Accurate boundary delineation of brain tumors in Magnetic Resonance Imaging (MRI) is a critical yet formidable challenge in neuro-oncology due to inherent scanner noise, complex anatomical structures, and uneven illumination. Traditional edge detection algorithms, while computationally lightweight and mathematically interpretable, frequently fail to capture the diffuse, localized boundaries of edema when relying solely on global preprocessing and manual parameter tuning. To overcome these limitations, we propose a hybrid automated edge detection pipeline. Our approach integrates an optimally configured Contrast-Limited Adaptive Histogram Equalization (CLAHE) layer into a comprehensive morphological preprocessing framework, followed by a deterministic sequential parameter sweep to fully automate threshold selection. The proposed hybrid model demonstrated enhancement in detecting critical anatomical structures in a publicly available benchmark database from Kaggle. By intelligently amplifying localized gradients without overwhelming the image with background noise, our method achieved higher Recall (Sensitivity). Consequently, the overall F1-Score elevated, and the Structural Similarity Index (SSIM) improved, all while maintaining a highly efficient execution. This establishes our optimized pipeline as a highly practical and near real-time operational model for clinical diagnostics, offering a compelling alternative to computationally heavy deep learning approaches.
Trustworthy multimodal fusion in clinical settings requires handling incomplete and heterogeneous modality subsets across institutions, where privacy constraints prohibit centralized data sharing. Federated learning (FL) mitigates data-sharing constraints but suffers from client-specific missing modalities, where institutions possess incomplete multimodal subsets, degrading fusion quality and segmentation performance. While FL and weak supervision have been studied separately, their joint use with image-level labels under heterogeneous missing modalities remains unaddressed. We propose \textbf{MOSAIC}, the first modality-agnostic federated framework for weakly supervised binary tumor segmentation under client-specific missing modalities. We introduce a client-specific modality-alignment module that fuses available channels into a shared latent space without prior knowledge of modality identity, a spectral prototype alignment loss that reconciles cross-client distribution shift using compact non-invertible frequency-domain statistics, and a dedicated federated refinement network that denoises the resulting CAM pseudo-labels into accurate masks, breaking the accuracy ceiling of weak supervision. Experiments on three multi-institutional brain tumor benchmarks (FeTS2022, BraTS-MEN, and BraTS-SSA) demonstrate significant improvements over all image, box, and point-supervised baselines, approaching fully supervised accuracy using only image-level labels and reaching 0.84 Dice on FeTS2022. Dynamic new client addition enables previously unseen institutions to join an already-trained federation within 0.01-0.04 Dice without retraining. Code is available at https://github.com/Tarun2201/MOSAIC.
Effective segmentation of multi-modal MRI is central to improving neural network accuracy in brain tumor recognition. Existing methods typically compress 3D volumes into token sequences via fixed patch encoding or learned attention pooling (e.g., TokenLearner). However, these compression schemes discard explicit spatial shape information; the resulting tokens convey no notion of lesion morphology or spatial extent. Meanwhile, end-to-end evaluation entangles a tokenizer's information retention with the reconstruction capacity of the downstream decoder, and the lack of a unified capacity contract across methods makes performance differences difficult to attribute. In this paper, we introduce Gaussian tokens to multi-modal brain tumor segmentation for the first time: each token carries not only a semantic feature but also a learned 3D center, anisotropic scale, and orientation, endowing the representation with explicit geometric support at negligible parameter cost. We further propose a frozen-token utility evaluation protocol: the trained tokenizer is frozen, its output is cast into a fixed-capacity serialized contract, and a shared lightweight Transformer probe independently measures each tokenizer's retained information under strictly matched conditions. Multi-seed paired statistical testing shows that GSToken consistently and substantially outperforms capacity-matched adaptive baselines under frozen probing, with uniform advantages across all tumor sub-regions, surface, and distance metrics. These results demonstrate that explicitly encoding spatial geometry within tokens significantly improves the information density of volumetric representations, offering a new design principle for compact 3D medical image representation and downstream reading.
Multi-parametric magnetic resonance imaging (mpMRI) is a cornerstone for brain tumor diagnosis and treatment, yet current AI models face critical limitations: their lack of natural language interaction and interpretability impedes spatial information integration and cross-modal reasoning required clinically. Key challenges arise from significant physical meaning differences across modalities, spatial misalignment due to scan intervals, and the need for complex multi-feature interpretation in tasks like glioma grading. While visual-language models (VLMs) show promise in cross-modal understanding, existing methods focus mainly on 2D image modeling, neglecting direct perception of 3D volumetric space. Although 3D VLMs have been proposed for report generation and feature alignment in 3D CT imaging, mpMRI applications demand collaborative inference across multiple imaging modalities-a requirement unmet by current solutions. To address this, we introduce Mr3D-VL, a dedicated visual-language foundation model for multi-parametric 3D MRI. With 4 billion parameters, it employs an unsupervised pre-trained shared 3D encoder and 4D rotational positional embedding for dual modality-spatial integration. Its cross-modal projection layer uses a multi-resolution feature implantation strategy to enhance feature perception across resolutions. Experimental results show significant improvements over existing 4B/7B/30B domain-specific and general-purpose models in text generation tasks, achieving a BERTScore of 0.856 for report generation, with question-answering accuracy at 0.713 and multiple-choice accuracy at 0.912.
Brain tumors such as glioma, meningioma, and pituitary adenoma alter the mechanical behavior of soft brain tissue, yet common diagnostic methods rely on static imaging that cannot capture tumor growth, tissue displacement, or changes in stiffness over time. Deep learning models for this task typically require pooling patient data at one site, which conflicts with privacy rules such as GDPR and HIPAA and limits generalization across institutions, a challenge that is pronounced in neuro oncology given patient diversity. This study presents a federated physics informed neural network combining federated learning with a physics informed loss built on the equations of linear elasticity. Three simulated clinical sites each train a local network on patient specific MRI data using a physics informed loss, and only model weights are shared with a central server through the FedAvg protocol over one hundred rounds, keeping raw data at its site of origin. The federated model reached an overall accuracy of 91.4%, against 90.0% for a non federated baseline trained on pooled data, an average AUC of 0.985 across tumor classes, and a rise in pituitary tumor accuracy from 85.6 to 94.5%. Training produced smooth, divergence free displacement fields consistent with expected tissue deformation, showing that federated training can be paired with physics based constraints without a meaningful loss in performance.
Multi-contrast 3D MRI segmentation can be computationally demanding when all available sequences are used. We evaluate a pre-training Partial Information Decomposition framework that ranks input pairs according to their redundant, unique, and synergistic information about regional tumor burden and selects the highest-ranked pair for downstream training. Applied to T1n, T1c, T2w, and T2-FLAIR MRI, the framework selected T1c+T2-FLAIR. We then trained eleven architecturally identical lightweight 3D U-Nets using different input configurations. On an independent test cohort, T1c+T2-FLAIR was the strongest two-input configuration and ranked second overall in mean Dice (0.676 versus 0.687 for all four inputs). Independent Shapley analysis on the full-input model also identified T2-FLAIR and T1c as the most influential inputs and their pairwise interaction as the strongest. These findings demonstrate the practical value of PID based pre-training selection for identifying compact, informative MRI input sets before costly 3D model development.
Brain tumor progression exhibits spatially heterogeneous growth, patient-specific treatment response, and complex interactions with surrounding anatomy, making accurate long-term prediction challenging. We propose an AI-augmented adaptive digital twin (DT) framework for brain tumor evolution prediction and treatment scheduling. The framework integrates an interpretable reaction--diffusion (RD) model, a 3D residual learning module for model-form correction, patient-specific DT updating during recursive rollout, and model predictive control (MPC) for constrained chemotherapy and radiotherapy scheduling. Experiments on 387 synthetic tumor trajectories with 120-step evolution show that the baseline RD model captures tumor location and overall temporal behavior but underestimates heterogeneous tumor burden during long-horizon prediction. Hybrid RD--residual modeling reduces masked voxel-wise mean squared error by 84.3% and increases Dice overlap by 43.5% relative to the RD baseline under dense simulated observations. Online DT updating further reduces mean squared error by 45.9% and improves Dice overlap by 9.6% compared with the non-updated hybrid model. In MPC-based scheduling simulations, the updated DT controller reduces final tumor burden by 22.4% relative to a fixed treatment schedule under the terminal-burden objective. Together, these results demonstrate a unified framework for patient-specific initialization, mechanistic modeling, adaptive learning, and constrained treatment optimization. Although validated using patient-data-informed synthetic trajectories rather than clinical longitudinal data, the proposed framework establishes a foundation for future translation to real-world adaptive treatment planning.
Few-shot brain tumor segmentation remains challenging due to noisy support masks, inter-patient variations between support and query images, and the lack of pixel-wise confidence estimation. This study proposes RUFNet, a Hybrid Mamba-based few-shot framework that combines support mask refinement with uncertainty-aware posterior fusion. To preserve support-query dependencies with manageable cost, RUFNet adopts a Hybrid Mamba interaction backbone with linear complexity. To reduce support-mask noise, an Attention-Guided Mask Refinement module (AGMR) uses query features to recalibrate support masks and improve prototype consistency. To handle ambiguous predictions, an Uncertainty-Aware Posterior Fusion module (UAPF) estimates pixel-wise variance and adaptively balances few-shot predictions with query-aligned priors. On the Brain Tumor Segmentation Challenge (BraTS) 2020 dataset, RUFNet achieves Dice coefficients of 84.3% and 86.1% in the 1-way 1-shot and 1-way 5-shot settings, respectively, outperforming the compared state-of-the-art methods. These results suggest that Hybrid Mamba interaction, mask refinement and uncertainty modelling can improve the robustness of few-shot medical image segmentation. The official implementation code is available at https://github.com/hdy6438/RUFNet.
Medical image segmentation plays an important role in computer aided diagnosis, treatment planning, and disease monitoring. U-Net has been widely used for biomedical image segmentation because of its encoder decoder structure and skip connections. However, conventional convolution based U-Net models may have limited ability to capture long range dependencies and global contextual information, which can affect performance in complex segmentation tasks. This paper presents a comparative study of five U-Net based architectures: U-Net 3D, Residual U-Net, Attention U-Net, UNETR, and Swin UNETR. The models are evaluated on two benchmark datasets: BraTS 2023 for brain tumor segmentation and DRIVE for retinal vessel segmentation. Experimental results show that Swin UNETR achieves the best overall performance, with Dice scores of 0.8965 on BraTS 2023 and 0.8078 on DRIVE. The results suggest that transformer based U-Net variants are effective for segmentation tasks requiring global contextual modeling, while residual learning remains useful for fine structure segmentation. This study provides practical insights into model selection for medical image segmentation across volumetric MRI and retinal imaging tasks.
Gliomas are aggressive brain tumors that infiltrate surrounding tissue beyond the visible tumor margins observed on Magnetic Resonance Imaging (MRI). Predicting the spatial extent of this infiltration is essential for surgical planning and radiation therapy, yet existing deep learning approaches focus on segmenting the visible tumor rather than estimating infiltration risk in the surrounding tissue. This paper presents InfiltrNet, a novel dual-branch architecture that combines a convolutional neural network (CNN) encoder with a Swin Transformer encoder through cross-attention fusion modules to predict three-zone infiltration risk maps from multimodal MRI. A label generation strategy based on distance transforms is proposed to derive reproducible infiltration risk zones from standard Brain Tumor Segmentation (BraTS) annotations. InfiltrNet is trained with a combined Dice-CrossEntropy and boundary-aware loss augmented by auxiliary supervision heads at intermediate decoder levels. Extensive experiments on BraTS 2020 and BraTS 2025 demonstrate that InfiltrNet outperforms five established baselines. Explainability analysis using GradCAM++ and Occlusion sensitivity confirms that the model attends to clinically relevant peritumoral regions.