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A Review of U-Net Based Deep Learning Frameworks for MRI-Based Brain Tumor Segmentation.
Ayse Bastug Koc1,2, Devrim Akgun3
1Computer and Informatics Engineering Department, Institute of Natural Science and Technology, Sakarya University, Esentepe Campus, 54050 Serdivan, Sakarya, Türkiye.
Diagnostics (Basel, Switzerland)
|February 27, 2026
Summary
This review analyzes 35 studies on U-Net-based brain tumor segmentation using MRI scans. It details U-Net architecture advancements and their effectiveness in clinical applications.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computational Biology
Background:
- Automated brain tumor segmentation from MRI is crucial for clinical applications.
- Deep learning, particularly the U-Net architecture, has emerged as a leading approach.
- Existing reviews lack a focused analysis of U-Net variants for brain tumor segmentation.
Purpose of the Study:
- To review and analyze 35 studies (2019-2025) on U-Net-based brain tumor segmentation.
- To examine the evolution of U-Net architectures from 2D to 3D and advanced variants.
- To synthesize results, evaluation criteria, and benchmark datasets in this field.
Main Methods:
- Systematic literature review of 35 studies published between 2019 and 2025.
- Analysis of U-Net architecture modifications and adaptations for brain tumor segmentation.
- Synthesis of reported results, evaluation metrics, and datasets (e.g., BRATS).
Main Results:
- U-Net architectures have shown significant effectiveness in brain tumor segmentation tasks.
- Various modifications enhance U-Net performance, addressing limitations of original 2D and 3D models.
- Standard evaluation criteria and benchmark datasets are crucial for model validation.
Conclusions:
- U-Net remains a dominant and evolving architecture for brain tumor segmentation.
- Future research should focus on model efficiency, generalization, multimodal data integration, and clinical translation.
- This review provides a comprehensive guide for researchers in the field.
