Automated Ensemble-Based Segmentation of Adult Brain Tumors: A Novel Approach Using the BraTS AFRICA Challenge Data

Brain tumors, particularly glioblastoma, continue to challenge medical diagnostics and treatments globally. This paper explores the application of deep learning to multi-modality magnetic resonance imaging (MRI) data for enhanced brain tumor segmentation precision in the Sub-Saharan Africa patient population. We introduce an ensemble method that comprises eleven unique variations based on three core architectures: UNet3D, ONet3D, SphereNet3D and modified loss functions. The study emphasizes the need for both age- and population-based segmentation models, to fully account for the complexities in the brain. Our findings reveal that the ensemble approach, combining different architectures, outperforms single models, leading to improved evaluation metrics. Specifically, the results exhibit Dice scores of 0.82, 0.82, and 0.87 for enhancing tumor, tumor core, and whole tumor labels respectively. These results underline the potential of tailored deep learning techniques in precisely segmenting brain tumors and lay groundwork for future work to fine-tune models and assess performance across different brain regions.