Glioblastoma tumor segmentation using an ensemble of vision transformers

Glioblastoma is one of the most aggressive and deadliest types of brain cancer with low survival rates. Analysis of Magnetic Resonance Imaging (MRI) scans is one of the most effective methods for the diagnosis and treatment of brain cancers such as glioblastoma. Accurate tumor segmentation in MRI images is often required for treatment planning and risk assessment of treatment methods. We propose a novel pipeline, Brain Radiology Aided by Intelligent Neural NETworks (BRAINNET), which leverages MaskFormer, a vision transformer model, and generates robust tumor segmentation masks. We use an ensemble of predictions from models separately trained on each of the three orthogonal 2D slice directions (axial, sagittal, and coronal) of a 3D brain MRI volume. We train and test our models on the publicly available UPenn-GBM dataset, consisting of 3D multi-parametric MRI (mpMRI) scans from 611 subjects. Using Dice coefficient (DC) and 95% Hausdorff distance (HD) for evaluation, our models achieved state-of-the-art results in segmenting all three different tumor regions -- tumor core (DC = 0.894, HD = 2.308), whole tumor (DC = 0.891, HD = 3.552), and enhancing tumor (DC = 0.812, HD = 1.608).