A Brain Tumor Segmentation Method Based on CLIP and 3D U-Net with Cross-Modal Semantic Guidance and Multi-Level Feature Fusion

📅 2025-07-14
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🤖 AI Summary
Brain tumor MRI segmentation faces challenges from high morphological heterogeneity, complex 3D spatial relationships, and the neglect of semantic knowledge embedded in clinical radiology reports. Method: This paper proposes a multi-level cross-modal fusion framework that—novelty—introduces CLIP into 3D brain tumor segmentation. It constructs a 3D–2D semantic bridging module and designs cross-modal semantic guidance and semantic attention mechanisms to jointly model pixel-level, feature-level, and semantic-level information. The framework seamlessly integrates CLIP’s semantic understanding capability with 3D U-Net’s spatial representation strength. Results: On the BraTS 2020 dataset, the method achieves an overall Dice score of 0.8567—4.8% higher than the 3D U-Net baseline—and improves the Dice score for the enhancing tumor subregion by 7.3%, significantly enhancing robustness in identifying complex lesions.

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📝 Abstract
Precise segmentation of brain tumors from magnetic resonance imaging (MRI) is essential for neuro-oncology diagnosis and treatment planning. Despite advances in deep learning methods, automatic segmentation remains challenging due to tumor morphological heterogeneity and complex three-dimensional spatial relationships. Current techniques primarily rely on visual features extracted from MRI sequences while underutilizing semantic knowledge embedded in medical reports. This research presents a multi-level fusion architecture that integrates pixel-level, feature-level, and semantic-level information, facilitating comprehensive processing from low-level data to high-level concepts. The semantic-level fusion pathway combines the semantic understanding capabilities of Contrastive Language-Image Pre-training (CLIP) models with the spatial feature extraction advantages of 3D U-Net through three mechanisms: 3D-2D semantic bridging, cross-modal semantic guidance, and semantic-based attention mechanisms. Experimental validation on the BraTS 2020 dataset demonstrates that the proposed model achieves an overall Dice coefficient of 0.8567, representing a 4.8% improvement compared to traditional 3D U-Net, with a 7.3% Dice coefficient increase in the clinically important enhancing tumor (ET) region.
Problem

Research questions and friction points this paper is trying to address.

Precise brain tumor segmentation from MRI scans
Integrating semantic knowledge with visual MRI features
Improving 3D U-Net performance via cross-modal fusion
Innovation

Methods, ideas, or system contributions that make the work stand out.

Combines CLIP and 3D U-Net for segmentation
Uses cross-modal semantic guidance mechanisms
Implements multi-level feature fusion architecture
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