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BUFNet: Boundary-aware and uncertainty-driven multi-modal fusion network for MR brain tumor segmentation
Tongxue Zhou1, Su Ruan2, Baiying Lei3
1School of Information Science and Technology, Hangzhou Normal University, Hangzhou, 311121, Zhejiang, China.
Medical Image Analysis
|November 4, 2025
Summary
This study introduces a new network for brain tumor segmentation that improves accuracy by focusing on tumor boundaries and reducing uncertainty. The Boundary-aware and Uncertainty-driven multi-modal Fusion Network (BUFNet) enhances diagnostic reliability.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Neuroscience
Background:
- Accurate brain tumor segmentation is crucial for diagnosis and treatment planning.
- Existing methods struggle with complex tumor boundaries and lack uncertainty estimation.
- Deterministic segmentation results limit clinical reliability and interpretability.
Purpose of the Study:
- To propose a novel Boundary-aware and Uncertainty-driven multi-modal Fusion Network (BUFNet) for enhanced MR brain tumor segmentation.
- To address challenges in segmenting complex tumor boundaries and quantifying prediction uncertainty.
- To improve the reliability and interpretability of segmentation results in clinical settings.
Main Methods:
- Developed a boundary-aware mechanism to extract and utilize tumor boundary information for improved discrimination.
- Implemented an effective multi-modal fusion strategy to integrate complementary information from various MR modalities.
- Introduced an uncertainty-based segmentation loss function and incorporated uncertainty quantification for confidence measures.
Main Results:
- The proposed BUFNet demonstrated superior performance compared to existing state-of-the-art methods.
- The boundary-aware mechanism effectively improved the discrimination of tumor sub-regions.
- Uncertainty quantification provided valuable confidence measures for clinical interpretation.
Conclusions:
- BUFNet offers a significant advancement in MR brain tumor segmentation by effectively handling complex boundaries and uncertainty.
- The integration of boundary awareness and uncertainty-driven approaches enhances segmentation accuracy and clinical utility.
- The method shows promise for improving diagnostic accuracy and treatment planning in neuro-oncology.

