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Main Authors: Cepeda, Santiago, Esteban-Sinovas, Olga, Romero, Roberto, Singh, Vikas, Shetty, Prakash, Moiyadi, Aliasgar, Zemmoura, Ilyess, Giammalva, Giuseppe Roberto, Del Bene, Massimiliano, Barbotti, Arianna, DiMeco, Francesco, West, Timothy R., Nahed, Brian V., Arrese, Ignacio, Hornero, Roberto, Sarabia, Rosario
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2501.15994
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author Cepeda, Santiago
Esteban-Sinovas, Olga
Romero, Roberto
Singh, Vikas
Shetty, Prakash
Moiyadi, Aliasgar
Zemmoura, Ilyess
Giammalva, Giuseppe Roberto
Del Bene, Massimiliano
Barbotti, Arianna
DiMeco, Francesco
West, Timothy R.
Nahed, Brian V.
Arrese, Ignacio
Hornero, Roberto
Sarabia, Rosario
author_facet Cepeda, Santiago
Esteban-Sinovas, Olga
Romero, Roberto
Singh, Vikas
Shetty, Prakash
Moiyadi, Aliasgar
Zemmoura, Ilyess
Giammalva, Giuseppe Roberto
Del Bene, Massimiliano
Barbotti, Arianna
DiMeco, Francesco
West, Timothy R.
Nahed, Brian V.
Arrese, Ignacio
Hornero, Roberto
Sarabia, Rosario
contents Intraoperative ultrasound (ioUS) is a valuable tool in brain tumor surgery due to its versatility, affordability, and seamless integration into the surgical workflow. However, its adoption remains limited, primarily because of the challenges associated with image interpretation and the steep learning curve required for effective use. This study aimed to enhance the interpretability of ioUS images by developing a real-time brain tumor detection system deployable in the operating room. We collected 2D ioUS images from the Brain Tumor Intraoperative Database (BraTioUS) and the public ReMIND dataset, annotated with expert-refined tumor labels. Using the YOLO11 architecture and its variants, we trained object detection models to identify brain tumors. The dataset included 1,732 images from 192 patients, divided into training, validation, and test sets. Data augmentation expanded the training set to 11,570 images. In the test dataset, YOLO11s achieved the best balance of precision and computational efficiency, with a mAP@50 of 0.95, mAP@50-95 of 0.65, and a processing speed of 34.16 frames per second. The proposed solution was prospectively validated in a cohort of 15 consecutively operated patients diagnosed with brain tumors. Neurosurgeons confirmed its seamless integration into the surgical workflow, with real-time predictions accurately delineating tumor regions. These findings highlight the potential of real-time object detection algorithms to enhance ioUS-guided brain tumor surgery, addressing key challenges in interpretation and providing a foundation for future development of computer vision-based tools for neuro-oncological surgery.
format Preprint
id arxiv_https___arxiv_org_abs_2501_15994
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Real-Time Brain Tumor Detection in Intraoperative Ultrasound Using YOLO11: From Model Training to Deployment in the Operating Room
Cepeda, Santiago
Esteban-Sinovas, Olga
Romero, Roberto
Singh, Vikas
Shetty, Prakash
Moiyadi, Aliasgar
Zemmoura, Ilyess
Giammalva, Giuseppe Roberto
Del Bene, Massimiliano
Barbotti, Arianna
DiMeco, Francesco
West, Timothy R.
Nahed, Brian V.
Arrese, Ignacio
Hornero, Roberto
Sarabia, Rosario
Image and Video Processing
Computer Vision and Pattern Recognition
Intraoperative ultrasound (ioUS) is a valuable tool in brain tumor surgery due to its versatility, affordability, and seamless integration into the surgical workflow. However, its adoption remains limited, primarily because of the challenges associated with image interpretation and the steep learning curve required for effective use. This study aimed to enhance the interpretability of ioUS images by developing a real-time brain tumor detection system deployable in the operating room. We collected 2D ioUS images from the Brain Tumor Intraoperative Database (BraTioUS) and the public ReMIND dataset, annotated with expert-refined tumor labels. Using the YOLO11 architecture and its variants, we trained object detection models to identify brain tumors. The dataset included 1,732 images from 192 patients, divided into training, validation, and test sets. Data augmentation expanded the training set to 11,570 images. In the test dataset, YOLO11s achieved the best balance of precision and computational efficiency, with a mAP@50 of 0.95, mAP@50-95 of 0.65, and a processing speed of 34.16 frames per second. The proposed solution was prospectively validated in a cohort of 15 consecutively operated patients diagnosed with brain tumors. Neurosurgeons confirmed its seamless integration into the surgical workflow, with real-time predictions accurately delineating tumor regions. These findings highlight the potential of real-time object detection algorithms to enhance ioUS-guided brain tumor surgery, addressing key challenges in interpretation and providing a foundation for future development of computer vision-based tools for neuro-oncological surgery.
title Real-Time Brain Tumor Detection in Intraoperative Ultrasound Using YOLO11: From Model Training to Deployment in the Operating Room
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2501.15994