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Symbolic and hybrid AI for brain tissue segmentation using spatial model checking
Gina Belmonte1, Vincenzo Ciancia2, Mieke Massink2
1S. C. Fisica Sanitaria Nord, Azienda Toscana Nord Ovest, Lucca, Italy.
Artificial Intelligence in Medicine
|May 30, 2025
Summary
This study introduces a novel symbolic approach for brain segmentation using spatial model checking, enhancing accuracy and explainability in neuroimaging. The hybrid AI method achieves state-of-the-art results on public datasets, improving tumor delineation efficiency.
Area of Science:
- Medical Image Analysis
- Artificial Intelligence
- Neuroimaging
Background:
- Manual segmentation of 3D medical images, particularly brain tumors, is time-consuming and lacks reproducibility.
- Accurate and explainable segmentation methods are crucial for neuroimaging and radiotherapy applications.
- Current segmentation techniques often struggle to balance accuracy, efficiency, and interpretability.
Purpose of the Study:
- To develop a novel symbolic approach for automated brain segmentation and lesion delineation.
- To create a hybrid AI method combining symbolic logic with machine learning for enhanced segmentation.
- To provide an accurate, explainable, and efficient alternative to manual segmentation in neuroimaging.
Main Methods:
- A novel symbolic approach based on spatial model checking, utilizing closure spaces and spatial logics.
- Development of a declarative logic language (ImgQL) and a spatial model checker (VoxLogicA).
- Integration of the symbolic method with Machine Learning techniques to form a hybrid AI approach.
Main Results:
- The symbolic approach demonstrated accurate segmentation on multiple public 3D magnetic resonance (MR) image datasets (BraTS Challenges, BrainWeb).
- The hybrid AI method achieved state-of-the-art segmentation accuracy and computational efficiency.
- The proposed methods provide explainable segmentation results, a key advantage over existing techniques.
Conclusions:
- The novel symbolic and hybrid AI approaches offer accurate, efficient, and explainable solutions for 3D brain segmentation.
- This work addresses the challenge of automated tumor delineation, improving upon manual methods.
- The findings have significant implications for neuroimaging, radiotherapy, and clinical decision-making.

