The paper presents a segmentation pipeline for brain metastases in both pre‑ and post‑treatment cases using a 5‑fold nnU‑Net ResEnc‑L ensemble trained on 1,296 four‑modality cases. A rule‑based post‑processing cascade improves the lesion‑wise Dice similarity coefficient (LW‑DSC) for enhancing tumour, tumour core, whole tumour, and resection cavity sub‑regions, achieving LW‑DSC scores of 0.733, 0.751, 0.713, and 0.549 respectively on the official validation leaderboard. The authors conduct a five‑fold out‑of‑fold analysis to validate the robustness of each post‑processing stage, provide a mechanistic explanation of LW‑DSC behaviour, and report thirteen negative results that challenge common intuitions, with all code released under Apache‑2.0.
By Haobin Liu, Xin Wang
The paper presents a pragmatic segmentation pipeline for brain metastases in the BraTS 2026 Task 1, using a 5‑fold nnU-Net ResEnc‑L ensemble trained for 1,000 epochs on 1,296 four‑modality cases. A rule‑based post‑processing cascade tuned for the lesion‑wise Dice similarity coefficient (LW‑DSC) improves performance, achieving LW‑DSC scores of 0.733, 0.751, 0.713, and 0.549 on enhancing tumour, tumour core, whole tumour, and resection cavity, respectively. The authors audit each post‑processing stage with a five‑fold out‑of‑fold analysis, confirm two stages as robust, and provide a mechanistic analysis of LW‑DSC, along with thirteen negative results that challenge common intuitions.
The paper introduces BiCC, a bidirectional connected-component loss that pairs annotation- and prediction-derived partitions to score predicted components on their own scale. By deriving instances from predictions, BiCC directly penalizes false-positive components regardless of size, allowing a balance parameter to control the lesion-wise precision–recall trade-off. Across five datasets, BiCC outperforms existing instance-aware losses such as CC-DiceCE and blob loss in lesion-wise F1, and improves over DiceCE on multiple datasets.
By Luc Bouteille, Frederic Jonske, Jens Kleesiek, Alexander Jaus
arXiv:2610.01542v1 Announce Type: new
Abstract: Cerebral microbleeds (CMBs) and cortical superficial siderosis (cSS) are imaging markers of cerebral small vessel disease, but their automated segmenta...
By Yuan Cao, Sumeet Dash, Antonia Zachariadis, Stefanie Schreiber, Katja Neumann, Jose Bernal
Segmenting ischemic stroke lesions on T1-weighted (T1w) MRI acquired across different scanners and protocols without intensity standardization is difficult because lesions are subtle and share intensi...
arXiv:2607. 26829v1 Announce Type: cross Abstract: Many high-performing volumetric segmentation models maintain dense multi-scale feature maps, leading to high activation memory and inference cost.
By David Hagerman, Roman Naeem, Fredrik Kahl
arXiv:2608.23882v1 Announce Type: cross
Abstract: Segmenting ischemic stroke lesions on T1-weighted (T1w) MRI acquired across different scanners and protocols without intensity standardization is dif...
By Dexter Wen Jie Teo, Kumaradevan Punithakumar
arXiv:2608.29677v1 Announce Type: cross
Abstract: Despite rapid advances in MIS, fair and reproducible comparisons of segmentation models remain challenging due to heterogeneous datasets, inconsisten...
By Vanessa Borst, Lukas Horn, Daniel Grillmeyer, Thomas Prantl, Samuel Kounev
arXiv:2608. 19769v1 Announce Type: cross Abstract: Fast and accurate segmentation of Acute Ischemic Stroke (AIS) lesions is essential for stroke prognosis and treatment planning.
By Maunil Shah, Vaanathi Sundaresan
arXiv:2609.01554v1 Announce Type: cross
Abstract: Automated lesion segmentation in whole-body PET/CT is complicated by the variety of physiological tracer uptake patterns and by the differing appeara...
By Marven Sherif (Brightskies), Amgad Elmasry (Brightskies), Youssef Ghazal (Brightskies), Ayman Elghotni (Brightskies)
arXiv:2609.24769v1 Announce Type: new
Abstract: Brain metastases are the most common intracranial malignancy, occurring in roughly 30% of patients with primary solid tumors and carrying a median surv...
By Mahdi Islam, Musarrat Tabassum
arXiv:2606. 29102v1 Announce Type: cross Abstract: Jointly learning to segment and classify medical images demands cross-task synergy, yet encoder-sharing architectures limit decoder reconstruction to task-private representations, permanently discarding the boundary cues and semantic priors each branch could supply to the other.
By Abdullah Al Shafi, Md Kawsar Mahmud Khan Zunayed, Safin Ahmmed, Sk Imran Hossain, Engelbert Mephu Nguifo