# Unsupervised Segmentation of Fetal Brain MRI using Deep Learning Cascaded Registration

arXiv: https://arxiv.org/abs/2307.03579 · HTML: https://mlsanity.com/paper/2307.03579/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 11 of its 37 references that are in the map.
- First posted on arXiv 7 Jul 2023.

## Builds on (most cited first, 11 of 11)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Visualizing and Understanding Convolutional Networks](https://mlsanity.com/paper/1311.2901/) (2013)
- [Spatial Transformer Networks](https://mlsanity.com/paper/1506.02025/) (2015)
- [VoxelMorph: A Learning Framework for Deformable Medical Image Registration](https://mlsanity.com/paper/1809.05231/) (2018)
- [Recursive Cascaded Networks for Unsupervised Medical Image Registration](https://mlsanity.com/paper/1907.12353/) (2019)
- [Learning a Probabilistic Model for Diffeomorphic Registration](https://mlsanity.com/paper/1812.07460/) (2018)
- [Unsupervised 3D End-to-End Medical Image Registration with Volume Tweening Network](https://mlsanity.com/paper/1902.05020/) (2019)
- [An automatic multi-tissue human fetal brain segmentation benchmark using the Fetal Tissue Annotation Dataset](https://mlsanity.com/paper/2010.15526/) (2020)
- [Multi-Atlas Segmentation of Biomedical Images: A Survey](https://mlsanity.com/paper/1412.3421/) (2014)
- [Non-Rigid Image Registration Using Self-Supervised Fully Convolutional Networks without Training Data](https://mlsanity.com/paper/1801.04012/) (2018)
- [An automatic pipeline for atlas-based fetal and neonatal brain segmentation and analysis](https://mlsanity.com/paper/2205.07575/) (2022)

## Abstract (arXiv)

Accurate segmentation of fetal brain magnetic resonance images is crucial for analyzing fetal brain development and detecting potential neurodevelopmental abnormalities. Traditional deep learning-based automatic segmentation, although effective, requires extensive training data with ground-truth labels, typically produced by clinicians through a time-consuming annotation process. To overcome this challenge, we propose a novel unsupervised segmentation method based on multi-atlas segmentation, that accurately segments multiple tissues without relying on labeled data for training. Our method employs a cascaded deep learning network for 3D image registration, which computes small, incremental deformations to the moving image to align it precisely with the fixed image. This cascaded network can then be used to register multiple annotated images with the image to be segmented, and combine the propagated labels to form a refined segmentation. Our experiments demonstrate that the proposed cascaded architecture outperforms the state-of-the-art registration methods that were tested. Furthermore, the derived segmentation method achieves similar performance and inference time to nnU-Net while only using a small subset of annotated data for the multi-atlas segmentation task and none for training the network. Our pipeline for registration and multi-atlas segmentation is publicly available at https://github.com/ValBcn/CasReg.