# Virtual Nodes Guided Dynamic Graph Neural Network for Brain Tumor Segmentation with Missing Modalities

arXiv: https://arxiv.org/abs/2605.16880 · HTML: https://mlsanity.com/paper/2605.16880/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 19 of its 39 references that are in the map.
- First posted on arXiv 16 May 2026.

## Builds on (most cited first, 19 of 19)

- [Distilling the Knowledge in a Neural Network](https://mlsanity.com/paper/1503.02531/) (2015)
- [Graph Attention Networks](https://mlsanity.com/paper/1710.10903/) (2017)
- [SGDR: Stochastic Gradient Descent with Warm Restarts](https://mlsanity.com/paper/1608.03983/) (2016)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Multi-modal Learning with Missing Modality via Shared-Specific Feature Modelling](https://mlsanity.com/paper/2307.14126/) (2023)
- [HeMIS: Hetero-Modal Image Segmentation](https://mlsanity.com/paper/1607.05194/) (2016)
- [mmFormer: Multimodal Medical Transformer for Incomplete Multimodal Learning of Brain Tumor Segmentation](https://mlsanity.com/paper/2206.02425/) (2022)
- [Hetero-Modal Variational Encoder-Decoder for Joint Modality Completion and Segmentation](https://mlsanity.com/paper/1907.11150/) (2019)
- [Robust Multimodal Brain Tumor Segmentation via Feature Disentanglement and Gated Fusion](https://mlsanity.com/paper/2002.09708/) (2020)
- [Knowledge distillation from multi-modal to mono-modal segmentation networks](https://mlsanity.com/paper/2106.09564/) (2021)
- [M3AE: Multimodal Representation Learning for Brain Tumor Segmentation with Missing Modalities](https://mlsanity.com/paper/2303.05302/) (2023)
- [Modality-aware Mutual Learning for Multi-modal Medical Image Segmentation](https://mlsanity.com/paper/2107.09842/) (2021)
- [ACN: Adversarial Co-training Network for Brain Tumor Segmentation with Missing Modalities](https://mlsanity.com/paper/2106.14591/) (2021)
- [Brain Tumor Segmentation on MRI with Missing Modalities](https://mlsanity.com/paper/1904.07290/) (2019)
- [SMU-Net: Style matching U-Net for brain tumor segmentation with missing modalities](https://mlsanity.com/paper/2204.02961/) (2022)
- [A joint 3D UNet-Graph Neural Network-based method for Airway Segmentation from chest CTs](https://mlsanity.com/paper/1908.08588/) (2019)
- [H2NF-Net for Brain Tumor Segmentation using Multimodal MR Imaging: 2nd Place Solution to BraTS Challenge 2020 Segmentation Task](https://mlsanity.com/paper/2012.15318/) (2020)
- [Hypergraph Tversky-Aware Domain Incremental Learning for Brain Tumor Segmentation with Missing Modalities](https://mlsanity.com/paper/2505.16809/) (2025)
- [MouseGAN++: Unsupervised Disentanglement and Contrastive Representation for Multiple MRI Modalities Synthesis and Structural Segmentation of Mouse Brain](https://mlsanity.com/paper/2212.01825/) (2022)

## Abstract (arXiv)

Multimodal magnetic resonance imaging (MRI) is crucial for brain tumor segmentation, with many methods leveraging its four key modalities to capture complementary information for effective sub-region analysis. However, the absence of several modalities is very common in practice, leading to severe performance degradation in existing full-modality segmentation methods. Limited by the structured data model, recent works often adopt a multi-stage training strategy for full-modality and missing-modality scenarios, which increases training costs and inadequately addresses the interference of miss. In this work, we propose a graph-based one-stage framework for robust brain tumor segmentation with missing modalities. Specifically, we introduce modality-specific virtual nodes that serve as supplementary information sources to compensate for missing modalities. To enhance model robustness against arbitrary modality combinations, we leverage the inherent flexibility of graph networks to devise a dynamic connection strategy. This mechanism dynamically adjusts the adjacency matrix based on modality availability, preserving beneficial information flow while mitigating interference effects caused by missing modalities. Furthermore, we enhance the graph network through heterogeneous weight matrices, enhancing its adaptability to multimodal scenarios. Extensive experiments on the BRATS-2018 and BRATS-2020 datasets demonstrate that our method outperforms the state-of-the-art methods on almost all subsets of incomplete modalities.