Automated brain tumour segmentation has the potential of making a massive improvement in disease diagnosis, surgery, monitoring and surveillance. However, this task is extremely challenging. Here, we describe our automated segmentation method using 2D CNNs that are based on U-Net. To deal with class imbalance effectively, we have used a weighted Dice loss function. We found that increasing the depth of the 'U' shape beyond a certain level results in a decrease in performance, so it is essential to choose an optimum depth. We also found that 3D contextual information cannot be captured by a single 2D network that is trained with patches extracted from multiple views whereas an ensemble of three 2D networks trained in multiple views can effectively capture the information and deliver much better performance. We obtained Dice scores of 0.79 for enhancing tumour, 0.90 for whole tumour, and 0.82 for tumour core on the BraTS 2018 validation set. Our method using 2D network consumes very less time and memory, and is much simpler and easier to implement compared to the state-of-the-art methods that used 3D networks; still, it manages to achieve comparable performance to those methods.
The Hospital for Sick Children（病童医院）；University of Toronto（多伦多大学）；Vector Institute（矢量研究所）
Deep learning techniques have greatly benefited computer-aided diagnostic systems. However, unlike other fields, in medical imaging, acquiring large fine-grained annotated datasets such as 3D tumour segmentation is challenging due to the high cost of manual annotation and privacy regulations. This has given interest to weakly-supervise methods to utilize the weakly labelled data for tumour segmentation. In this work, we propose a weakly supervised approach to obtain regions of interest using binary class labels. Furthermore, we propose a novel objective function to train the generator model ba…
University of Oxford（牛津大学）；Australian Institute for Machine Learning（澳大利亚机器学习研究所）；The University of Adelaide（阿德莱德大学）；South Australian Health and Medical Research Institute（南澳大利亚健康与医学研究所）
Gliomas appear with wide variation in their characteristics both in terms of their appearance and location on brain MR images, which makes robust tumour segmentation highly challenging, and leads to high inter-rater variability even in manual segmentations. In this work, we propose a triplanar ensemble network, with an independent tumour core prediction module, for accurate segmentation of these tumours and their sub-regions. On evaluating our method on the MICCAI Brain Tumor Segmentation (BraTS) challenge validation dataset, for tumour sub-regions, we achieved a Dice similarity coefficient of…
McGill University（麦吉尔大学）；University of Oxford（牛津大学）
In this paper, we develop a metric designed to assess and rank uncertainty measures for the task of brain tumour sub-tissue segmentation in the BraTS 2019 sub-challenge on uncertainty quantification. The metric is designed to: (1) reward uncertainty measures where high confidence is assigned to correct assertions, and where incorrect assertions are assigned low confidence and (2) penalize measures that have higher percentages of under-confident correct assertions. Here, the workings of the components of the metric are explored based on a number of popular uncertainty measures evaluated on the …
Indian Institute of Technology (IIT), Varanasi (BHU)（印度理工学院（贝拿勒斯印度教大学））；National Institute of Technology (NIT), Tiruchirappalli（国立理工学院蒂鲁奇拉帕利分校）
Brain tumour segmentation is an essential task in medical image processing. Early diagnosis of brain tumours plays a crucial role in improving treatment possibilities and increases the survival rate of the patients. Manual segmentation of the brain tumours for cancer diagnosis, from large number of MRI images, is both a difficult and time-consuming task. There is a need for automatic brain tumour image segmentation. The purpose of this project is to provide an automatic brain tumour segmentation method of MRI images to help locate the tumour accurately and quickly.
The Hospital for Sick Children（病童医院）；University of Toronto（多伦多大学）；Vector Institute（Vector研究所）
Deep convolutional neural networks (CNNs) have become an essential tool in the medical imaging-based computer-aided diagnostic pipeline. However, training accurate and reliable CNNs requires large fine-grain annotated datasets. To alleviate this, weakly-supervised methods can be used to obtain local information from global labels. This work proposes the use of localized perturbations as a weakly-supervised solution to extract segmentation masks of brain tumours from a pretrained 3D classification model. Furthermore, we propose a novel optimal perturbation method that exploits 3D superpixels to…
Gliomas are the most common primary brain malignancies, with different degrees of aggressiveness, variable prognosis and various heterogeneous histological sub-regions, i.e., peritumoral edema, necrotic core, enhancing and non-enhancing tumour core. Although brain tumours can easily be detected using multi-modal MRI, accurate tumor segmentation is a challenging task. Hence, using the data provided by the BraTS Challenge 2020, we propose a 3D volume-to-volume Generative Adversarial Network for segmentation of brain tumours. The model, called Vox2Vox, generates realistic segmentation outputs fro…
Gliomas are the most common malignant brain tumourswith intrinsic heterogeneity. Accurate segmentation of gliomas and theirsub-regions on multi-parametric magnetic resonance images (mpMRI)is of great clinical importance, which defines tumour size, shape andappearance and provides abundant information for preoperative diag-nosis, treatment planning and survival prediction. Recent developmentson deep learning have significantly improved the performance of auto-mated medical image segmentation. In this paper, we compare severalstate-of-the-art convolutional neural network models for brain tumouri…
Brain tumors are masses or abnormal growths of cells within the brain or the central spinal canal with symptoms such as headaches, seizures, weakness or numbness in the arms or legs, changes in personality or behaviour, nausea, vomiting, vision or hearing problems and dizziness. Conventional diagnosis of brain tumour involves some tests and procedure which may include the consideration of medical history, physical examination, imaging tests (such as CT or MRI scans), and biopsy (removal and examination of a small piece of the tumor tissue). These procedures, while effective, are mentally stren…
The imaging and subsequent accurate diagnosis of paediatric brain tumours presents a radiological challenge, with magnetic resonance imaging playing a key role in providing tumour specific imaging information. Diffusion weighted and perfusion imaging are commonly used to aid the non invasive diagnosis of paediatric brain tumours, but are usually evaluated by expert qualitative review. Quantitative studies are mainly single centre and single modality. The aim of this work was to combine multi centre diffusion and perfusion imaging, with machine learning, to develop machine learning based classi…
Imperial College London（帝国理工学院）；University of Oxford（牛津大学）
Machine learning has been widely adopted for medical image analysis in recent years given its promising performance in image segmentation and classification tasks. As a data-driven science, the success of machine learning, in particular supervised learning, largely depends on the availability of manually annotated datasets. For medical imaging applications, such annotated datasets are not easy to acquire. It takes a substantial amount of time and resource to curate an annotated medical image set. In this paper, we propose an efficient annotation framework for brain tumour images that is able t…
Otto von Guericke University Magdeburg（奥托·冯·格里克马格德堡大学）；Center for Behavioral Brain Sciences（行为脑科学中心）；German Center for Neurodegenerative Disease（德国神经退行性疾病中心）；Leibniz Institute for Neurobiology（莱布尼茨神经生物学研究所）
A brain tumour is a mass or cluster of abnormal cells in the brain, which has the possibility of becoming life-threatening because of its ability to invade neighbouring tissues and also form metastases. An accurate diagnosis is essential for successful treatment planning and magnetic resonance imaging is the principal imaging modality for diagnostic of brain tumours and their extent. Deep Learning methods in computer vision applications have shown significant improvement in recent years, most of which can be credited to the fact that a sizeable amount of data is available to train models on, a…
How we won BraTS 2023 Adult Glioma challenge? Just faking it! Enhanced Synthetic Data Augmentation and Model Ensemble for brain tumour segmentation
University of Minho（米尼奥大学）；Institute for Artificial Intelligence in Medicine（人工智能医学研究所）；Graz University of Technology（格拉茨工业大学）；University Medicine Essen（埃森大学医学中心）；Cancer Research Center Cologne Essen (CCCE)（科隆-埃森癌症研究中心）；University Hospital Essen（埃森大学医院）；German Cancer Consortium (DKTK)（德国癌症联盟）
Macquarie University（麦考瑞大学）；University of New South Wales（新南威尔士大学）
Accurate brain tumour segmentation is a crucial step towards improving disease diagnosis and proper treatment planning. In this paper, we propose a deep-learning based method to segment a brain tumour into its subregions: whole tumour, tumour core and enhancing tumour. The proposed architecture is a 3D convolutional neural network based on a variant of the U-Net architecture of Ronneberger et al. [17] with three main modifications: (i) a heavy encoder, light decoder structure using residual blocks (ii) employment of dense blocks instead of skip connections, and (iii) utilization of self-ensemb…
Durham University（杜伦大学）；University of Exeter（埃克塞特大学）；County Durham and Darlington NHS Foundation Trust（达勒姆郡和达灵顿国民保健服务基金会信托）
Medical segmentation is performed to determine the bounds of regions of interest (ROI) prior to surgery. By allowing the study of growth, structure, and behaviour of the ROI in the planning phase, critical information can be obtained, increasing the likelihood of a successful operation. Usually, segmentations are performed manually or via machine learning methods trained on manual annotations. In contrast, this paper proposes a fully automatic, unsupervised inpainting-based brain tumour segmentation system for T1-weighted MRI. First, a deep convolutional neural network (DCNN) is trained to rec…
Weakly-supervised segmentation using inherently-explainable classification models and their application to brain tumour classification
Knowledge Engineering Group, Faculty of Computer Science, Otto von Guericke University Magdeburg, Germany；Biomedical Magnetic Resonance, Faculty of Nature Sciences, Otto von Guericke University Magdeburg, Germany；Genomics Research Centre, Human Technopole, Milan, Italy；Institute for Medical Engineering, Faculty of Electrical Engineering；Information Technology, Otto von Guericke University Magdeburg, Germany；Digital Engineering Faculty, University of Potsdam, Germany；Machine Learning, Hasso-Plattner-Institute, Potsdam, Germany；Department of Biomedical Data Science, Stanford University, Stanford, CA, United States；Centre for Behavioural Brain Sciences, Magdeburg, Germany；German Centre for Neurodegenerative Disease, Magdeburg, Germany
Predicting brain tumour enhancement from non-contrast MR imaging with artificial intelligence: a multi-cohort retrospective diagnostic accuracy study
Queen Square Institute of Neurology, University College London, London, UK（伦敦大学学院医院神经科学研究所）；National Hospital for Neurology and Neurosurgery, London, UK（伦敦神经病学与神经外科医院）；NVIDIA, UK（英国NVIDIA公司）；Great Ormond Street Hospital for Children, London, UK（伦敦儿童医院）；Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK（斯坦莫尔皇家骨科医院，中西敏，英国）；University College Hospitals NHS Foundation Trust, London, UK（伦敦大学学院医院 NHS 基础信托）；Royal Free Hospital, London, UK（伦敦皇家自由医院）；Imperial College Healthcare NHS Trust, London, UK（伦敦帝国学院医疗信托）；Imperial College London, London, UK（伦敦帝国学院）
The accurate automatic segmentation of gliomas and its intra-tumoral structures is important not only for treatment planning but also for follow-up evaluations. Several methods based on 2D and 3D Deep Neural Networks (DNN) have been developed to segment brain tumors and to classify different categories of tumors from different MRI modalities. However, these networks are often black-box models and do not provide any evidence regarding the process they take to perform this task. Increasing transparency and interpretability of such deep learning techniques are necessary for the complete integrati…
Otto von Guericke University Magdeburg（马格德堡奥托·冯·格里克大学）；Center for Behavioral Brain Sciences（行为脑科学研究中心）；German Center for Neurodegenerative Disease（德国神经退行性疾病研究中心）
Expert interpretation of anatomical images of the human brain is the central part of neuro-radiology. Several machine learning-based techniques have been proposed to assist in the analysis process. However, the ML models typically need to be trained to perform a specific task, e.g., brain tumour segmentation or classification. Not only do the corresponding training data require laborious manual annotations, but a wide variety of abnormalities can be present in a human brain MRI - even more than one simultaneously, which renders representation of all possible anomalies very challenging. Hence, …
Romanian Institute of Science and Technology（罗马尼亚科学技术研究所）；Babeş-Bolyai University（巴贝什-博尧依大学）
Anomaly detection for Magnetic Resonance Images (MRIs) can be solved with unsupervised methods by learning the distribution of healthy images and identifying anomalies as outliers. In presence of an additional dataset of unlabelled data containing also anomalies, the task can be framed as a semi-supervised task with negative and unlabelled sample points. Recently, in Albu et al., 2020, we have proposed a slice-wise semi-supervised method for tumour detection based on the computation of a dissimilarity function in the latent space of a Variational AutoEncoder, trained on unlabelled data. The di…
Guilin University of Electronic Technology（桂林电子科技大学）；McGill University（麦吉尔大学）；Lady Davis Institute for Medical Research（戴维斯夫人医学研究所）
Radiomics has shown a capability for different types of cancers such as glioma to predict the clinical outcome. It can have a non-invasive means of evaluating the immunotherapy response prior to treatment. However, the use of deep convolutional neural networks (CNNs)-based radiomics requires large training image sets. To avoid this problem, we investigate a new imaging features that model distribution with a Gaussian mixture model (GMM) of learned 3D CNN features. Using these deep radiomic features (DRFs), we aim to predict the immune marker status (low versus high) and overall survival for gl…
McGill University（麦吉尔大学）；Centre for Intelligent Machines (CIM)（智能机器中心 (CIM)）；Department of Electrical and Computer Engineering（电气与计算机工程系）
Segmentation of enhancing tumours or lesions from MRI is important for detecting new disease activity in many clinical contexts. However, accurate segmentation requires the inclusion of medical images (e.g., T1 post contrast MRI) acquired after injecting patients with a contrast agent (e.g., Gadolinium), a process no longer thought to be safe. Although a number of modality-agnostic segmentation networks have been developed over the past few years, they have been met with limited success in the context of enhancing pathology segmentation. In this work, we present HAD-Net, a novel offline advers…
Isfahan University of Technology（伊斯法罕理工大学）；Seattle University（西雅图大学）；McMaster University（麦克马斯特大学）
According to the World Health Organization (WHO), cancer is the second leading cause of death worldwide, responsible for over 9.5 million deaths in 2018 alone. Brain tumors count for one out of every four cancer deaths. Therefore, accurate and timely diagnosis of brain tumors will lead to more effective treatments. Physicians classify brain tumors only with biopsy operation by brain surgery, and after diagnosing the type of tumor, a treatment plan is considered for the patient. Automatic systems based on machine learning algorithms can allow physicians to diagnose brain tumors with noninvasive…
Hôpital Erasme（埃拉斯姆医院）；Université libre de Bruxelles（布鲁塞尔自由大学）
Reaction-diffusion models have been proposed for decades to capture the growth of gliomas, the most common primary brain tumours. However, severe limitations regarding the estimation of the initial conditions and parameter values of such models have restrained their clinical use as a personalised tool. In this work, we investigate the ability of deep convolutional neural networks (DCNNs) to address the pitfalls commonly encountered in the field. Based on 1,200 synthetic tumours grown over real brain geometries derived from magnetic resonance (MR) data of 6 healthy subjects, we demonstrate the …
Shanghai University（上海大学）；Institute for Infocomm Research, A*STAR（新加坡科技研究局资讯通信研究院）
A glioma is a malignant brain tumor that seriously affects cognitive functions and lowers patients' life quality. Segmentation of brain glioma is challenging because of interclass ambiguities in tumor regions. Recently, deep learning approaches have achieved outstanding performance in the automatic segmentation of brain glioma. However, existing algorithms fail to exploit channel-wise feature interdependence to select semantic attributes for glioma segmentation. In this study, we implement a novel deep neural network that integrates residual channel attention modules to calibrate intermediate …
Pakistan Institute of Engineering and Applied Sciences (PIEAS)（巴基斯坦工程与应用科学学院）；Ibadat International University（伊巴达特国际大学）；University of Engineering and Applied Science (UEAS)（工程与应用科学大学）
Brain tumor classification is crucial for clinical analysis and an effective treatment plan to cure patients. Deep learning models help radiologists to accurately and efficiently analyze tumors without manual intervention. However, brain tumor analysis is challenging because of its complex structure, texture, size, location, and appearance. Therefore, a novel deep residual and regional-based Res-BRNet Convolutional Neural Network (CNN) is developed for effective brain tumor (Magnetic Resonance Imaging) MRI classification. The developed Res-BRNet employed Regional and boundary-based operations …
Columbia University（哥伦比亚大学）；New York State Psychiatric Institute（纽约州精神病学研究所）
The goal of emotional brain state classification on functional MRI (fMRI) data is to recognize brain activity patterns related to specific emotion tasks performed by subjects during an experiment. Distinguishing emotional brain states from other brain states using fMRI data has proven to be challenging due to two factors: a difficulty to generate fast yet accurate predictions in short time frames, and a difficulty to extract emotion features which generalize to unseen subjects. To address these challenges, we conducted an experiment in which 22 subjects viewed pictures designed to stimulate ei…
Automatic segmentation of organs-at-risk (OAR) in computed tomography (CT) is an essential part of planning effective treatment strategies to combat lung and esophageal cancer. Accurate segmentation of organs surrounding tumours helps account for the variation in position and morphology inherent across patients, thereby facilitating adaptive and computer-assisted radiotherapy. Although manual delineation of OARs is still highly prevalent, it is prone to errors due to complex variations in the shape and position of organs across patients, and low soft tissue contrast between neighbouring organs…
Dual Attention Residual U-Net for Accurate Brain Ultrasound Segmentation in IVH Detection
Chongqing Electric Power College（重庆电力学院）；Chongqing Metropolitan College of Science and Technology（重庆市级科学研究院）；Xinqiao Hospital, Army Medical University（新桥医院，军队医学大学）
Pathological brain appearances may be so heterogeneous as to be intelligible only as anomalies, defined by their deviation from normality rather than any specific pathological characteristic. Amongst the hardest tasks in medical imaging, detecting such anomalies requires models of the normal brain that combine compactness with the expressivity of the complex, long-range interactions that characterise its structural organisation. These are requirements transformers have arguably greater potential to satisfy than other current candidate architectures, but their application has been inhibited by …
University of Pennsylvania（宾夕法尼亚大学）；University of California, Los Angeles（加利福尼亚大学洛杉矶分校）
Single image super-resolution (SISR) reconstruction for magnetic resonance imaging (MRI) has generated significant interest because of its potential to not only speed up imaging but to improve quantitative processing and analysis of available image data. Generative Adversarial Networks (GAN) have proven to perform well in recovering image texture detail, and many variants have therefore been proposed for SISR. In this work, we develop an enhancement to tackle GAN-based 3D SISR by introducing a new residual-in-residual dense block (RRDG) generator that is both memory efficient and achieves stat…
King’s College London（伦敦国王学院）；School of Biomedical Engineering & Imaging Sciences（生物医学工程与成像科学学院）；King’s College Hospital NHS Foundation Trust（国王学院医院国民健康服务基金会信托）；NVIDIA（英伟达）；Dementia Research Centre, UCL Institute of Neurology, UCL（伦敦大学学院痴呆研究中心、伦敦大学学院神经学研究所、伦敦大学学院）；Department of Medical Physics, UCL（伦敦大学学院医学物理系）；Department of Neuroradiology（神经放射科）；St. Thomas’ Hospital（圣托马斯医院）
Brain tissue segmentation from multimodal MRI is a key building block of many neuroimaging analysis pipelines. Established tissue segmentation approaches have, however, not been developed to cope with large anatomical changes resulting from pathology, such as white matter lesions or tumours, and often fail in these cases. In the meantime, with the advent of deep neural networks (DNNs), segmentation of brain lesions has matured significantly. However, few existing approaches allow for the joint segmentation of normal tissue and brain lesions. Developing a DNN for such a joint task is currently …
Residual Vision Transformer (ResViT) Based Self-Supervised Learning Model for Brain Tumor Classification
Center for Diabetes Technology（糖尿病技术中心）；University of Virginia（弗吉尼亚大学）；Erciyes University（埃尔齐耶斯大学）；Biocomplexity Institute and Initiative（生物复杂性研究所与倡议项目）
Automated and accurate 3D medical image segmentation plays an essential role in assisting medical professionals to evaluate disease progresses and make fast therapeutic schedules. Although deep convolutional neural networks (DCNNs) have widely applied to this task, the accuracy of these models still need to be further improved mainly due to their limited ability to 3D context perception. In this paper, we propose the 3D context residual network (ConResNet) for the accurate segmentation of 3D medical images. This model consists of an encoder, a segmentation decoder, and a context residual decod…
Accuracy segmentation of brain structures could be helpful for glioma and radiotherapy planning. However, due to the visual and anatomical differences between different modalities, the accurate segmentation of brain structures becomes challenging. To address this problem, we first construct a residual block based U-shape network with a deep encoder and shallow decoder, which can trade off the framework performance and efficiency. Then, we introduce the Tversky loss to address the issue of the class imbalance between different foreground and the background classes. Finally, a model ensemble str…
Brain lesions, including stroke and tumours, have a high degree of variability in terms of location, size, intensity and form, making automatic segmentation difficult. We propose an improvement to existing segmentation methods by exploiting the bilateral quasi-symmetry of healthy brains, which breaks down when lesions are present. Specifically, we use nonlinear registration of a neuroimage to a reflected version of itself ("reflective registration") to determine for each voxel its homologous (corresponding) voxel in the other hemisphere. A patch around the homologous voxel is added as a set of…
Diffusion Models for Counterfactual Generation and Anomaly Detection in Brain Images
University of Edinburgh（爱丁堡大学）；NHS Lothian（洛锡安国民保健服务体系）；UK Dementia Research Institute Centre, University of Edinburgh（英国痴呆症研究所爱丁堡中心）；University of Dundee（邓迪大学）
Interpretable 3D Multi-Modal Residual Convolutional Neural Network for Mild Traumatic Brain Injury Diagnosis
School of Electrical Engineering and Computer Science, University of Queensland（昆士兰大学电气工程与计算机科学学院）；The Centre for Advanced Imaging, University of Queensland（昆士兰大学高级成像中心）；Australian Institute for Bioengineering and Nanotechnology, University of Queensland（昆士兰大学生物工程与纳米技术研究所）；ARC Training Centre for Innovation in Biomedical Imaging Technology（ARC生物医学成像技术创新培训中心）
How We Won BraTS-SSA 2025: Brain Tumor Segmentation in the Sub-Saharan African Population Using Segmentation-Aware Data Augmentation and Model Ensembling
Kwame Nkrumah University of Science and Technology（卡布雷·克鲁马大学科学与技术大学）；University of Cape Coast（科克斯特大学）；University of Toronto（多伦多大学）；Department of Biomedical Engineering, McGill University（麦吉尔大学生物医学工程系）；Department of Physics, Federal University of Technology（联邦技术大学物理系）
SRM Institute of Science and Technology（SRM科学技术研究所）
Abnormal development of tissues in the body as a result of swelling and morbid enlargement is known as a tumor. They are mainly classified as Benign and Malignant. Tumour in the brain is fatal as it may be cancerous, so it can feed on healthy cells nearby and keep increasing in size. This may affect the soft tissues, nerve cells, and small blood vessels in the brain. Hence there is a need to detect and classify them during the early stages with utmost precision. There are different sizes and locations of brain tumors which makes it difficult to understand their nature. The process of detection…
