Enhanced Segmentation of Glioma Subregions via Modality-Aware Encoding and Channel-Wise Attention in Multimodal MRI

Accurate segmentation of key tumor subregions in adult gliomas from Magnetic Resonance Imaging (MRI) is of critical importance for brain tumor diagnosis, treatment planning, and prognosis. However, this task remains poorly investigated and highly challenging due to the considerable variability in shape and appearance of these areas across patients. This study proposes a novel Deep Learning architecture leveraging modality-specific encoding and attention-based refinement for the segmentation of glioma subregions, including peritumoral edema (ED), necrotic core (NCR), and enhancing tissue (ET). The model is trained and validated on the Brain Tumor Segmentation (BraTS) 2023 challenge dataset and benchmarked against a state-of-the-art transformer-based approach. Our architecture achieves promising results, with Dice scores of 0.78, 0.86, and 0.88 for NCR, ED, and ET, respectively, outperforming SegFormer3D while maintaining comparable model complexity. To ensure a comprehensive evaluation, performance was also assessed on standard composite tumor regions, i.e., tumor core (TC) and whole tumor (WT). The statistically significant improvements obtained on all regions highlight the effectiveness of integrating complementary modality-specific information and applying channel-wise feature recalibration in the proposed model.