Uni-Encoder Meets Multi-Encoders: Representation Before Fusion for Brain Tumor Segmentation with Missing Modalities

📅 2026-04-23
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🤖 AI Summary
This work addresses the performance degradation in brain tumor segmentation caused by missing modalities in clinical multimodal MRI. To tackle this challenge, the authors propose UniME, a two-stage heterogeneous architecture that first employs a unified Vision Transformer (ViT) encoder—pretrained via masked image modeling—to learn global representations robust to missing modalities, and then integrates modality-specific CNN encoders to capture fine-grained features for multiscale fusion-based segmentation. By decoupling representation learning from the segmentation process, UniME effectively preserves cross-modal complementarity and high-resolution detail modeling while significantly enhancing robustness under missing-modality conditions. Evaluated on the BraTS 2023 and 2024 datasets, UniME substantially outperforms existing methods, achieving more accurate brain tumor segmentation.

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📝 Abstract
Multimodal MRI offers complementary information for brain tumor segmentation, but clinical scans often lack one or more modalities, which degrades segmentation performance. In this paper, we propose UniME (Uni-Encoder Meets Multi-Encoders), a two-stage heterogeneous method for brain tumor segmentation with missing modalities that reconciles the trade-offs among fine-grained structure capture, cross-modal complementarity modeling, and exploitation of available modalities. The idea is to decouple representation learning from segmentation via a two-stage heterogeneous architecture. Stage 1 pretrains a single ViT Uni-Encoder with masked image modeling to establish a unified representation robust to missing modalities. Stage 2 adds modality-specific CNN Multi-Encoders to extract high-resolution, multi-scale, fine-grained features. We fuse these features with the global representation to produce precise segmentations. Experiments on BraTS 2023 and BraTS 2024 show that UniME outperforms previous methods under incomplete multi-modal scenarios. The code is available at https://github.com/Hooorace-S/UniME
Problem

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

brain tumor segmentation
missing modalities
multimodal MRI
incomplete data
Innovation

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

Uni-Encoder
Multi-Encoders
missing modalities
brain tumor segmentation
masked image modeling
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