Enhancing Posterior-Fossa Tumor Segmentation in MRI with Texture, Shape & Intensity Fusion 🧠

Our previous works suggest that fractal texture feature is useful to detect pediatric brain tumor in multimodal MRI.In this study, we systematically investigate efficacy of using several different image features such as intensity, fractal texture, and level-set shape in segmentation of posterior-fossa (PF) tumor for pediatric patients. We explore effectiveness of using four different feature selection and three different segmentation techniques,respectively, to discriminate tumor regions from normal tissue in multimodal brain MRI. We further study the selective fusion of these features for improved PF tumor segmentation. Our result suggests that Kullback–Leibler divergence measure for feature ranking and selection and the expectation maximization algorithm for feature fusion and tumor segmentation offer the best <br />results for the patient data in this study. We show that for T1 and <br />fluid attenuation inversion recovery (FLAIR) MRI modalities, the <br />best PF tumor segmentation is obtained using the texture feature <br />such as multifractional Brownian motion (mBm) while that for <br />T2 MRI is obtained by fusing level-set shape with intensity features. In multimodality fused MRI (T1, T2, and FLAIR), mBm feature offers the best PF tumor segmentation performance. We use different similarity metrics to evaluate quality and robustness of these selected features for PF tumor segmentation in MRI for ten pediatric patients.