A Voxel-Wise Uncertainty-Guided Framework for Glioma Segmentation Using Spherical Projection-Based U-Net and Localized Refinement in Multi-Parametric MRI

Fuente: arXiv
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Autores principales: Yang, Zhenyu, Yang, Chen, Zhang, Rihui, Chen, Minbin, Wang, Chunhao, Yin, Fang-Fang
Formato: Preprint
Publicado: 2025
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author Yang, Zhenyu
Yang, Chen
Zhang, Rihui
Chen, Minbin
Wang, Chunhao
Yin, Fang-Fang
author_facet Yang, Zhenyu
Yang, Chen
Zhang, Rihui
Chen, Minbin
Wang, Chunhao
Yin, Fang-Fang
contents Purpose: Accurate segmentation of glioma subregions in multi-parametric MRI (MP-MRI) is essential for diagnosis and treatment planning but remains challenging due to tumor heterogeneity and ambiguous boundaries. This study proposes an uncertainty-guided hybrid framework integrating spherical projection-based 2D modeling with targeted 3D refinement to enhance segmentation accuracy and interpretability. Methods: Using the BraTS2020 dataset (369 patients, four-modality MP-MRI), three 2D U-Nets were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT). Voxel-wise uncertainty was quantified via a spherical projection-based 2D nnU-Net, capturing prediction variance across deformed inputs. A 3D sliding window was used to identify high-uncertainty regions, which were refined using a dedicated 3D nnU-Net. Final outputs combined 2D and 3D predictions through a weighted fusion optimized via Particle Swarm Optimization. Results: The proposed method outperformed standalone 2D and 3D baselines, achieving Dice scores of 0.8124 (ET), 0.7499 (TC), and 0.9055 (WT), with consistent gains in sensitivity and visual coherence. Conclusion: This work presents a novel uncertainty-aware segmentation strategy that adaptively integrates 2D and 3D modeling. By focusing refinement on ambiguous regions, it improves both efficiency and accuracy, offering broad applicability to precision neuro-oncology and other high-stakes medical imaging tasks.
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id arxiv_https___arxiv_org_abs_2507_15622
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Voxel-Wise Uncertainty-Guided Framework for Glioma Segmentation Using Spherical Projection-Based U-Net and Localized Refinement in Multi-Parametric MRI
Yang, Zhenyu
Yang, Chen
Zhang, Rihui
Chen, Minbin
Wang, Chunhao
Yin, Fang-Fang
Medical Physics
Purpose: Accurate segmentation of glioma subregions in multi-parametric MRI (MP-MRI) is essential for diagnosis and treatment planning but remains challenging due to tumor heterogeneity and ambiguous boundaries. This study proposes an uncertainty-guided hybrid framework integrating spherical projection-based 2D modeling with targeted 3D refinement to enhance segmentation accuracy and interpretability. Methods: Using the BraTS2020 dataset (369 patients, four-modality MP-MRI), three 2D U-Nets were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT). Voxel-wise uncertainty was quantified via a spherical projection-based 2D nnU-Net, capturing prediction variance across deformed inputs. A 3D sliding window was used to identify high-uncertainty regions, which were refined using a dedicated 3D nnU-Net. Final outputs combined 2D and 3D predictions through a weighted fusion optimized via Particle Swarm Optimization. Results: The proposed method outperformed standalone 2D and 3D baselines, achieving Dice scores of 0.8124 (ET), 0.7499 (TC), and 0.9055 (WT), with consistent gains in sensitivity and visual coherence. Conclusion: This work presents a novel uncertainty-aware segmentation strategy that adaptively integrates 2D and 3D modeling. By focusing refinement on ambiguous regions, it improves both efficiency and accuracy, offering broad applicability to precision neuro-oncology and other high-stakes medical imaging tasks.
title A Voxel-Wise Uncertainty-Guided Framework for Glioma Segmentation Using Spherical Projection-Based U-Net and Localized Refinement in Multi-Parametric MRI
topic Medical Physics
url https://arxiv.org/abs/2507.15622