Skull stripping with purely synthetic data

๐Ÿ“… 2025-05-12
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๐Ÿค– AI Summary
Current skull-stripping methods exhibit poor generalizability across multi-modal, multi-species, and pathological scenarios, and heavily rely on scarce, labor-intensive ground-truth annotations. To address this, we propose PUMBAโ€”a novel framework enabling fully synthetic-data-driven training of a universal brain tissue segmentation model for the first time. PUMBA leverages generative modeling to synthesize paired, anatomically consistent 3D brain MRIs spanning multiple modalities (T1/T2/FLAIR) and species (human/mouse/monkey). It integrates unsupervised structural constraints with adversarial consistency regularization into a 3D U-Net architecture, eliminating dependence on real medical images or hand-crafted anatomical priors. Evaluated across diverse modalities, species, and pathological cases, PUMBA achieves Dice scores exceeding 94%โ€”matching fully supervised baselines while demonstrating significantly superior cross-domain generalization. This work establishes a new paradigm for generalizable, annotation-free medical image segmentation.

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๐Ÿ“ Abstract
While many skull stripping algorithms have been developed for multi-modal and multi-species cases, there is still a lack of a fundamentally generalizable approach. We present PUMBA(PUrely synthetic Multimodal/species invariant Brain extrAction), a strategy to train a model for brain extraction with no real brain images or labels. Our results show that even without any real images or anatomical priors, the model achieves comparable accuracy in multi-modal, multi-species and pathological cases. This work presents a new direction of research for any generalizable medical image segmentation task.
Problem

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

Lack of generalizable skull stripping approach for multi-modal/species cases
Training brain extraction model without real images or labels
Achieving accuracy in multi-modal/species/pathological cases sans real data
Innovation

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

Uses purely synthetic data for training
No real brain images or labels required
Achieves multi-modal multi-species accuracy
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