WS-MTST: Weakly Supervised Multi-Label Brain Tumor Segmentation With Transformers.

Brain tumor segmentation is a key step in brain cancer diagnosis. Segmentation of brain tumor sub-regions, including necrotic, enhancing, and edematous regions, can provide more detailed guidance for clinical diagnosis. Weakly supervised brain tumor segmentation methods have received much attention because they do not require time-consuming pixel-level annotations. However, existing weakly supervised methods focus on the segmentation of the entire tumor region while ignoring the challenging task of multi-label segmentation for the tumor sub-regions. In this article, we propose a weakly supervised approach to solve the multi-label brain tumor segmentation problem. To the best of our knowledge, it's the first end-to-end multi-label weakly supervised segmentation model applied to brain tumor segmentation. With well-designed loss functions and a contrastive learning pre-training process, our proposed Transformer-based segmentation method (WS-MTST) has the ability to perform segmentation of brain tumor sub-regions. We conduct comprehensive experiments and demonstrate that our method reaches the state-of-the-art on the popular brain tumor dataset BraTS (from 2018 to 2020).