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Brain Infarct Segmentation and Registration on MRI or CT for Lesion-symptom Mapping
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BDFM: Foundation Model for Segmentation and Classification Tasks of Brain Diseases
IEEE Transactions on Bio-Medical Engineering
|November 25, 2025
Summary
A new foundation model for brain disease (BDFM) improves AI-assisted diagnosis by enhancing lesion detail reconstruction. BDFM shows strong generalization for brain disease segmentation and classification tasks with limited data.
Area of Science:
- Artificial Intelligence in Medicine
- Medical Imaging Analysis
- Neurology
Background:
- AI-assisted diagnosis for brain diseases is limited by scarce annotated data and poor transferability of specialized models.
- Foundation models offer a promising avenue to overcome these challenges in medical AI.
- Developing robust models for brain disease analysis requires addressing data limitations and improving feature extraction.
Purpose of the Study:
- To develop a self-supervised foundation model for brain disease analysis.
- To enhance the model's ability to extract detailed lesion features.
- To improve the generalizability of AI models for brain disease diagnosis using limited annotated datasets.
Main Methods:
- A masked image modeling (MIM)-based foundation model for brain disease (BDFM) was established.
- A large-scale dataset (BD-15k) comprising over ten brain diseases was curated for pre-training.
- A spatial-frequency dual-domain decoder and a spatial mean masking strategy were introduced to improve lesion feature extraction.
Main Results:
- The proposed methods enhanced BDFM's performance in reconstructing intricate lesion details compared to baseline approaches.
- BDFM demonstrated excellent generalization capabilities across segmentation and classification tasks on small annotated datasets.
- Extensive experiments confirmed the model's effectiveness in downstream brain disease analysis tasks.
Conclusions:
- BDFM surpasses the performance of task-specific models trained from scratch, without requiring complex, specialized designs.
- This research advances the field of medical foundation models, enabling more effective brain disease analysis.
- The developed BDFM offers a powerful tool for AI-assisted diagnosis and analysis of brain pathologies.

