Rethinking the Detail-Preserved Completion of Complex Tubular Structures based on Point Cloud: a Dataset and a Benchmark

Complex tubular structures are essential in medical imaging and computer-assisted diagnosis, where their integrity enhances anatomical visualization and lesion detection. However, existing segmentation algorithms struggle with structural discontinuities, particularly in severe clinical cases such as coronary artery stenosis and vessel occlusions, which leads to undesired discontinuity and compromising downstream diagnostic accuracy. Therefore, it is imperative to reconnect discontinuous structures to ensure their completeness. In this study, we explore the tubular structure completion based on point cloud for the first time and establish a Point Cloud-based Coronary Artery Completion (PC-CAC) dataset, which is derived from real clinical data. This dataset provides a novel benchmark for tubular structure completion. Additionally, we propose TSRNet, a Tubular Structure Reconnection Network that integrates a detail-preservated feature extractor, a multiple dense refinement strategy, and a global-to-local loss function to ensure accurate reconnection while maintaining structural integrity. Comprehensive experiments on our PC-CAC and two additional public datasets (PC-ImageCAS and PC-PTR) demonstrate that our method consistently outperforms state-of-the-art approaches across multiple evaluation metrics, setting a new benchmark for point cloud-based tubular structure reconstruction. Our benchmark is available at https://github.com/YaoleiQi/PCCAC.