Brain Tumor Segmentation with Deep Neural Networks
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Abstract (arXiv)
In this paper, we present a fully automatic brain tumor segmentation method based on Deep Neural Networks (DNNs). The proposed networks are tailored to glioblastomas (both low and high grade) pictured in MR images. By their very nature, these tumors can appear anywhere in the brain and have almost any kind of shape, size, and contrast. These reasons motivate our exploration of a machine learning solution that exploits a flexible, high capacity DNN while being extremely efficient. Here, we give a description of different model choices that we've found to be necessary for obtaining competitive performance. We explore in particular different architectures based on Convolutional Neural Networks (CNN), i.e. DNNs specifically adapted to image data. We present a novel CNN architecture which differs from those traditionally used in computer vision. Our CNN exploits both local features as well as more global contextual features simultaneously. Also, different from most traditional uses of CNNs, our networks use a final layer that is a convolutional implementation of a fully connected layer which allows a 40 fold speed up. We also describe a 2-phase training procedure that allows us to tackle difficulties related to the imbalance of tumor labels. Finally, we explore a cascade architecture in which the output of a basic CNN is treated as an additional source of information for a subsequent CNN. Results reported on the 2013 BRATS test dataset reveal that our architecture improves over the currently published state-of-the-art while being over 30 times faster.
Key facts. Cited by 137 papers in the map (data through 7 Oct 2026). First posted on arXiv 13 May 2015.
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Citing papers per year: 2021: 40; 2022: 24; 2023: 22; 2024: 20; 2025: 18; 2026: 13.
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- 2021Unified Focal loss: Generalising Dice and cross entropy-based losses to handle class imbalanced medical image segmentationcited by 88
- 2021Recurrent Mask Refinement for Few-Shot Medical Image Segmentationcited by 63
- 2021Adaptive Early-Learning Correction for Segmentation from Noisy Annotationscited by 61
- 2021ACN: Adversarial Co-training Network for Brain Tumor Segmentation with Missing Modalitiescited by 43
- 2021Latent Correlation Representation Learning for Brain Tumor Segmentation with Missing MRI Modalitiescited by 42
- 2023Loss Functions and Metrics in Deep Learningcited by 42
- 2021Equitable modelling of brain imaging by counterfactual augmentation with morphologically constrained 3D deep generative modelscited by 36
- 2021Analyzing Overfitting under Class Imbalance in Neural Networks for Image Segmentationcited by 34
- 2023Exploring Transfer Learning in Medical Image Segmentation using Vision-Language Modelscited by 28
- 2022Learning Self-Supervised Low-Rank Network for Single-Stage Weakly and Semi-Supervised Semantic Segmentationcited by 21
- 2021Few-Shot Learning with Class Imbalancecited by 18
- 2021Self-Regulation for Semantic Segmentationcited by 18
38 more
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- 2021Uncertainty-Guided Progressive GANs for Medical Image Translationcited by 16
- 2021A Survey on Understanding, Visualizations, and Explanation of Deep Neural Networkscited by 14
- 2023Enhancing Modality-Agnostic Representations via Meta-Learning for Brain Tumor Segmentationcited by 14
- 2024Analysis of the BraTS 2023 Intracranial Meningioma Segmentation Challengecited by 14
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- 2021Fall of Giants: How popular text-based MLaaS fall against a simple evasion attackcited by 12
- 2024Multimodal Data Integration for Precision Oncology: Challenges and Future Directionscited by 10
- 2025MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detectioncited by 10
- 2021Meningioma segmentation in T1-weighted MRI leveraging global context and attention mechanismscited by 9
- 20213D AGSE-VNet: An Automatic Brain Tumor MRI Data Segmentation Frameworkcited by 9
- 2022Brain Tumor Segmentation using Enhanced U-Net Model with Empirical Analysiscited by 9
- 2023Acquiring Weak Annotations for Tumor Localization in Temporal and Volumetric Datacited by 9
- 2024A Flexible 2.5D Medical Image Segmentation Approach with In-Slice and Cross-Slice Attentioncited by 9
- 2024IterMask2: Iterative Unsupervised Anomaly Segmentation via Spatial and Frequency Masking for Brain Lesions in MRIcited by 9
- 2025Building a General SimCLR Self-Supervised Foundation Model Across Neurological Diseases to Advance 3D Brain MRI Diagnosescited by 9
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- 2023Breast Cancer Immunohistochemical Image Generation: a Benchmark Dataset and Challenge Reviewcited by 7
- 2024A Deep Learning Approach for Brain Tumor Classification and Segmentation Using a Multiscale Convolutional Neural Networkcited by 7
- 2021Benchmarking CNN on 3D Anatomical Brain MRI: Architectures, Data Augmentation and Deep Ensemble Learningcited by 6
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- 2022Understanding the Tricks of Deep Learning in Medical Image Segmentation: Challenges and Future Directionscited by 5
- 2021DINs: Deep Interactive Networks for Neurofibroma Segmentation in Neurofibromatosis Type 1 on Whole-Body MRIcited by 4
- 2022Domain Adaptation and Generalization on Functional Medical Images: A Systematic Surveycited by 4
- 2023Segment Anything Model for Brain Tumor Segmentationcited by 4
- 2024LoRKD: Low-Rank Knowledge Decomposition for Medical Foundation Modelscited by 4
- 2025No Modality Left Behind: Adapting to Missing Modalities via Knowledge Distillation for Brain Tumor Segmentationcited by 4
- 20213D Medical Multi-modal Segmentation Network Guided by Multi-source Correlation Constraintcited by 3
- 2021Cross-Modality Brain Tumor Segmentation via Bidirectional Global-to-Local Unsupervised Domain Adaptationcited by 3
- 2022A Data Augmentation Method for Fully Automatic Brain Tumor Segmentationcited by 3
- 2023Multimodal and multicontrast image fusion via deep generative modelscited by 3
- 2023Raidionics: an open software for pre- and postoperative central nervous system tumor segmentation and standardized reportingcited by 3
- 2023A Two-Stage Generative Model with CycleGAN and Joint Diffusion for MRI-based Brain Tumor Detectioncited by 3
- 2024Few-shot learning for COVID-19 Chest X-Ray Classification with Imbalanced Data: An Inter vs. Intra Domain Studycited by 3
- 2024CAF-YOLO: A Robust Framework for Multi-Scale Lesion Detection in Biomedical Imagerycited by 3
- 2024MOST: MR reconstruction Optimization for multiple downStream Tasks via continual learningcited by 3
50 most cited of 137 All 137 (JSON)
- 2026VGG16-MCA UNet: Whole-Tumor Segmentation in 2D FLAIR MRI with Decoder-Side Channel Attention20 Sep 2026
- 2026When Fusion Fails: Corruption-Aware Rebalanced Fusion for Multi-Modal Medical Image Segmentation9 Sep 2026
- 2026Comparative Study of Anatomical and Learned Features in AI Models for Structural Brain MRI6 Sep 2026
- 2026Set-Inclusive Uncertainty Modeling for Robust Brain Tumor Segmentation29 Jun 2026
- 2026D3Seg: Dependency-Aware Diffusion for Brain Tumor Segmentation with Missing Modalities21 May 2026
- 2026DALight-3D: A Lightweight 3D U-Net for Brain Tumor Segmentation from Multi-Modal MRI6 May 2026
- 2026CausalDisenSeg: A Causality-Guided Disentanglement Framework with Counterfactual Reasoning for Robust Brain Tumor Segmentation Under Missing Modalities15 Apr 2026
- 2026Adaptive Dual Residual U-Net with Attention Gate and Multiscale Spatial Attention Mechanisms (ADRUwAMS)10 Apr 2026
- 2026Physics-Embedded Feature Learning for AI in Medical Imaging30 Mar 2026
- 2026PhyDCM: A Reproducible Open-Source Framework for AI-Assisted Brain Tumor Classification from Multi-Sequence MRI25 Mar 2026
- 2026Brain Tumor Segmentation with Special Emphasis on the Non-Enhancing Brain Tumor Compartment25 Feb 2026
- 2026XMorph: Explainable Brain Tumor Analysis Via LLM-Assisted Hybrid Deep Intelligence24 Feb 2026
38 more
- 2026A Unified Framework for Multimodal Image Reconstruction and Synthesis using Denoising Diffusion Models9 Feb 2026
- 2025MGML: A Plug-and-Play Meta-Guided Multi-Modal Learning Framework for Incomplete Multimodal Brain Tumor Segmentation30 Dec 2025
- 2025From Healthy Scans to Annotated Tumors: A Tumor Fabrication Framework for 3D Brain MRI Synthesis23 Nov 2025
- 2025HEAL: Learning-Free Source Free Unsupervised Domain Adaptation for Cross-Modality Medical Image Segmentation22 Nov 2025
- 2025Generative Adversarial Synthesis and Deep Feature Discrimination of Brain Tumor MRI Images3 Nov 2025
- 2025S3F-Net: A Multi-Modal Approach to Medical Image Classification via Spatial-Spectral Summarizer Fusion Network27 Sep 2025
- 2025No Modality Left Behind: Adapting to Missing Modalities via Knowledge Distillation for Brain Tumor Segmentation18 Sep 2025
- 2025DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classification15 Sep 2025
- 2025Building a General SimCLR Self-Supervised Foundation Model Across Neurological Diseases to Advance 3D Brain MRI Diagnoses12 Sep 2025
- 2025Graph-Based Multi-Modal Light-weight Network for Adaptive Brain Tumor Segmentation14 Jul 2025
- 2025F3-Net: Foundation Model for Full Abnormality Segmentation of Medical Images with Flexible Input Modality Requirement11 Jul 2025
- 2025PromptForSegCXR: Prompt-Driven Multi-Organ and Multi-Disease Segmentation in Chest X-rays using a Multi-stage Fusion Mechanism1 Jul 2025
- 2025Systematic Review of Pituitary Gland and Pituitary Adenoma Automatic Segmentation Techniques in Magnetic Resonance Imaging24 Jun 2025
- 2025Learning to Upscale 3D Segmentations in Neuroimaging27 May 2025
- 2025OpenPros: A Large-Scale Dataset for Limited View Prostate Ultrasound Computed Tomography18 May 2025
- 2025Topology preserving Image segmentation using the iterative convolution-thresholding method22 Mar 2025
- 2025Deep Learning-Based Approach for Automatic 2D and 3D MRI Segmentation of Gliomas27 Feb 2025
- 2025MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detection24 Feb 2025
- 2025Deep Distance Map Regression Network with Shape-aware Loss for Imbalanced Medical Image Segmentation15 Jan 2025
- 2024Deep learning and whole-brain networks for biomarker discovery: modeling the dynamics of brain fluctuations in resting-state and cognitive tasks26 Dec 2024
- 2024Comparative Analysis of Resource-Efficient CNN Architectures for Brain Tumor Classification23 Nov 2024
- 2024Multimodal 3D Brain Tumor Segmentation with Adversarial Training and Conditional Random Field21 Nov 2024
- 2024Domain Aware Multi-Task Pretraining of 3D Swin Transformer for T1-weighted Brain MRI1 Oct 2024
- 2024LoRKD: Low-Rank Knowledge Decomposition for Medical Foundation Models29 Sep 2024
- 2024Targeted Neural Architectures in Multi-Objective Frameworks for Complete Glioma Characterization from Multimodal MRI25 Sep 2024
- 2024multiPI-TransBTS: A Multi-Path Learning Framework for Brain Tumor Image Segmentation Based on Multi-Physical Information18 Sep 2024
- 2024MOST: MR reconstruction Optimization for multiple downStream Tasks via continual learning16 Sep 2024
- 2024CAF-YOLO: A Robust Framework for Multi-Scale Lesion Detection in Biomedical Imagery4 Aug 2024
- 2024PASSION: Towards Effective Incomplete Multi-Modal Medical Image Segmentation with Imbalanced Missing Rates20 Jul 2024
- 2024Multimodal Data Integration for Precision Oncology: Challenges and Future Directions28 Jun 2024
- 2024IterMask2: Iterative Unsupervised Anomaly Segmentation via Spatial and Frequency Masking for Brain Lesions in MRI4 Jun 2024
- 2024Analysis of the BraTS 2023 Intracranial Meningioma Segmentation Challenge16 May 2024
- 2024Discrepancy-based Diffusion Models for Lesion Detection in Brain MRI8 May 2024
- 2024A Flexible 2.5D Medical Image Segmentation Approach with In-Slice and Cross-Slice Attention30 Apr 2024
- 2024Optimizing Universal Lesion Segmentation: State Space Model-Guided Hierarchical Networks with Feature Importance Adjustment26 Apr 2024
- 2024A Deep Learning Approach for Brain Tumor Classification and Segmentation Using a Multiscale Convolutional Neural Network4 Feb 2024
- 2024Few-shot learning for COVID-19 Chest X-Ray Classification with Imbalanced Data: An Inter vs. Intra Domain Study18 Jan 2024
- 2024Learning-Based Difficulty Calibration for Enhanced Membership Inference Attacks10 Jan 2024
50 newest of 137 All 137 (JSON)
- 2023Loss Functions and Metrics in Deep Learningcited by 42
- 2023Loss Functions and Metrics in Deep Learning5 Jul 2023
- 2021Unified Focal loss: Generalising Dice and cross entropy-based losses to handle class imbalanced medical image segmentationcited by 88
- 2021Recurrent Mask Refinement for Few-Shot Medical Image Segmentationcited by 63
- 2021Adaptive Early-Learning Correction for Segmentation from Noisy Annotationscited by 61
- 2021ACN: Adversarial Co-training Network for Brain Tumor Segmentation with Missing Modalitiescited by 43
- 2021Latent Correlation Representation Learning for Brain Tumor Segmentation with Missing MRI Modalitiescited by 42
- 2021Equitable modelling of brain imaging by counterfactual augmentation with morphologically constrained 3D deep generative modelscited by 36
- 2021Analyzing Overfitting under Class Imbalance in Neural Networks for Image Segmentationcited by 34
- 2022Learning Self-Supervised Low-Rank Network for Single-Stage Weakly and Semi-Supervised Semantic Segmentationcited by 21
- 2021Few-Shot Learning with Class Imbalancecited by 18
- 2021Self-Regulation for Semantic Segmentationcited by 18
- 2024PASSION: Towards Effective Incomplete Multi-Modal Medical Image Segmentation with Imbalanced Missing Ratescited by 17
- 2021Free-form tumor synthesis in computed tomography images via richer generative adversarial networkcited by 16
12 most cited of 130 All 130 (JSON)
- 2026VGG16-MCA UNet: Whole-Tumor Segmentation in 2D FLAIR MRI with Decoder-Side Channel Attention20 Sep 2026
- 2026When Fusion Fails: Corruption-Aware Rebalanced Fusion for Multi-Modal Medical Image Segmentation9 Sep 2026
- 2026Comparative Study of Anatomical and Learned Features in AI Models for Structural Brain MRI6 Sep 2026
- 2026Set-Inclusive Uncertainty Modeling for Robust Brain Tumor Segmentation29 Jun 2026
- 2026D3Seg: Dependency-Aware Diffusion for Brain Tumor Segmentation with Missing Modalities21 May 2026
- 2026DALight-3D: A Lightweight 3D U-Net for Brain Tumor Segmentation from Multi-Modal MRI6 May 2026
- 2026CausalDisenSeg: A Causality-Guided Disentanglement Framework with Counterfactual Reasoning for Robust Brain Tumor Segmentation Under Missing Modalities15 Apr 2026
- 2026Adaptive Dual Residual U-Net with Attention Gate and Multiscale Spatial Attention Mechanisms (ADRUwAMS)10 Apr 2026
- 2026Physics-Embedded Feature Learning for AI in Medical Imaging30 Mar 2026
- 2026PhyDCM: A Reproducible Open-Source Framework for AI-Assisted Brain Tumor Classification from Multi-Sequence MRI25 Mar 2026
- 2026Brain Tumor Segmentation with Special Emphasis on the Non-Enhancing Brain Tumor Compartment25 Feb 2026
- 2026XMorph: Explainable Brain Tumor Analysis Via LLM-Assisted Hybrid Deep Intelligence24 Feb 2026
12 newest of 130 All 130 (JSON)