An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies
Sarthak Pati1,2,3, Stefan Wagner4, Siddhesh Thakur1,2
1Division of Computational Pathology, Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Journal of Imaging Informatics in Medicine
|June 25, 2025
Summary
A new unsupervised quality control (QC) method efficiently detects errors in automated brain extraction for neuroimaging. This flexible tool improves the reliability of brain masks in large-scale studies.
Area of Science:
- Neuroimaging
- Medical Image Analysis
- Computational Neuroscience
Background:
- Automated brain extraction is crucial for neuroimaging analysis and patient privacy.
- Manual brain mask creation is time-consuming, necessitating automated methods.
- Existing automated quality control (QC) methods lack flexibility and adaptability.
Purpose of the Study:
- To introduce a novel, unsupervised, and efficient QC method for automated brain extraction.
- To address limitations in flexibility and data adaptability of previous QC approaches.
- To improve the reliability of brain masks in large-scale neuroimaging studies.
Main Methods:
- Developed a QC approach based on statistical outlier detection.
- Evaluated performance using morphological features of brain masks from three automated tools.
- Tested on multi-institutional pre- and post-operative glioblastoma MRI scans.
Main Results:
- Achieved high accuracy: 0.9 for pre-operative and 0.87 for post-operative scans.
- Demonstrated the effectiveness of the unsupervised QC tool.
- Showcased the method's resource efficiency and minimal parameter tuning requirements.
Conclusions:
- The novel QC method significantly enhances flexibility and efficiency in brain mask validation.
- The tool is valuable for ensuring brain mask quality in neuroimaging.
- The approach has potential for adaptation to other applications requiring robust QC.


