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Related Experiment Video

Updated: Aug 20, 2025

Live Imaging of Microtubule Dynamics in Glioblastoma Cells Invading the Zebrafish Brain
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Post-operative glioblastoma multiforme segmentation with uncertainty estimation.

Michal Holtzman Gazit1, Rachel Faran1, Kirill Stepovoy1

  • 1Novocure, Haifa, Israel.

Frontiers in Human Neuroscience
|November 21, 2022
PubMed
Summary

Accurate segmentation of post-operative glioblastoma (GBM) is crucial for Tumor Treating Fields (TTFields) planning. This study introduces a novel method using ensemble networks and uncertainty estimation for improved GBM segmentation in post-operative MRI scans.

Keywords:
MRITumor Treating Fieldsglioblastoma multiformsegmentationtreatment planning

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Last Updated: Aug 20, 2025

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence in Medicine
  • Oncology

Background:

  • Accurate segmentation of post-operative glioblastoma multiforme (GBM) is critical for effective Tumor Treating Fields (TTFields) treatment planning.
  • Existing pre-operative segmentation methods show limitations when applied to post-operative GBM MRI scans.

Purpose of the Study:

  • To develop and validate an automated method for segmenting post-operative GBM in MRI scans.
  • To improve the accuracy and efficiency of GBM segmentation for TTFields treatment planning.

Main Methods:

  • An ensemble of segmentation networks combined with Kullback-Leibler divergence for uncertainty estimation.
  • Integration of surgery type and non-tumorous tissue delineation for automated tumor segmentation.
  • Validation using a dataset of 340 enhanced T1 MRI scans and a physician review process.

Main Results:

  • Achieved average Dice scores of 0.81 (whole-tumor), 0.71 (resection), 0.64 (necrotic-core), and 0.68 (enhancing-tissue).
  • Physicians deemed 72% of segmentations acceptable for treatment planning, with an additional 22% requiring minimal manual editing.
  • The developed tool facilitates visualization and rapid editing of segmentation results.

Conclusions:

  • The proposed method enhances post-operative GBM segmentation accuracy and robustness.
  • The integration of uncertainty visualization and editing tools supports clinical viability.
  • This approach can streamline TTFields treatment planning by shortening the segmentation process.