MRI brain tumor medical images analysis using deep learning techniques: a systematic review

CNN-based glioma detection in MRI: A deep learning approach

BACKGROUND

More than a million people are affected by brain tumors each year; high-grade gliomas (HGGs) and low-grade gliomas (LGGs) present serious diagnostic and treatment hurdles, resulting in shortened life expectancies. Glioma segmentation is still a significant difficulty in clinical settings, despite improvements in Magnetic Resonance Imaging (MRI) and diagnostic tools. Convolutional neural networks (CNNs) have seen recent advancements that offer promise for increasing segmentation accuracy, addressing the pressing need for improved diagnostic and therapeutic approaches.

OBJECTIVE

The study intended to develop an automated glioma segmentation algorithm using CNN to accurately identify tumor components in MRI images. The goal was to match the accuracy of experienced radiologists with commercial instruments, hence improving diagnostic precision and quantification.

METHODS

285 MRI scans of high-grade gliomas (HGGs) and low-grade gliomas (LGGs) were analyzed in the study. T1-weighted sequences were utilised for segmentation both pre-and post-contrast agent administration, along with T2-weighted sequences (with and without Fluid Attenuation by Inversion Recovery [FAIRE]). The segmentation performance was assessed with a U-Net network, renowned for its efficacy in medical image segmentation. DICE coefficients were computed for the tumour core with contrast enhancement, the entire tumour, and the tumour nucleus without contrast enhancement.

RESULTS

The U-Net network produced DICE values of 0.7331 for the tumour core with contrast enhancement, 0.8624 for the total tumour, and 0.7267 for the tumour nucleus without contrast enhancement. The results align with previous studies, demonstrating segmentation accuracy on par with professional radiologists and commercially accessible segmentation tools.

CONCLUSION

The study developed a CNN-based automated segmentation system for gliomas, achieving high accuracy in recognising glioma components in MRI images. The results confirm the ability of CNNs to enhance the accuracy of brain tumour diagnoses, suggesting a promising avenue for future research in medical imaging and diagnostics. This advancement is expected to improve diagnostic processes for clinicians and patients by providing more precise and quantitative results.

Self-attention-based generative adversarial network optimized with color harmony algorithm for brain tumor classification

This paper proposes a novel approach, BTC-SAGAN-CHA-MRI, for the classification of brain tumors using a SAGAN optimized with a Color Harmony Algorithm. Brain cancer, with its high fatality rate worldwide, especially in the case of brain tumors, necessitates more accurate and efficient classification methods. While existing deep learning approaches for brain tumor classification have been suggested, they often lack precision and require substantial computational time.The proposed method begins by gathering input brain MR images from the BRATS dataset, followed by a pre-processing step using a Mean Curvature Flow-based approach to eliminate noise. The pre-processed images then undergo the Improved Non-Sub sampled Shearlet Transform (INSST) for extracting radiomic features. These features are fed into the SAGAN, which is optimized with a Color Harmony Algorithm to categorize the brain images into different tumor types, including Gliomas, Meningioma, and Pituitary tumors. This innovative approach shows promise in enhancing the precision and efficiency of brain tumor classification, holding potential for improved diagnostic outcomes in the field of medical imaging. The accuracy acquired for the brain tumor identification from the proposed method is 99.29%. The proposed BTC-SAGAN-CHA-MRI technique achieves 18.29%, 14.09% and 7.34% higher accuracy and 67.92%,54.04%, and 59.08% less Computation Time when analyzed to the existing models, like Brain tumor diagnosis utilizing deep learning convolutional neural network with transfer learning approach (BTC-KNN-SVM-MRI); M3BTCNet: multi model brain tumor categorization under metaheuristic deep neural network features optimization (BTC-CNN-DEMFOA-MRI), and efficient method depending upon hierarchical deep learning neural network classifier for brain tumour categorization (BTC-Hie DNN-MRI) respectively.

Medical image analysis using deep learning algorithms

In the field of medical image analysis within deep learning (DL), the importance of employing advanced DL techniques cannot be overstated. DL has achieved impressive results in various areas, making it particularly noteworthy for medical image analysis in healthcare. The integration of DL with medical image analysis enables real-time analysis of vast and intricate datasets, yielding insights that significantly enhance healthcare outcomes and operational efficiency in the industry. This extensive review of existing literature conducts a thorough examination of the most recent deep learning (DL) approaches designed to address the difficulties faced in medical healthcare, particularly focusing on the use of deep learning algorithms in medical image analysis. Falling all the investigated papers into five different categories in terms of their techniques, we have assessed them according to some critical parameters. Through a systematic categorization of state-of-the-art DL techniques, such as Convolutional Neural Networks (CNNs), Recurrent Neural Networks (RNNs), Generative Adversarial Networks (GANs), Long Short-term Memory (LSTM) models, and hybrid models, this study explores their underlying principles, advantages, limitations, methodologies, simulation environments, and datasets. Based on our results, Python was the most frequent programming language used for implementing the proposed methods in the investigated papers. Notably, the majority of the scrutinized papers were published in 2021, underscoring the contemporaneous nature of the research. Moreover, this review accentuates the forefront advancements in DL techniques and their practical applications within the realm of medical image analysis, while simultaneously addressing the challenges that hinder the widespread implementation of DL in image analysis within the medical healthcare domains. These discerned insights serve as compelling impetuses for future studies aimed at the progressive advancement of image analysis in medical healthcare research. The evaluation metrics employed across the reviewed articles encompass a broad spectrum of features, encompassing accuracy, sensitivity, specificity, F-score, robustness, computational complexity, and generalizability.

Ten quick tips for computational analysis of medical images

Medical imaging is a great asset for modern medicine, since it allows physicians to spatially interrogate a disease site, resulting in precise intervention for diagnosis and treatment, and to observe particular aspect of patients' conditions that otherwise would not be noticeable. Computational analysis of medical images, moreover, can allow the discovery of disease patterns and correlations among cohorts of patients with the same disease, thus suggesting common causes or providing useful information for better therapies and cures. Machine learning and deep learning applied to medical images, in particular, have produced new, unprecedented results that can pave the way to advanced frontiers of medical discoveries. While computational analysis of medical images has become easier, however, the possibility to make mistakes or generate inflated or misleading results has become easier, too, hindering reproducibility and deployment. In this article, we provide ten quick tips to perform computational analysis of medical images avoiding common mistakes and pitfalls that we noticed in multiple studies in the past. We believe our ten guidelines, if taken into practice, can help the computational-medical imaging community to perform better scientific research that eventually can have a positive impact on the lives of patients worldwide.

Brain Tumor Detection and Classification Using Deep Learning and Sine-Cosine Fitness Grey Wolf Optimization

Diagnosing a brain tumor takes a long time and relies heavily on the radiologist's abilities and experience. The amount of data that must be handled has increased dramatically as the number of patients has increased, making old procedures both costly and ineffective. Many researchers investigated a variety of algorithms for detecting and classifying brain tumors that were both accurate and fast. Deep Learning (DL) approaches have recently been popular in developing automated systems capable of accurately diagnosing or segmenting brain tumors in less time. DL enables a pre-trained Convolutional Neural Network (CNN) model for medical images, specifically for classifying brain cancers. The proposed Brain Tumor Classification Model based on CNN (BCM-CNN) is a CNN hyperparameters optimization using an adaptive dynamic sine-cosine fitness grey wolf optimizer (ADSCFGWO) algorithm. There is an optimization of hyperparameters followed by a training model built with Inception-ResnetV2. The model employs commonly used pre-trained models (Inception-ResnetV2) to improve brain tumor diagnosis, and its output is a binary 0 or 1 (0: Normal, 1: Tumor). There are primarily two types of hyperparameters: (i) hyperparameters that determine the underlying network structure; (ii) a hyperparameter that is responsible for training the network. The ADSCFGWO algorithm draws from both the sine cosine and grey wolf algorithms in an adaptable framework that uses both algorithms' strengths. The experimental results show that the BCM-CNN as a classifier achieved the best results due to the enhancement of the CNN's performance by the CNN optimization's hyperparameters. The BCM-CNN has achieved 99.98% accuracy with the BRaTS 2021 Task 1 dataset.

Popular deep learning algorithms for disease prediction: a review

Due to its automatic feature learning ability and high performance, deep learning has gradually become the mainstream of artificial intelligence in recent years, playing a role in many fields. Especially in the medical field, the accuracy rate of deep learning even exceeds that of doctors. This paper introduces several deep learning algorithms: Artificial Neural Network (NN), FM-Deep Learning, Convolutional NN and Recurrent NN, and expounds their theory, development history and applications in disease prediction; we analyze the defects in the current disease prediction field and give some current solutions; our paper expounds the two major trends in the future disease prediction and medical field-integrating Digital Twins and promoting precision medicine. This study can better inspire relevant researchers, so that they can use this article to understand related disease prediction algorithms and then make better related research.

Study and analysis of different segmentation methods for brain tumor MRI application

Medical Resonance Imaging (MRI) is one of the preferred imaging methods for brain tumor diagnosis and getting detailed information on tumor type, location, size, identification, and detection. Segmentation divides an image into multiple segments and describes the separation of the suspicious region from pre-processed MRI images to make the simpler image that is more meaningful and easier to examine. There are many segmentation methods, embedded with detection devices, and the response of each method is different. The study article focuses on comparing the performance of several image segmentation algorithms for brain tumor diagnosis, such as Otsu's, watershed, level set, K-means, HAAR Discrete Wavelet Transform (DWT), and Convolutional Neural Network (CNN). All of the techniques are simulated in MATLAB using online images from the Brain Tumor Image Segmentation Benchmark (BRATS) dataset-2018. The performance of these methods is analyzed based on response time and measures such as recall, precision, F-measures, and accuracy. The measured accuracy of Otsu's, watershed, level set, K-means, DWT, and CNN methods is 71.42%, 78.26%, 80.45%, 84.34%, 86.95%, and 91.39 respectively. The response time of CNN is 2.519 s in the MATLAB simulation environment for the designed algorithm. The novelty of the work is that CNN has been proven the best algorithm in comparison to all other methods for brain tumor image segmentation. The simulated and estimated parameters provide the direction to researchers to choose the specific algorithm for embedded hardware solutions and develop the optimal machine-learning models, as the industries are looking for the optimal solutions of CNN and deep learning-based hardware models for the brain tumor.

Gaps and Opportunities of Artificial Intelligence Applications for Pediatric Oncology in European Research: A Systematic Review of Reviews and a Bibliometric Analysis

The application of artificial intelligence (AI) systems is emerging in many fields in recent years, due to the increased computing power available at lower cost. Although its applications in various branches of medicine, such as pediatric oncology, are many and promising, its use is still in an embryonic stage. The aim of this paper is to provide an overview of the state of the art regarding the AI application in pediatric oncology, through a systematic review of systematic reviews, and to analyze current trends in Europe, through a bibliometric analysis of publications written by European authors. Among 330 records found, 25 were included in the systematic review. All papers have been published since 2017, demonstrating only recent attention to this field. The total number of studies included in the selected reviews was 674, with a third including an author with a European affiliation. In bibliometric analysis, 304 out of the 978 records found were included. Similarly, the number of publications began to dramatically increase from 2017. Most explored AI applications regard the use of diagnostic images, particularly radiomics, as well as the group of neoplasms most involved are the central nervous system tumors. No evidence was found regarding the use of AI for process mining, clinical pathway modeling, or computer interpreted guidelines to improve the healthcare process. No robust evidence is yet available in any of the domains investigated by systematic reviews. However, the scientific production in Europe is significant and consistent with the topics covered in systematic reviews at the global level. The use of AI in pediatric oncology is developing rapidly with promising results, but numerous gaps and challenges persist to validate its utilization in clinical practice. An important limitation is the need for large datasets for training algorithms, calling for international collaborative studies.