Geometry-Aware Hemodynamics via a Transformer Encoder and Anisotropic RBF Decoder

Published: 06 Dec 2025, Last Modified: 05 May 2026OpenReview Archive Direct UploadEveryonearXiv.org perpetual, non-exclusive license
Abstract: Accurate and rapid estimation of hemodynamic metrics, such as pressure and wall shear stress (WSS), is essential for diagnosing and managing Coronary Artery Disease (CAD). Existing approaches, including invasive Fractional Flow Reserve (FFR) measurements and computationally expensive Computational Fluid Dynam ics (CFD) simulations, face challenges in invasiveness, cost, and speed. We present a framework that accelerates non-invasive coronary hemodynamics prediction. The model integrates 1D centerline and inlet flow rate into a transformer-based encoder, followed by an anisotropic Radial Basis Function (RBF) decoder that aligns with vessel morphology for continuous wall-based predictions. We also introduce a large synthetic dataset of 4,000 single-vessel coronary artery geometries with correspond ing steady-state flow simulations, enabling robust training and evaluation. Our method improves accuracy and delivers orders-of-magnitude speedups over CFD on this synthetic benchmark. While tested only on steady, single-vessel cases, it shows promise for clinical acceleration; validation on clinical data and extension to multi vessel and transient settings are important next steps. Dataset available at: https: //huggingface.co/datasets/angioinsight/single-vessel-flow
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