PPCAR-Net: Projection-Refined Parametric 3D Coronary Artery Reconstruction from Sparse X-ray Angiographic Views

Abstract

Sparse-view 3D coronary reconstruction commonly relies on cross-view correspondence and triangulation, which are vulnerable to vessel overlap and foreshortening, or on volumetric prediction followed by vascular-graph extraction, which does not directly provide centrelines and radii. We introduce PPCAR-Net, a projection-refined parametric coronary artery reconstruction network that directly predicts a branch-structured centreline-and-radius representation without explicit point matching, triangulation, or an intermediate volume. Given a variable number of segmented views, a coarse predictor combines frozen VGGT features with learned branch queries to estimate branch presence, B-spline centreline trajectories, and dense radius profiles. Projection-guided geometry and radius refiners then sample local evidence from the input views and apply residual corrections learned with 3D supervision. We evaluate representation fidelity and sparse-view reconstruction quantitatively and qualitatively. On simulated angiographic masks generated from CT-derived coronary anatomy, PPCAR-Net produces better connected artery reconstructions and achieves strong centreline accuracy, particularly for RCA, while maintaining competitive volumetric overlap. Coarse-to-fine inference takes 121 ms, enabling real-time reconstruction.