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Updated: Jun 3, 2026

A MRI-Based Toolbox for Neurosurgical Planning in Nonhuman Primates
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A reproducible data-driven parameter optimization framework for classical skull stripping methods across

Nila Prasetya Aryani1,2, Freddy Haryanto1,2, Siti Nurul Khotimah1,2

  • 1Physics Department, Faculty of Mathematics and Natural Sciences, Institut Teknologi Bandung, Bandung 40132, Indonesia.

Biomedical Physics & Engineering Express
|June 1, 2026
PubMed
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This study introduces a new framework for brain magnetic resonance imaging (MRI) skull stripping, improving classical methods like Brain Surface Extractor (BSE) for reproducible and accurate results across diverse datasets.

Area of Science:

  • Neuroimaging
  • Medical Image Analysis
  • Computational Neuroscience

Background:

  • Accurate skull stripping is crucial for brain MRI analysis but classical methods are parameter-sensitive.
  • Reproducibility across diverse datasets is a challenge for existing skull stripping techniques.

Purpose of the Study:

  • To develop a statistically reproducible, dataset-level parameter optimization framework for classical skull stripping methods.
  • To enhance the adaptability and robustness of the Brain Surface Extractor (BSE) across heterogeneous MRI datasets.

Main Methods:

  • Proposed a novel statistical tuning strategy for BSE, deriving and recombining diffusion and edge parameters based on dataset descriptors.
  • Evaluated optimized Brain Extraction Tool (BET) and BSE on LPBA40, NFBS, and CC359 datasets, benchmarking against deep learning methods (HDBET, SynthStrip).
Keywords:
brain MRIclassical skull strippingparameter optimization

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  • Assessed performance using Dice Similarity Coefficient (DSC) and 95th percentile Hausdorff distance (HD95) for overlap and boundary accuracy.
  • Main Results:

    • Optimized BSE achieved high adaptability across heterogeneous datasets (DSC 0.96), approaching deep learning performance.
    • High overlap accuracy (DSC) did not always correlate with accurate boundary delineation (HD95).
    • The proposed framework improved robustness and reduced failure rates compared to random parameter sampling, especially on heterogeneous data.

    Conclusions:

    • Dataset-level parameter optimization enables classical skull stripping methods to achieve competitive performance with enhanced reproducibility and transparency.
    • Optimized BSE offers superior adaptability and boundary stability on heterogeneous datasets compared to BET, with a favorable computational trade-off.
    • Classical methods provide a computationally accessible alternative to deep learning, balancing accuracy with hardware independence.