A computer-implemented method includes obtaining, via a processor, segmented image patches of a vessel along a coronary tree path and associated coronary flow distribution for respective vessel segments in the segmented image patches. The method also includes determining, via the processor, a pressure drop distribution along an axial length of the vessel from the segmented image patches and the associated coronary flow distribution. The method further includes determining, via the processor, critical points in the pressure drop distribution. The method even further includes detecting, via the processor, a presence of a stenosis based on the critical points in the pressure drop distribution.