Gliomas are known to have different sub-regions within the tumor, including the edema, necrotic, and
active tumor regions. Segmenting of these regions is very important for glioma treatment decisions
and management. This paper aims to demonstrate the application of U-Net and pre-trained U-Net
backbone networks in glioma semantic segmentation, utilizing different magnetic resonance imaging
(MRI) image weights. The data used in this study for network training, validation, and testing is the
Multimodal Brain Tumor Segmentation (BraTS) 2021 challenge. In this study, we applied the U-Net
and different pre-trained Backbone U-Net for the semantic segmentation of glioma regions. The
ResNet, Inception, and VGG networks, which are pre-trained using the ImageNet dataset, have been
used as the Backbone in the U-Net architecture. The Accuracy (ACC) and Intersection over Union
(IoU) were employed to assess the performance of the networks. The most prominent finding to
emerge from this study is that trained ResNet-U-Net with T1 post-contrast enhancement (T1Gd) has
the highest ACC and IoU for the necrotic and active tumor regions semantic segmentation in glioma.
It was also demonstrated that a trained ResNet-U-Net with T2 Fluid-Attenuated Inversion Recovery
(T2-FLAIR) is a suitable combination for edema segmentation in glioma. Our study further validates
that the proposed framework’s architecture and modules are scientifically grounded and practical,
enabling the extraction and aggregation of valuable semantic information to enhance glioma semantic
segmentation capability. It demonstrates how useful the ResNet-U-Net will be for physicians to extract
glioma regions automatically.
Keywords Glioma, Artificial intelligence, Segmentation, Magnetic resonance imaging