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The early and precise identification of a brain tumour is imperative for enhancing a patient's life expectancy; this can be facilitated by quick and efficient tumour segmentation in medical imaging. Automatic brain tumour segmentation tools in computer vision have integrated powerful deep learning architectures to enable accurate tumour boundary delineation. Our study aims to demonstrate improved segmentation accuracy and higher statistical stability, using datasets obtained from diverse imaging acquisition parameters. This paper introduces a novel, fully automated model called Enhanced Channel Attention Transformer (E-CATBraTS) for Brain Tumour Semantic Segmentation; this model builds upon 3D CATBraTS, a vision transformer employed in magnetic resonance imaging (MRI) brain tumour segmentation tasks. E-CATBraTS integrates convolutional neural networks and Swin Transformer, incorporating channel shuffling and attention mechanisms to effectively segment brain tumours in multi-modal MRI. The model was evaluated on four datasets containing 3137 brain MRI scans. Through the adoption of E-CATBraTS, the accuracy of the results improved significantly on two datasets, outperforming the current state-of-the-art models by a mean DSC of 2.6% while maintaining a high accuracy that is comparable to the top-performing models on the other datasets. The results demonstrate that E-CATBraTS achieves both high segmentation accuracy and elevated generalisation abilities, ensuring the model is robust to dataset variation. [ABSTRACT FROM AUTHOR]

Accurate, quantitative segmentation of anatomical structures in radiological scans, such as Magnetic Resonance Imaging (MRI) and Computer Tomography (CT), can produce significant biomarkers and can be integrated into computer-aided assisted diagnosis (CADx) systems to support the interpretation of medical images from multi-protocol scanners. However, there are serious challenges towards developing robust automated segmentation techniques, including high variations in anatomical structure and size, the presence of edge-based artefacts, and heavy un-controlled breathing that can produce blurred motion-based artefacts. This paper presents a novel computing approach for automatic organ and muscle segmentation in medical images from multiple modalities by harnessing the advantages of deep learning techniques in a two-part process. (1) a 3D encoder-decoder, Rb-UNet, builds a localisation model and a 3D Tiramisu network generates a boundary-preserving segmentation model for each target structure; (2) the fully trained Rb-UNet predicts a 3D bounding box encapsulating the target structure of interest, after which the fully trained Tiramisu model performs segmentation to reveal detailed organ or muscle boundaries. The proposed approach is evaluated on six different datasets, including MRI, Dynamic Contrast Enhanced (DCE) MRI and CT scans targeting the pancreas, liver, kidneys and psoas-muscle and achieves quantitative measures of mean Dice similarity coefficient (DSC) that surpass or are comparable with the state-of-the-art. A qualitative evaluation performed by two independent radiologists verified the preservation of detailed organ and muscle boundaries.