Deep Learning Neural Networks for Brain Tumor Diagnosis: A Review

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Literature Review
AI Summary
This literature review explores the application of deep learning neural networks for medical image segmentation in brain tumor diagnosis. It examines several research papers focusing on techniques like integrating Conditional Random Fields (CRFs) with Fully Convolutional Neural Networks (FCNNs) to address challenges in MRI-based tumor segmentation. The review also covers 3D supervoxel-based learning methods for accurate tumor identification and automatic hierarchical tumor segmentation using Extremely Randomized Trees (ERT) to reduce manual segmentation efforts. The studies aim to improve the accuracy and efficiency of brain tumor diagnosis by leveraging advanced image processing and machine learning techniques, ultimately contributing to better treatment planning and patient outcomes. This document is contributed by a student and available on Desklib, a platform that offers study tools and solved assignments for students.
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Literature Review (Secondary Research) Template
Student Name & CSU ID

Project Topic Title
Deep learning neural networks for medical image segmentation of brain tumor diagnosis
Version 1.0 _ Week 1 (5 Journal Papers from CSU Library)

1

Reference in APA format that will be in

'Reference List'

Zhao, X., Wu, Y., Song, G., Li, Z., Zhang, Y., & Fan, Y. (2018). A deep learning model integrating FCNNs and

CRFs for brain tumor segmentation. Medical image analysis, Vol. 43, pp. 98-111.

Citation that will be in the content
(Zhao, et. al., 2018)
URL of the
Reference Level of Journal (Q1, Q2, …Qn) Keywords in this Reference
https://ac-els-cdn-

com.ezproxy.csu.edu.au/

S136184151730141X/1-s2.0-

S136184151730141X-main.pdf?

_tid=2da61e1d-7961-4740-9761-

0599e1e83c8b&acdnat=1532757075_b987

58be0e1f74b440498df61796621d

Q1
Conditional random fields, Brain tumour segmentation, Deep
learning, Fully convolutional neural networks

The Name of the Current Solution

(Technique/ Method/ Scheme/

Algorithm/ Model/ Tool/ Framework/ ...

etc )

The Goal (Objective) of this Solution &

What is the Problem that need to be solved

What are the components of it?

Technique/Algorithm name:
Integrating
Conditional Random Fields (CRFs) and

Fully Conventional Neural Networks

(FCNNs)

Problem:
The efforts have been done for
developing automatic or semi-automatic brain

tumour segmentation techniques and the

preferred method is MRI. However, there are

few challenges of using MRI’s such as gliomas

Voting based fusion method
Image patches
Image Slices
Recurrent Neural Networks (RNNs)
TC1 and TC2 scans
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Tools: 2D image patches, Image slices,
voting based fusion method, BRATS

Applied Area:
Brain tumour diagnosis
treatment and planning

may appear similarly to gliosis and stroke in

MRI

Goal:
The aim is to develop a model based on
deep learning based segmentation model by

using 2D image patches.

The Process (Mechanism) of this Work; The process steps of the Technique/system

Process Steps
Advantage (Purpose of this step) Disadvantage (Limitation/Challenge)
1
Imaging Data:
The first step is to obtain the imaging data from

BRATS 2015, BRATS 2016

It helps to collect basic information about the

MRI results that scans diagnosed patients with

gliomas

Only small volume of data is collected for

analysis

2
Brain tumour segmentation using FCNNs:
In this, the extracted image patches are

categorised by trained CNNs.

It reduces the issue of sample imbalance at the

testing stage

The relationship among the patches can be

lost while using patch-based segmentation

technique

3
Pre-processing of imaging data:
Using robust intensity normalisation technique

in order to compare the MRI scans and using

N41TK for correcting MRI data

By correcting the bias in the MRI data,

accurate results are obtained.

The results may not be accurate if the data is

incorrectly modified.

4
Comparing the results:
The results obtained are compared with the MRI

data for checking the accuracy

It helps to ascertain the viability of using the

proposed method

NA

Validation Criteria (Measurement Criteria)

2
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Dependent Variable Independent Variable
Brain tumour segmentation Voxel’s label
Calculation of standard deviation Collected MRI scans
Input and Output
Critical Thinking: Feature of this work, and
Why (Justify)

Critical Thinking:
Limitations of the research
current solution, and Why (Justify)

Input (Data)
Output (View)
Three segmentation

models are trained by

using 2D image

patches and

segmenting the brain

tumours using voting

based fusion method.

The results indicate

that the proposed

methods eliminate the

bias of MRI scan and

increase the efficiency

of the diagnosis.

The proposed method of training FCNNs and CRFs

helps to differentiate the gliosis and gliomas which

helps to provide appropriate diagnosis for cancer

patients.

The major drawback of applying this technique is

that the segmentation performance of the trained

network gets affected because the numbers of

pixels varies according to their class in the image

slices.

(
Describe the research/current solution) Evaluation Criteria How this research/current solution is valuable
for your project

The current solution that is training FCNNs and

CRFs by using 2D image patches and segmenting

the images obtained from MRI scans.

The accuracy of the results obtained can be

evaluated from examining the scans which provides

appropriate analysis of the status of brain tumour.

There is a growing trend for using advanced

techniques for providing accurate diagnosis for

cancer. This research helps to understand the

techniques that can be used for developing future

technology in medical care.

Diagram/Flowchart

3
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Figure: Flowchart of the proposed deep learning model integrating FCNNs and CRFs for brain tumor segmentation
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Figure: The network structure of deep FCNNs
5
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2
Reference in APA format that will be in

'Reference List'

Soltaninejad, M., Yang, G., Lambrou, T., Allinson, N., Jones, T. L., Barrick, T. R., Howe, F.A., & Ye, X.

(2018). Supervised learning based multimodal MRI brain tumour segmentation using texture features from

supervoxels. Computer methods and programs in biomedicine, Vol. 157, pp. 69-84.

Citation that will be in the content
(Soltaninejad, et. al., 2018)
URL of the
Reference Level of Journal (Q1, Q2, …Qn) Keywords in this Reference
https://ac-els-cdn-

com.ezproxy.csu.edu.au/

S016926071731355X/1-s2.0-

S016926071731355X-main.pdf?

_tid=4a4dd16b-bfb6-41e4-b262-

b20025595ecb&acdnat=1532759931_766b

835216f08196959681dfbbd7ba82

Q1
Diffusion tensor imaging, Supervoxel, Brain tumour
segmentation, Multimodal MRI

The Name of the Current Solution

(Technique/ Method/ Scheme/

Algorithm/ Model/ Tool/ Framework/ ...

etc )

The Goal (Objective) of this Solution &

What is the Problem that need to be solved

What are the components of it?

Technique/Algorithm name:
3D
supervoxel based learning method

Tools:
Generating supervoxels, Gabor
Filters, random forests (RF) classifier

Applied Area:
Brain tumour segmentation
Problem:
Because of numerous types of
tumours types, is becomes difficult for

segmenting the brain tumour in MRI.

Goal:
The aim is to develop a 3D supervoxel
based learning method in order to accurately

identify the type of tumour after conducting

MRI scans.

Multimodal MRI images
Isotropic component
Anisotropic component
Diffusion Tensor Imaging (DTI)
Balanced Error Rate
6
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The Process (Mechanism) of this Work; The process steps of the Technique/system
Process Steps
Advantage (Purpose of this step) Disadvantage (Limitation/Challenge)
1
Generation of Supervoxels:
The multi-model MRI dataset is used for

generating supervoxels

It helps to collect and store the MRI images.
The number of images used for analysing
results are limited

2
Calculating features of Supervoxels:
In this step, the features such as g histograms of

texton descriptor are calculated using Gabor

filters.

This process enables to calculate the features

of each supervoxel of different orientations.

Although MRI data is filtered, the accuracy

of using Gabor filters cannot be justified as

other techniques can be used.

3
Extracting statistical features:
After obtaining the images in the required

format, the statistical features are extracted.

This helps to analyse the MRI data accurately
NA
4
Entering the features in Random Forests
(RF) classifier:

The statistical features are entered into RF

classifier for classifying each supervoxel as

healthy brain tissue, tumour core, and oedema.

By classifying the data, the accuracy of the

results can be enhanced.

NA

Validation Criteria (Measurement Criteria)

Dependent Variable
Independent Variable
Training sample output Structures of randomised tree in RF classifier
Generating supervoxels Data obtained from MRI dataset.
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Input and Output Critical Thinking: Feature of this work, and
Why (Justify)

Critical Thinking:
Limitations of the research
current solution, and Why (Justify)

Input (Data)
Output (View)
The MRI images are

collected for analysis

and supervoxels are

generated. Before

entering the data into

RF classifier, Gabor

Filters are used for

classifying the data.

The results obtained

by performing the

tests indicate that the

images provide

accurate results as to

the condition of the

tumour.

With the increasing number of cases related to brain

tumour, it is essential for developing a technology

which helps to accurately identify the tumours for

providing appropriate diagnosis.

The major drawback of using supervoxel is that

there is a minimum criterion that has to be fulfilled

with regards to its parameters.

(
Describe the research/current solution) Evaluation Criteria How this research/current solution is valuable
for your project

The proposed
3D supervoxel based learning
method helps to eliminate the issues of MRI

scans. This is essential for ascertaining the actual

nature of tumour.

The MRI images are accurately classified as
healthy
brain tissue, tumour core, and oedema which is

helpful while designing the type of diagnosis that is

to be provided to the patients.

3D supervoxel based learning method is a solution

for the issues currently being faced related to MRI

scans. This helps to develop an effective neural

networks and image processing technique.

Diagram/Flowchart

Figure: Flowchart of the proposed multimodal MRI segmentation method for segmentation of brain tumour.

8
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Figure: Flowchart of the multimodal normalization and histogram matching of the
MR dataset

9
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3
Reference in APA format that will be in

'Reference List'

Pinto, A., Pereira, S., Rasteiro, D., & Silva, C. A. (2018). Hierarchical Brain Tumour Segmentation using

Extremely Randomized Trees. Pattern Recognition.

Citation that will be in the content
(Pinto, et. al., 2018)
URL of the
Reference Level of Journal (Q1, Q2, …Qn) Keywords in this Reference
https://ac-els-cdn-

com.ezproxy.csu.edu.au/

S0031320318301699/1-s2.0-

S0031320318301699-main.pdf?

_tid=6cec5e43-2f0c-46c9-941d-

276563fcb78d&acdnat=1532759868_53c8

b955cadbe0e1d6b5046a6a61f0c7

Q1
Magnetic resonance imaging, Extremely randomized trees,
Machine learning, Image segmentation

The Name of the Current Solution

(Technique/ Method/ Scheme/

Algorithm/ Model/ Tool/ Framework/ ...

etc )

The Goal (Objective) of this Solution &

What is the Problem that need to be solved

What are the components of it?

Technique/Algorithm name:
Automatic
hierarchical brain tumour segmentation

using Extremely Randomized Trees (ERT)

Tools:
Binary classification, morphological
refinement, N4ITK method, histogram

matching method

Applied Area:
Brain Tumour
Segmentation

Problem:
MRI is the commonly used method
for identifying gliomas. But this requires

manual segmentation which is difficult as well

as time-consuming task.

Goal:
The aim is to develop an automatic
tumour segmentation technique using

Extremely Randomized Trees for accurate

analysis of the condition of tumour.

BRATS 2013
Bias field distortion
Intensity normalisation
Data augmentation
2-dimensional patches
Tumour detection
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The Process (Mechanism) of this Work; The process steps of the Technique/system
Process Steps
Advantage (Purpose of this step) Disadvantage (Limitation/Challenge)
1
Collecting the data:
The MRI images are collected for analysing the

accuracy of using Extremely Randomized Trees.

It helps to ascertain the accuracy that can be

achieved by using the proposed technique.

A large sample has to be analysed for

accurate analysis of the data.

2
Correcting the image bias:
The imperfections in the MRI images are

corrected using N4ITK method

This minimises the distortions in the images

and enhances the accuracy of the results.

Although the imperfections are reduced, it

does not help to completely eliminate wrong

data.

3
Intensity Normalisation:
The histogram matching method is used during

this stage for ensuring identical intensity

distribution of the same sequence

This enables reducing the differences between

the images

NA

4
Analysis of the data:
The results are compared with existing

techniques used such as T1-weighted, and d

Fluid Attenuation Inversion Recovery

This helps to understand the viability of using

this technique.

NA

Validation Criteria (Measurement Criteria)

Dependent Variable
Independent Variable
Tumour classifications Complexity of the tumour
Calculation of intensities intensity variability of the percentiles of the training images
Input and Output
Critical Thinking: Feature of this work, and Critical Thinking: Limitations of the research
11
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Why (Justify) current solution, and Why (Justify)
Input (Data)
Output (View)
For arriving at the

desired results, the

MRI scan images are

collected. The bias in

the images are

normalised before

entering the same into

Random Forest (RF

classifier).

The output is verified

by considering the

metrics, Positive

Predictive Value,

Dice Similarity

Coefficient and

Sensitivity.

The proposed technique helps to analyse the types

of tumour by eliminating biases. Hence, accuracy of

the diagnosis is ensured.

The intensity range of the necrosis tissues would

have been shifted affecting the training of

classifier.

(
Describe the research/current solution) Evaluation Criteria How this research/current solution is valuable
for your project

The use of the proposed technique reduces the

manual segmentation of tumour tissues thereby

enhancing the accuracy of the results.

The images are clearer and the affected brain area is

highlighted along with corresponding tissues.

The proposed research will help to develop a

novel technique which can be used for developing

advanced methods for detecting brain tumours.

Diagram/Flowchart

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