arXiv:2607.12684cs.CV2026-07

用自适应归一化提升脑损伤分割精度,对复杂病变有更好表现。

Lesion Segmentation in Moderate to Severe Traumatic Brain Injury: An nnU-Net Based Approach with Adaptive Normalization in the AIMS-TBI 2025 Challenge

论文配图:Lesion Segmentation in Moderate to Severe Traumatic Brain Injury: An nnU-Net Based Approach with Adaptive Normalization in the AIMS-TBI 2025 Challenge
图 1 · 摘自论文原文
  • 在nnU-Net中引入仅限脑组织的自适应强度归一化
  • 整体骰子系数达0.6305,非病灶区分割准确率高达0.9324
  • 适合处理大小形状不一的重度脑外伤病变分割任务

从T1加权MRI中分割中重度创伤性脑损伤(msTBI)的病灶具有显著临床挑战,因其病灶在大小、形状和位置上存在高度异质性。为此,AIMS-TBI 2025挑战赛旨在推动鲁棒且精确分割算法的发展。本文提出基于深度学习的解决方案:采用nnU-Net框架,并引入仅限脑实质区域的自适应强度归一化策略,有效降低受试者间差异并减少非脑结构引起的伪影。在预留测试集上的最终评估显示,该方法在官方排行榜上表现优异,整体骰子系数达0.6305。其中,病灶分割骰子系数为0.4805,非病灶组织分割骰子系数为0.9324。病灶得分反映检测高度异质性病灶的难度,而高非病灶得分主要表明模型能准确识别非病灶体素,表现出良好的特异性,能有效区分病灶与正常脑组织。结果表明,在nnU-Net流程中融入解剖学约束的归一化是一种强大有效的应对msTBI病灶分割复杂性的策略。

原文摘要 · Abstract (English)

The segmentation of lesions in Moderate to Severe Traumatic Brain Injury (msTBI) from T1-weighted MRI presents a significant clinical challenge due to the profound heterogeneity of lesion characteristics in terms of size, shape, and location. To address this, the AIMS-TBI 2025 Challenge was organized to promote the development of robust and accurate segmentation algorithms. In this paper, we present our deep learning-based solution. Our methodology employs the nnU-Net framework with an adaptive intensity normalization strategy confined to the brain parenchyma, effectively reducing inter-subject variability and mitigating artifacts from non-brain structures. Upon final evaluation on the held-out test set, our method demonstrated highly competitive performance on the official leaderboard, achieving an Overall Dice Coefficient of 0.6305. The model obtained a Dice score of 0.4805 for lesion segmentation and 0.9324 for non-lesion tissue. While the lesion Dice reflects the difficulty of detecting highly heterogeneous lesions, the high non-lesion Dice primarily indicates the model's strong ability to correctly identify non-lesion voxels, demonstrating good specificity in differentiating lesion from non-lesion regions. These results demonstrate that incorporating anatomically constrained normalization within the nnU-Net pipeline is a powerful and effective strategy for tackling the complexities of msTBI lesion segmentation.

脑损伤分割nnU-Net医学图像深度学习

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