Deep learning models such as convolutional neural net- work have been widely used in 3D biomedical segmentation and achieve state-of-the-art performance. However, most of them often adapt a single modality or stack multiple modalities as different input channels. To better leverage the multi- modalities, we propose a deep encoder-decoder structure with cross-modality convolution layers to incorporate different modalities of MRI data. In addition, we exploit convolutional LSTM to model a sequence of 2D slices, and jointly learn the multi-modalities and convolutional LSTM in an end-to-end manner. To avoid converging to the certain labels, we adopt a re-weighting scheme and two-phase training to handle the label imbalance. Experimental results on BRATS-2015 show that our method outperforms state-of-the-art biomedical segmentation approaches.
Multi-Modal Images. In brain tumor segmentation, multi-modal images are used to identify the boundaries between the tumor, edema and normal brain tissue. @cite_6 combine MRI images with diffusion tensor imaging data to create an integrated multi-modality profile for brain tumors. Their brain tissue classification framework incorporates intensities from each modality into an appearance signature of each voxel to train the classifiers. @cite_21 propose a generative probabilistic model for reflecting the differences in tumor appearance across different modalities. In the process of manual segmentation of a brain tumor, different modalities are often cross-checked to better distinguish the different types of brain tissue. For example, according to @cite_12 , the edema is segmented primarily from T2 images and FLAIR is used to cross-check the extension of the edema. Also, enhancing and non-enhancing structures are segmented by evaluating the hyper-intensities in T1C.
@cite_21 @cite_12 @cite_6
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In this paper, multi-modal magnetic resonance (MR) images are integrated into a tissue profile that aims at differentiating tumor components, edema and normal tissue. This is achieved by a tissue classification technique that learns the appearance models of different tissue types based on training samples identified by an expert and assigns tissue labels to each voxel. These tissue classifiers produce probabilistic tissue maps reflecting imaging characteristics of tumors and surrounding tissues that may be employed to aid in diagnosis, tumor boundary delineation, surgery and treatment planning. The main contributions of this work are: 1) conventional structural MR modalities are combined with diffusion tensor imaging data to create an integrated multimodality profile for brain tumors, and 2) in addition to the tumor components of enhancing and non-enhancing tumor types, edema is also characterized as a separate class in our framework. Classification performance is tested on 22 diverse tumor cases using cross-validation. A cascade of fully convolutional neural networks is proposed to segment multi-modal Magnetic Resonance (MR) images with brain tumor into background and three hierarchical regions: whole tumor, tumor core and enhancing tumor core. The cascade is designed to decompose the multi-class segmentation problem into a sequence of three binary segmentation problems according to the subregion hierarchy. The whole tumor is segmented in the first step and the bounding box of the result is used for the tumor core segmentation in the second step. The enhancing tumor core is then segmented based on the bounding box of the tumor core segmentation result. Our networks consist of multiple layers of anisotropic and dilated convolution filters, and they are combined with multi-view fusion to reduce false positives. Residual connections and multi-scale predictions are employed in these networks to boost the segmentation performance. Experiments with BraTS 2017 validation set show that the proposed method achieved average Dice scores of 0.7859, 0.9050, 0.8378 for enhancing tumor core, whole tumor and tumor core, respectively. The corresponding values for BraTS 2017 testing set were 0.7831, 0.8739, and 0.7748, respectively. Abstract Accurate and reliable brain tumor segmentation is a critical component in cancer diagnosis, treatment planning, and treatment outcome evaluation. Build upon successful deep learning techniques, a novel brain tumor segmentation method is developed by integrating fully convolutional neural networks (FCNNs) and Conditional Random Fields (CRFs) in a unified framework to obtain segmentation results with appearance and spatial consistency. We train a deep learning based segmentation model using 2D image patches and image slices in following steps: 1) training FCNNs using image patches; 2) training CRFs as Recurrent Neural Networks (CRF-RNN) using image slices with parameters of FCNNs fixed; and 3) fine-tuning the FCNNs and the CRF-RNN using image slices. Particularly, we train 3 segmentation models using 2D image patches and slices obtained in axial, coronal and sagittal views respectively, and combine them to segment brain tumors using a voting based fusion strategy. Our method could segment brain images slice-by-slice, much faster than those based on image patches. We have evaluated our method based on imaging data provided by the Multimodal Brain Tumor Image Segmentation Challenge (BRATS) 2013, BRATS 2015 and BRATS 2016. The experimental results have demonstrated that our method could build a segmentation model with Flair, T1c, and T2 scans and achieve competitive performance as those built with Flair, T1, T1c, and T2 scans. Abstract Two different multispectral pattern recognition methods are used to segment magnetic resonance images (MRI) of the brain for quantitative estimation of tumor volume and volume changes with therapy. A supervised k-nearest neighbor (kNN) rule and a semi-supervised fuzzy c-means (SFCM) method are used to segment MRI slice data. Tumor volumes as determined by the kNN and SFCM segmentation methods are compared with two reference methods, based on image grey scale, as a basis for an estimation of ground truth, namely: (a) a commonly used seed growing method that is applied to the contrast enhanced T 1 -weighted image, and (b) a manual segmentation method using a custom-designed graphical user interface applied to the same raw image ( T 1 -weighted) dataset. Emphasis is placed on measurement of intra and inter observer reproducibility using the proposed methods. Intra- and interobserver variation for the kNN method was 9 and 5 , respectively. The results for the SFCM method was a little better at 6 and 4 , respectively. For the seed growing method, the intra-observer variation was 6 and the interobserver variation was 17 , significantly larger when compared with the multispectral methods. The absolute tumor volume determined by the multispectral segmentation methods was consistently smaller than that observed for the reference methods. The results of this study are found to be very patient case-dependent. The results for SFCM suggest that it should be useful for relative measurements of tumor volume during therapy, but further studies are required. This work demonstrates the need for minimally supervised or unsupervised methods for tumor volume measurements.