and minimize complications. Current reliance on fluoroscopy is limited by low soft-tissue contrast and motion artifacts. This study employs advanced deep learning techniques to enhance intraoperative imaging.

Data Highlights

MetricValue
Dice ScoreNot specified
IoUNot specified
Surface Dice@4 mmNot specified
Median Localization Error2.03 mm
Mean Localization Error2.66 mm
Real-time Inference Rate63 FPS

Key Findings

  • BAMNet achieved significant accuracy in aortic root segmentation and landmark localization.
  • The model produced segmentation masks and landmark coordinates in a single forward pass.
  • Median and mean localization errors were 2.03 mm and 2.66 mm, respectively.
  • Real-time inference was maintained at approximately 63 frames per second.
  • The study utilized a dataset of 2,895 fluoroscopic frames from 83 patients.

Clinical Implications

The implementation of BAMNet may enhance the accuracy of anatomical landmark identification during TAVI.

Conclusion

The study demonstrates the feasibility of using a multitask deep learning model for real-time segmentation and landmark localization in TAVI, addressing significant challenges in intraoperative imaging.

Related Resources & Content

  1. Cascaded Neural Network Techniques for Analyzing CT Images of the Aortic Root, Springer, 2021 -- Title
  2. Three-Dimensional Positioning Derived from Two-Dimensional X-Ray Imaging, Springer, 2022 -- Title
  3. Innovative 3D Image Alignment Method for Enhanced Augmented Reality in Minimally Invasive Thoracoscopic Lung Segmentectomy, Springer, 2024 -- Title
  4. PARTNER 3: 7-Year Follow-Up Shows TAVR and Surgery Comparable in Low-Risk Patients With Symptomatic Severe AS - American College of Cardiology, 2026 -- Title
  5. PitSurgRT: Real-Time Identification of Key Anatomical Features in Endoscopic Surgery for Pituitary Tumors
  6. https://yjxzhi.files.cmp.optimizely.com/download/f718bde6bfbc11f08f5ddabefdf356e7
  7. PARTNER 3: 7-Year Follow-Up Shows TAVR and Surgery Comparable in Low-Risk Patients With Symptomatic Severe AS - American College of Cardiology
  8. Frontiers | Systematic review, meta-analysis of cusp-overlap vs. three-cusp coplanar approaches in self-expandable transcatheter aortic valve replacement

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