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1. The Brain Tumor Segmentation (BraTS) Challenge 2023: Local Synthesis of Healthy Brain Tissue via Inpainting

Author

Kofler, Florian, Meissen, Felix, Steinbauer, Felix, Graf, Robert, Oswald, Eva, de da Rosa, Ezequiel, Li, Hongwei Bran, Baid, Ujjwal, Hoelzl, Florian, Turgut, Oezguen, Horvath, Izabela, Waldmannstetter, Diana, Bukas, Christina, Adewole, Maruf, Anwar, Syed Muhammad, Janas, Anastasia, Kazerooni, Anahita Fathi, LaBella, Dominic, Moawad, Ahmed W, Farahani, Keyvan, Eddy, James, Bergquist, Timothy, Chung, Verena, Shinohara, Russell Takeshi, Dako, Farouk, Wiggins, Walter, Reitman, Zachary, Wang, Chunhao, Liu, Xinyang, Jiang, Zhifan, Familiar, Ariana, Conte, Gian-Marco, Johanson, Elaine, Meier, Zeke, Davatzikos, Christos, Freymann, John, Kirby, Justin, Bilello, Michel, Fathallah-Shaykh, Hassan M, Wiest, Roland, Kirschke, Jan, Colen, Rivka R, Kotrotsou, Aikaterini, Lamontagne, Pamela, Marcus, Daniel, Milchenko, Mikhail, Nazeri, Arash, Weber, Marc-André, Mahajan, Abhishek, Mohan, Suyash, Mongan, John, Hess, Christopher, Cha, Soonmee, Villanueva-Meyer, Javier, Colak, Errol, Crivellaro, Priscila, Jakab, Andras, Albrecht, Jake, Anazodo, Udunna, Aboian, Mariam, Iglesias, Juan Eugenio, Van Leemput, Koen, Bakas, Spyridon, Rueckert, Daniel, Wiestler, Benedikt, Ezhov, Ivan, Piraud, Marie, and Menze, Bjoern

Subjects
FOS: Computer and information sciences, Computer Science - Machine Learning, Computer Vision and Pattern Recognition (cs.CV), Image and Video Processing (eess.IV), Computer Science - Computer Vision and Pattern Recognition, FOS: Electrical engineering, electronic engineering, information engineering, Electrical Engineering and Systems Science - Image and Video Processing, Machine Learning (cs.LG)
Abstract

A myriad of algorithms for the automatic analysis of brain MR images is available to support clinicians in their decision-making. For brain tumor patients, the image acquisition time series typically starts with a scan that is already pathological. This poses problems, as many algorithms are designed to analyze healthy brains and provide no guarantees for images featuring lesions. Examples include but are not limited to algorithms for brain anatomy parcellation, tissue segmentation, and brain extraction. To solve this dilemma, we introduce the BraTS 2023 inpainting challenge. Here, the participants' task is to explore inpainting techniques to synthesize healthy brain scans from lesioned ones. The following manuscript contains the task formulation, dataset, and submission procedure. Later it will be updated to summarize the findings of the challenge. The challenge is organized as part of the BraTS 2023 challenge hosted at the MICCAI 2023 conference in Vancouver, Canada., Comment: 5 pages, 1 figure

Published
2023
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2. The Brain Tumor Segmentation (BraTS-METS) Challenge 2023: Brain Metastasis Segmentation on Pre-treatment MRI

Author

Moawad, Ahmed W., Janas, Anastasia, Baid, Ujjwal, Ramakrishnan, Divya, Jekel, Leon, Krantchev, Kiril, Moy, Harrison, Saluja, Rachit, Osenberg, Klara, Wilms, Klara, Kaur, Manpreet, Avesta, Arman, Pedersen, Gabriel Cassinelli, Maleki, Nazanin, Salimi, Mahdi, Merkaj, Sarah, von Reppert, Marc, Tillmans, Niklas, Lost, Jan, Bousabarah, Khaled, Holler, Wolfgang, Lin, MingDe, Westerhoff, Malte, Maresca, Ryan, Link, Katherine E., Tahon, Nourel hoda, Marcus, Daniel, Sotiras, Aristeidis, LaMontagne, Pamela, Chakrabarty, Strajit, Teytelboym, Oleg, Youssef, Ayda, Nada, Ayaman, Velichko, Yuri S., Gennaro, Nicolo, Students, Connectome, Annotators, Group of, Cramer, Justin, Johnson, Derek R., Kwan, Benjamin Y. M., Petrovic, Boyan, Patro, Satya N., Wu, Lei, So, Tiffany, Thompson, Gerry, Kam, Anthony, Perez-Carrillo, Gloria Guzman, Lall, Neil, Approvers, Group of, Albrecht, Jake, Anazodo, Udunna, Lingaru, Marius George, Menze, Bjoern H, Wiestler, Benedikt, Adewole, Maruf, Anwar, Syed Muhammad, Labella, Dominic, Li, Hongwei Bran, Iglesias, Juan Eugenio, Farahani, Keyvan, Eddy, James, Bergquist, Timothy, Chung, Verena, Shinohara, Russel Takeshi, Dako, Farouk, Wiggins, Walter, Reitman, Zachary, Wang, Chunhao, Liu, Xinyang, Jiang, Zhifan, Van Leemput, Koen, Piraud, Marie, Ezhov, Ivan, Johanson, Elaine, Meier, Zeke, Familiar, Ariana, Kazerooni, Anahita Fathi, Kofler, Florian, Calabrese, Evan, Aneja, Sanjay, Chiang, Veronica, Ikuta, Ichiro, Shafique, Umber, Memon, Fatima, Conte, Gian Marco, Bakas, Spyridon, Rudie, Jeffrey, and Aboian, Mariam

Subjects
FOS: Biological sciences, Image and Video Processing (eess.IV), FOS: Electrical engineering, electronic engineering, information engineering, Electrical Engineering and Systems Science - Image and Video Processing, Other Quantitative Biology (q-bio.OT), Quantitative Biology - Other Quantitative Biology
Abstract

Clinical monitoring of metastatic disease to the brain can be a laborious and time-consuming process, especially in cases involving multiple metastases when the assessment is performed manually. The Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) guideline, which utilizes the unidimensional longest diameter, is commonly used in clinical and research settings to evaluate response to therapy in patients with brain metastases. However, accurate volumetric assessment of the lesion and surrounding peri-lesional edema holds significant importance in clinical decision-making and can greatly enhance outcome prediction. The unique challenge in performing segmentations of brain metastases lies in their common occurrence as small lesions. Detection and segmentation of lesions that are smaller than 10 mm in size has not demonstrated high accuracy in prior publications. The brain metastases challenge sets itself apart from previously conducted MICCAI challenges on glioma segmentation due to the significant variability in lesion size. Unlike gliomas, which tend to be larger on presentation scans, brain metastases exhibit a wide range of sizes and tend to include small lesions. We hope that the BraTS-METS dataset and challenge will advance the field of automated brain metastasis detection and segmentation.

Published
2023
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3. Federated learning enables big data for rare cancer boundary detection

Author

Pati, Sarthak, Baid, Ujjwal, Edwards, Brandon, Sheller, Micah, Wang, Shih-Han, Reina, G Anthony, Foley, Patrick, Gruzdev, Alexey, Karkada, Deepthi, Davatzikos, Christos, Sako, Chiharu, Ghodasara, Satyam, Bilello, Michel, Mohan, Suyash, Vollmuth, Philipp, Brugnara, Gianluca, Preetha, Chandrakanth J, Sahm, Felix, Maier-Hein, Klaus, Zenk, Maximilian, Bendszus, Martin, Wick, Wolfgang, Calabrese, Evan, Rudie, Jeffrey, Villanueva-Meyer, Javier, Cha, Soonmee, Ingalhalikar, Madhura, Jadhav, Manali, Pandey, Umang, Saini, Jitender, Garrett, John, Larson, Matthew, Jeraj, Robert, Currie, Stuart, Frood, Russell, Fatania, Kavi, Huang, Raymond Y, Chang, Ken, Balaña, Carmen, Capellades, Jaume, Puig, Josep, Trenkler, Johannes, Pichler, Josef, Necker, Georg, Haunschmidt, Andreas, Meckel, Stephan, Shukla, Gaurav, Liem, Spencer, Alexander, Gregory S, Lombardo, Joseph, Palmer, Joshua D, Flanders, Adam E, Dicker, Adam P, Sair, Haris I, Jones, Craig K, Venkataraman, Archana, Jiang, Meirui, So, Tiffany Y, Chen, Cheng, Heng, Pheng Ann, Dou, Qi, Kozubek, Michal, Lux, Filip, Michálek, Jan, Matula, Petr, Keřkovský, Miloš, Kopřivová, Tereza, Dostál, Marek, Vybíhal, Václav, Vogelbaum, Michael A, Mitchell, J Ross, Farinhas, Joaquim, Maldjian, Joseph A, Yogananda, Chandan Ganesh Bangalore, Pinho, Marco C, Reddy, Divya, Holcomb, James, Wagner, Benjamin C, Ellingson, Benjamin M, Cloughesy, Timothy F, Raymond, Catalina, Oughourlian, Talia, Hagiwara, Akifumi, Wang, Chencai, To, Minh-Son, Bhardwaj, Sargam, Chong, Chee, Agzarian, Marc, Falcão, Alexandre Xavier, Martins, Samuel B, Teixeira, Bernardo CA, Sprenger, Flávia, Menotti, David, Lucio, Diego R, LaMontagne, Pamela, Marcus, Daniel, Wiestler, Benedikt, Kofler, Florian, Ezhov, Ivan, and Metz, Marie

Subjects
Machine Learning, Big Data, Brain Cancer, Rare Diseases, Good Health and Well Being, Information Dissemination, Neurosciences, Humans, Glioblastoma, Cancer, Brain Disorders
Abstract

Although machine learning (ML) has shown promise across disciplines, out-of-sample generalizability is concerning. This is currently addressed by sharing multi-site data, but such centralization is challenging/infeasible to scale due to various limitations. Federated ML (FL) provides an alternative paradigm for accurate and generalizable ML, by only sharing numerical model updates. Here we present the largest FL study to-date, involving data from 71 sites across 6 continents, to generate an automatic tumor boundary detector for the rare disease of glioblastoma, reporting the largest such dataset in the literature (n = 6, 314). We demonstrate a 33% delineation improvement for the surgically targetable tumor, and 23% for the complete tumor extent, over a publicly trained model. We anticipate our study to: 1) enable more healthcare studies informed by large diverse data, ensuring meaningful results for rare diseases and underrepresented populations, 2) facilitate further analyses for glioblastoma by releasing our consensus model, and 3) demonstrate the FL effectiveness at such scale and task-complexity as a paradigm shift for multi-site collaborations, alleviating the need for data-sharing.

Published
2022

4. β-amyloid PET harmonisation across longitudinal studies: Application to AIBL, ADNI and OASIS3

Author

Bourgeat, Pierrick, Doré, Vincent, Burnham, Samantha C, Benzinger, Tammie, Tosun, Duygu, Li, Shenpeng, Goyal, Manu, LaMontagne, Pamela, Jin, Liang, Rowe, Christopher C, Weiner, Michael W, Morris, John C, Masters, Colin L, Fripp, Jurgen, Villemagne, Victor L, and Alzheimer's Disease Neuroimaging Initiative, OASIS3, and the AIBL research group

Subjects
Aniline Compounds, Amyloid beta-Peptides, Neurology & Neurosurgery, Harmonisation, Psychology and Cognitive Sciences, Alzheimer's Disease Neuroimaging Initiative, Neurosciences, and the AIBL research group, Medical and Health Sciences, OASIS3, Cross-Sectional Studies, Alzheimer Disease, Amyloid PET, Positron-Emission Tomography, Humans, Biomedical Imaging, Longitudinal Studies, Centiloid
Abstract

IntroductionThe Centiloid scale was developed to harmonise the quantification of β-amyloid (Aβ) PET images across tracers, scanners, and processing pipelines. However, several groups have reported differences across tracers and scanners even after centiloid conversion. In this study, we aim to evaluate the impact of different pre and post-processing harmonisation steps on the robustness of longitudinal Centiloid data across three large international cohort studies.MethodsAll Aβ PET data in AIBL (N=3315), ADNI (N=3442) and OASIS3 (N=1398) were quantified using the MRI-based Centiloid standard SPM pipeline and the PET-only pipeline CapAIBL. SUVR were converted into Centiloids using each tracer's respective transform. Global Aβ burden from pre-defined target cortical regions in Centiloid units were quantified for both raw PET scans and PET scans smoothed to a uniform 8mm full width half maximum (FWHM) effective smoothness. For Florbetapir, we assessed the performance of using both the standard Whole Cerebellum (WCb) and a composite white matter (WM)+WCb reference region. Additionally, our recently proposed quantification based on Non-negative Matrix Factorisation (NMF) was applied to all spatially and SUVR normalised images. Correlation with clinical severity measured by the Mini-Mental State Examination (MMSE) and effect size, as well as tracer agreement in 11C-PiB-18F-Florbetapir pairs and longitudinal consistency were evaluated.ResultsThe smoothing to a uniform resolution partially reduced longitudinal variability, but did not improve inter-tracer agreement, effect size or correlation with MMSE. Using a Composite reference region for 18F-Florbetapir improved inter-tracer agreement, effect size, correlation with MMSE, and longitudinal consistency. The best results were however obtained when using the NMF method which outperformed all other quantification approaches in all metrics used.ConclusionsFWHM smoothing has limited impact on longitudinal consistency or outliers. A Composite reference region including subcortical WM should be used for computing both cross-sectional and longitudinal Florbetapir Centiloid. NMF improves Centiloid quantification on all metrics examined.

Published
2022

5. Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challenge

Author

Bakas, Spyridon, Reyes, Mauricio, Jakab, Andras, Bauer, Stefan, Rempfler, Markus, Crimi, Alessandro, Shinohara, Russell Takeshi, Berger, Christoph, Ha, Sung Min, Rozycki, Martin, Prastawa, Marcel, Alberts, Esther, Lipkova, Jana, Freymann, John, Kirby, Justin, Bilello, Michel, Fathallah-Shaykh, Hassan, Wiest, Roland, Kirschke, Jan, Wiestler, Benedikt, Colen, Rivka, Kotrotsou, Aikaterini, Lamontagne, Pamela, Marcus, Daniel, Milchenko, Mikhail, Nazeri, Arash, Weber, Marc-Andre, Mahajan, Abhishek, Baid, Ujjwal, Gerstner, Elizabeth, Kwon, Dongjin, Acharya, Gagan, Agarwal, Manu, Alam, Mahbubul, Albiol, Alberto, Albiol, Antonio, Albiol, Francisco J, Alex, Varghese, Allinson, Nigel, Amorim, Pedro HA, Amrutkar, Abhijit, Anand, Ganesh, Andermatt, Simon, Arbel, Tal, Arbelaez, Pablo, Avery, Aaron, Azmat, Muneeza, Pranjal, B, Bai, W, Banerjee, Subhashis, Barth, Bill, Batchelder, Thomas, Batmanghelich, Kayhan, Battistella, Enzo, Beers, Andrew, Belyaev, Mikhail, Bendszus, Martin, Benson, Eze, Bernal, Jose, Bharath, Halandur Nagaraja, Biros, George, Bisdas, Sotirios, Brown, James, Cabezas, Mariano, Cao, Shilei, Cardoso, Jorge M, Carver, Eric N, Casamitjana, Adrià, Castillo, Laura Silvana, Catà, Marcel, Cattin, Philippe, Cerigues, Albert, Chagas, Vinicius S, Chandra, Siddhartha, Chang, Yi-Ju, Chang, Shiyu, Chang, Ken, Chazalon, Joseph, Chen, Shengcong, Chen, Wei, Chen, Jefferson W, Chen, Zhaolin, Cheng, Kun, Choudhury, Ahana Roy, Chylla, Roger, Clérigues, Albert, Colleman, Steven, Colmeiro, Ramiro German Rodriguez, Combalia, Marc, Costa, Anthony, Cui, Xiaomeng, Dai, Zhenzhen, Dai, Lutao, Daza, Laura Alexandra, Deutsch, Eric, Ding, Changxing, Dong, Chao, Dong, Shidu, Dudzik, Wojciech, Eaton-Rosen, Zach, Egan, Gary, Escudero, Guilherme, Estienne, Théo, Everson, Richard, Fabrizio, Jonathan, Fan, Yong, Fang, Longwei, Feng, Xue, Ferrante, Enzo, Fidon, Lucas, Fischer, Martin, French, Andrew P, Fridman, Naomi, Fu, Huan, Fuentes, David, Gao, Yaozong, Gates, Evan, Gering, David, Gholami, Amir, Gierke, Willi, Glocker, Ben, Gong, Mingming, González-Villá, Sandra, Grosges, T, Guan, Yuanfang, Guo, Sheng, Gupta, Sudeep, Han, Woo-Sup, Han, Il Song, Harmuth, Konstantin, He, Huiguang, Hernández-Sabaté, Aura, Herrmann, Evelyn, Himthani, Naveen, Hsu, Winston, Hsu, Cheyu, Hu, Xiaojun, Hu, Xiaobin, Hu, Yan, Hu, Yifan, Hua, Rui, Huang, Teng-Yi, Huang, Weilin, Huffel, Sabine Van, Huo, Quan, Vivek, HV, Iftekharuddin, Khan M, Isensee, Fabian, Islam, Mobarakol, Jackson, Aaron S, Jambawalikar, Sachin R, Jesson, Andrew, Jian, Weijian, Jin, Peter, Jose, V Jeya Maria, Jungo, Alain, Kainz, B, Kamnitsas, Konstantinos, Kao, Po-Yu, Karnawat, Ayush, Kellermeier, Thomas, Kermi, Adel, Keutzer, Kurt, Khadir, Mohamed Tarek, Khened, Mahendra, Kickingereder, Philipp, Kim, Geena, King, Nik, Knapp, Haley, Knecht, Urspeter, Kohli, Lisa, Kong, Deren, Kong, Xiangmao, Koppers, Simon, Kori, Avinash, Krishnamurthi, Ganapathy, Krivov, Egor, Kumar, Piyush, Kushibar, Kaisar, Lachinov, Dmitrii, Lambrou, Tryphon, Lee, Joon, Lee, Chengen, Lee, Yuehchou, Lee, M, Lefkovits, Szidonia, Lefkovits, Laszlo, Levitt, James, Li, Tengfei, Li, Hongwei, Li, Wenqi, Li, Hongyang, Li, Xiaochuan, Li, Yuexiang, Li, Heng, Li, Zhenye, Li, Xiaoyu, Li, Zeju, Li, XiaoGang, Lin, Zheng-Shen, Lin, Fengming, Lio, Pietro, Liu, Chang, Liu, Boqiang, Liu, Xiang, Liu, Mingyuan, Liu, Ju, Liu, Luyan, Llado, Xavier, Lopez, Marc Moreno, Lorenzo, Pablo Ribalta, Lu, Zhentai, Luo, Lin, Luo, Zhigang, Ma, Jun, Ma, Kai, Mackie, Thomas, Madabushi, Anant, Mahmoudi, Issam, Maier-Hein, Klaus H, Maji, Pradipta, Mammen, CP, Mang, Andreas, Manjunath, BS, Marcinkiewicz, Michal, McDonagh, S, McKenna, Stephen, McKinley, Richard, Mehl, Miriam, Mehta, Sachin, Mehta, Raghav, Meier, Raphael, Meinel, Christoph, Merhof, Dorit, Meyer, Craig, Miller, Robert, Mitra, Sushmita, Moiyadi, Aliasgar, Molina-Garcia, David, Monteiro, Miguel AB, Mrukwa, Grzegorz, Myronenko, Andriy, Nalepa, Jakub, Ngo, Thuyen, Nie, Dong, Ning, Holly, Niu, Chen, Nuechterlein, Nicholas K, Oermann, Eric, Oliveira, Arlindo, Oliveira, Diego DC, Oliver, Arnau, Osman, Alexander FI, Ou, Yu-Nian, Ourselin, Sebastien, Paragios, Nikos, Park, Moo Sung, Paschke, Brad, Pauloski, J Gregory, Pawar, Kamlesh, Pawlowski, Nick, Pei, Linmin, Peng, Suting, Pereira, Silvio M, Perez-Beteta, Julian, Perez-Garcia, Victor M, Pezold, Simon, Pham, Bao, Phophalia, Ashish, Piella, Gemma, Pillai, GN, Piraud, Marie, Pisov, Maxim, Popli, Anmol, Pound, Michael P, Pourreza, Reza, Prasanna, Prateek, Prkovska, Vesna, Pridmore, Tony P, Puch, Santi, Puybareau, Élodie, Qian, Buyue, Qiao, Xu, Rajchl, Martin, Rane, Swapnil, Rebsamen, Michael, Ren, Hongliang, Ren, Xuhua, Revanuru, Karthik, Rezaei, Mina, Rippel, Oliver, Rivera, Luis Carlos, Robert, Charlotte, Rosen, Bruce, Rueckert, Daniel, Safwan, Mohammed, Salem, Mostafa, Salvi, Joaquim, Sanchez, Irina, Sánchez, Irina, Santos, Heitor M, Sartor, Emmett, Schellingerhout, Dawid, Scheufele, Klaudius, Scott, Matthew R, Scussel, Artur A, Sedlar, Sara, Serrano-Rubio, Juan Pablo, Shah, N Jon, Shah, Nameetha, Shaikh, Mazhar, Shankar, B Uma, Shboul, Zeina, Shen, Haipeng, Shen, Dinggang, Shen, Linlin, Shen, Haocheng, Shenoy, Varun, Shi, Feng, Shin, Hyung Eun, Shu, Hai, Sima, Diana, Sinclair, M, Smedby, Orjan, Snyder, James M, Soltaninejad, Mohammadreza, Song, Guidong, Soni, Mehul, Stawiaski, Jean, Subramanian, Shashank, Sun, Li, Sun, Roger, Sun, Jiawei, Sun, Kay, Sun, Yu, Sun, Guoxia, Sun, Shuang, Suter, Yannick R, Szilagyi, Laszlo, Talbar, Sanjay, Tao, Dacheng, Teng, Zhongzhao, Thakur, Siddhesh, Thakur, Meenakshi H, Tharakan, Sameer, Tiwari, Pallavi, Tochon, Guillaume, Tran, Tuan, Tsai, Yuhsiang M, Tseng, Kuan-Lun, Tuan, Tran Anh, Turlapov, Vadim, Tustison, Nicholas, Vakalopoulou, Maria, Valverde, Sergi, Vanguri, Rami, Vasiliev, Evgeny, Ventura, Jonathan, Vera, Luis, Vercauteren, Tom, Verrastro, CA, Vidyaratne, Lasitha, Vilaplana, Veronica, Vivekanandan, Ajeet, Wang, Guotai, Wang, Qian, Wang, Chiatse J, Wang, Weichung, Wang, Duo, Wang, Ruixuan, Wang, Yuanyuan, Wang, Chunliang, Wen, Ning, Wen, Xin, Weninger, Leon, Wick, Wolfgang, Wu, Shaocheng, Wu, Qiang, Wu, Yihong, Xia, Yong, Xu, Yanwu, Xu, Xiaowen, Xu, Peiyuan, Yang, Tsai-Ling, Yang, Xiaoping, Yang, Hao-Yu, Yang, Junlin, Yang, Haojin, Yang, Guang, Yao, Hongdou, Ye, Xujiong, Yin, Changchang, Young-Moxon, Brett, Yu, Jinhua, Yue, Xiangyu, Zhang, Songtao, Zhang, Angela, Zhang, Kun, Zhang, Xuejie, Zhang, Lichi, Zhang, Xiaoyue, Zhang, Yazhuo, Zhang, Lei, Zhang, Jianguo, Zhang, Xiang, Zhang, Tianhao, Zhao, Sicheng, Zhao, Yu, Zhao, Xiaomei, Zhao, Liang, Zheng, Yefeng, Zhong, Liming, Zhou, Chenhong, Zhou, Xiaobing, Zhou, Fan, Zhu, Hongtu, Zhu, Jin, Zhuge, Ying, Zong, Weiwei, Kalpathy-Cramer, Jayashree, Farahani, Keyvan, Davatzikos, Christos, Leemput, Koen Van, and Menze, Bjoern

Subjects
FOS: Computer and information sciences, Computer Science - Machine Learning, Artificial Intelligence (cs.AI), Computer Science - Artificial Intelligence, Statistics - Machine Learning, Computer Vision and Pattern Recognition (cs.CV), cs.LG, Computer Science - Computer Vision and Pattern Recognition, Machine Learning (stat.ML), cs.AI, stat.ML, cs.CV, Machine Learning (cs.LG)
Abstract

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., Comment: The International Multimodal Brain Tumor Segmentation (BraTS) Challenge

Published
2018
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