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An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies

Journal articles  - Journal Article
Pati, S; Wagner, S; Thakur, S; Calabrese, E; Shinohara, R; Bakas, S
Published in: Journal of Imaging Informatics in Medicine
April 1, 2026

Brain extraction is essential in neuroimaging studies for patient privacy and optimizing computational analyses. Manual creation of 3D brain masks is labor-intensive, prompting the development of automatic computational methods. Robust quality control (QC) is hence necessary for the effective use of these methods in large-scale studies. However, previous automated QC methods have been limited in flexibility regarding algorithmic architecture and data adaptability. We introduce a novel approach inspired by a statistical outlier detection paradigm to efficiently identify potentially erroneous data. Our QC method is unsupervised, resource-efficient, and requires minimal parameter tuning. We quantitatively evaluated its performance using morphological features of brain masks generated from three automated brain extraction tools across multi-institutional pre- and post-operative brain glioblastoma MRI scans. We achieved an accuracy of 0.9 for pre- and 0.87 for post-operative scans, thus demonstrating the effectiveness of our proposed QC tool for brain extraction. Additionally, the method shows potential for other tasks where a user-defined feature space can be defined. Our novel QC approach offers significant improvements in flexibility and efficiency over previous methods. It is a valuable tool, targeting reassurance of brain masks in neuroimaging and can be adapted for other applications requiring robust QC mechanisms.

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Published In

Journal of Imaging Informatics in Medicine

DOI

EISSN

2948-2933

Publication Date

April 1, 2026

Volume

39

Issue

2

Start / End Page

1608 / 1618
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pati, S., Wagner, S., Thakur, S., Calabrese, E., Shinohara, R., & Bakas, S. (2026). An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies. Journal of Imaging Informatics in Medicine, 39(2), 1608–1618. https://doi.org/10.1007/s10278-025-01570-y
Pati, S., S. Wagner, S. Thakur, E. Calabrese, R. Shinohara, and S. Bakas. “An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies.” Journal of Imaging Informatics in Medicine 39, no. 2 (April 1, 2026): 1608–18. https://doi.org/10.1007/s10278-025-01570-y.
Pati S, Wagner S, Thakur S, Calabrese E, Shinohara R, Bakas S. An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies. Journal of Imaging Informatics in Medicine. 2026 Apr 1;39(2):1608–18.
Pati, S., et al. “An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies.” Journal of Imaging Informatics in Medicine, vol. 39, no. 2, Apr. 2026, pp. 1608–18. Scopus, doi:10.1007/s10278-025-01570-y.
Pati S, Wagner S, Thakur S, Calabrese E, Shinohara R, Bakas S. An Unsupervised Brain Extraction Quality Control Approach for Efficient Neuro-Oncology Studies. Journal of Imaging Informatics in Medicine. 2026 Apr 1;39(2):1608–1618.

Published In

Journal of Imaging Informatics in Medicine

DOI

EISSN

2948-2933

Publication Date

April 1, 2026

Volume

39

Issue

2

Start / End Page

1608 / 1618