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Main Authors: Biller, Valentin, Bubeck, Niklas, Zimmer, Lucas, Erdur, Ayhan Can, Nagar, Sandeep, Meyer-Baese, Anke, Rückert, Daniel, Wiestler, Benedikt, Weidner, Jonas
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2603.04058
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author Biller, Valentin
Bubeck, Niklas
Zimmer, Lucas
Erdur, Ayhan Can
Nagar, Sandeep
Meyer-Baese, Anke
Rückert, Daniel
Wiestler, Benedikt
Weidner, Jonas
author_facet Biller, Valentin
Bubeck, Niklas
Zimmer, Lucas
Erdur, Ayhan Can
Nagar, Sandeep
Meyer-Baese, Anke
Rückert, Daniel
Wiestler, Benedikt
Weidner, Jonas
contents Glioblastoma exhibits diverse, infiltrative, and patient-specific growth patterns that are only partially visible on routine MRI, making it difficult to reliably assess true tumor extent and personalize treatment planning and follow-up. We present a biophysically-conditioned generative framework that synthesizes biologically realistic 3D brain MRI volumes from estimated, spatially continuous tumor-concentration fields. Our approach combines a generative model with tumor-infiltration maps that can be propagated through time using a biophysical growth model, enabling fine-grained control over tumor shape and growth while preserving patient anatomy. This enables us to synthesize consistent tumor growth trajectories directly in the space of real patients, providing interpretable, controllable estimation of tumor infiltration and progression beyond what is explicitly observed in imaging. We evaluate the framework on longitudinal glioblastoma cases and demonstrate that it can generate temporally coherent sequences with realistic changes in tumor appearance and surrounding tissue response. These results suggest that integrating mechanistic tumor growth priors with modern generative modeling can provide a practical tool for patient-specific progression visualization and for generating controlled synthetic data to support downstream neuro-oncology workflows. In longitudinal extrapolation, we achieve a consistent 75% Dice overlap with the biophysical model while maintaining a constant PSNR of 25 in the surrounding tissue. Our code is available at: https://github.com/valentin-biller/lgm.git
format Preprint
id arxiv_https___arxiv_org_abs_2603_04058
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle TumorFlow: Physics-Guided Longitudinal MRI Synthesis of Glioblastoma Growth
Biller, Valentin
Bubeck, Niklas
Zimmer, Lucas
Erdur, Ayhan Can
Nagar, Sandeep
Meyer-Baese, Anke
Rückert, Daniel
Wiestler, Benedikt
Weidner, Jonas
Computer Vision and Pattern Recognition
Glioblastoma exhibits diverse, infiltrative, and patient-specific growth patterns that are only partially visible on routine MRI, making it difficult to reliably assess true tumor extent and personalize treatment planning and follow-up. We present a biophysically-conditioned generative framework that synthesizes biologically realistic 3D brain MRI volumes from estimated, spatially continuous tumor-concentration fields. Our approach combines a generative model with tumor-infiltration maps that can be propagated through time using a biophysical growth model, enabling fine-grained control over tumor shape and growth while preserving patient anatomy. This enables us to synthesize consistent tumor growth trajectories directly in the space of real patients, providing interpretable, controllable estimation of tumor infiltration and progression beyond what is explicitly observed in imaging. We evaluate the framework on longitudinal glioblastoma cases and demonstrate that it can generate temporally coherent sequences with realistic changes in tumor appearance and surrounding tissue response. These results suggest that integrating mechanistic tumor growth priors with modern generative modeling can provide a practical tool for patient-specific progression visualization and for generating controlled synthetic data to support downstream neuro-oncology workflows. In longitudinal extrapolation, we achieve a consistent 75% Dice overlap with the biophysical model while maintaining a constant PSNR of 25 in the surrounding tissue. Our code is available at: https://github.com/valentin-biller/lgm.git
title TumorFlow: Physics-Guided Longitudinal MRI Synthesis of Glioblastoma Growth
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2603.04058