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Related Experiment Video

Updated: May 27, 2026

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Progression-guided spatiotemporal memory transformers for accurate and consistent longitudinal brain tumor

Sandeep Kumar Mathivanan1, Shamala K Subramaniam2, Dafik3

  • 1School of Computing Science and Engineering, Galgotias University, Greater Noida, Uttar Pradesh, 203201, India.

Scientific Reports
|May 25, 2026
PubMed
Summary

A new deep learning model, Progression-Guided Spatiotemporal Memory Transformer (PGSMT), accurately segments brain tumors over time. This model improves tumor progression monitoring and treatment efficacy by preserving shape consistency and distinguishing actual changes from noise.

Keywords:
Boundary-enhanced transformerCross-time structural alignmentDeep learningDice scoreLongitudinal brain tumor segmentationMRIProgression-aware temporal modelingSpatiotemporal memoryTemporal consistencyTumor evolution dynamics

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Neuro-oncology

Background:

  • Accurate brain tumor segmentation is crucial for monitoring disease progression and treatment efficacy.
  • Current deep learning models often fail to account for the continuous nature of tumor growth, leading to inaccurate segmentations in longitudinal scans.
  • Existing methods struggle with preserving tumor morphology and distinguishing true progression from noise.

Purpose of the Study:

  • To propose a novel deep learning model, the Progression-Guided Spatiotemporal Memory Transformer (PGSMT), for accurate and consistent brain tumor segmentation across multiple time points.
  • To address the limitations of existing models in handling the temporal dynamics and morphological changes of brain tumors.

Main Methods:

  • Developed PGSMT, a framework incorporating a progression-aware temporal memory module, a cross-time structural alignment mechanism, and a boundary-enhanced transformer encoder.
  • The model learns temporal weighting to differentiate actual tumor progression from noise.
  • Utilized the BraTS longitudinal benchmark dataset for evaluation.

Main Results:

  • PGSMT significantly outperformed Convolutional Neural Network (CNN), hybrid CNN-Transformer, and Transformer models on the BraTS longitudinal dataset.
  • Achieved Dice scores of 88.1% for enhancing tumor, 90.2% for tumor core, and 93.0% for total tumor.
  • Demonstrated statistically significant improvements (p < 0.05) and reduced inter-scan volumetric inconsistencies, indicating enhanced temporal stability.

Conclusions:

  • PGSMT offers a robust solution for longitudinal brain tumor segmentation, improving accuracy and consistency.
  • The model's ability to capture temporal dynamics and preserve morphology enhances its utility for clinical monitoring and treatment assessment.
  • PGSMT represents a significant advancement in applying deep learning to dynamic medical image analysis.