Thomas Kellermeier

Spyridon Bakas, Mauricio Reyes, Andras Jakab et al.

Gliomas are the most common primary brain malignancies, with different degrees of aggressiveness, variable prognosis and various heterogeneous histologic sub-regions, i.e., peritumoral edematous/invaded tissue, necrotic core, active and non-enhancing core. This intrinsic heterogeneity is also portrayed in their radio-phenotype, as their sub-regions are depicted by varying intensity profiles disseminated across multi-parametric magnetic resonance imaging (mpMRI) scans, reflecting varying biological properties. Their heterogeneous shape, extent, and location are some of the factors that make these tumors difficult to resect, and in some cases inoperable. The amount of resected tumor is a factor also considered in longitudinal scans, when evaluating the apparent tumor for potential diagnosis of progression. Furthermore, there is mounting evidence that accurate segmentation of the various tumor sub-regions can offer the basis for quantitative image analysis towards prediction of patient overall survival. This study assesses the state-of-the-art machine learning (ML) methods used for brain tumor image analysis in mpMRI scans, during the last seven instances of the International Brain Tumor Segmentation (BraTS) challenge, i.e., 2012-2018. Specifically, we focus on i) evaluating segmentations of the various glioma sub-regions in pre-operative mpMRI scans, ii) assessing potential tumor progression by virtue of longitudinal growth of tumor sub-regions, beyond use of the RECIST/RANO criteria, and iii) predicting the overall survival from pre-operative mpMRI scans of patients that underwent gross total resection. Finally, we investigate the challenge of identifying the best ML algorithms for each of these tasks, considering that apart from being diverse on each instance of the challenge, the multi-institutional mpMRI BraTS dataset has also been a continuously evolving/growing dataset.

Mina Rezaei, Konstantin Harmuth, Willi Gierke et al.

Automated medical image analysis has a significant value in diagnosis and treatment of lesions. Brain tumors segmentation has a special importance and difficulty due to the difference in appearances and shapes of the different tumor regions in magnetic resonance images. Additionally, the data sets are heterogeneous and usually limited in size in comparison with the computer vision problems. The recently proposed adversarial training has shown promising results in generative image modeling. In this paper, we propose a novel end-to-end trainable architecture for brain tumor semantic segmentation through conditional adversarial training. We exploit conditional Generative Adversarial Network (cGAN) and train a semantic segmentation Convolution Neural Network (CNN) along with an adversarial network that discriminates segmentation maps coming from the ground truth or from the segmentation network for BraTS 2017 segmentation task[15, 4, 2, 3]. We also propose an end-to-end trainable CNN for survival day prediction based on deep learning techniques for BraTS 2017 prediction task [15, 4, 2, 3]. The experimental results demonstrate the superior ability of the proposed approach for both tasks. The proposed model achieves on validation data a DICE score, Sensitivity and Specificity respectively 0.68, 0.99 and 0.98 for the whole tumor, regarding online judgment system.