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Fully automatic brain tumor extraction and tissue segmentation from multimodal MRI brain images

Segmentation of Brain tumor from the magnetic resonance imaging (MRI) of head scans is an essential requirement for clinical diagnosis since manual segmentation is a fatigue and time‐consuming process. Recent computer‐aided diagnosis systems depend on the development of fully automatic methods to overcome these problems. In the present work, a fully automated algorithm is proposed to extract and segment tumor regions from multimodal magnetic resonance imaging (MMMRI) sequences. The algorithm has three phases: (a) tumor portion extraction, (b) tumor substructure segmentation, and (c) 3D postprocessing. First, the algorithm extracts tumor portion using a set of image processing operations from T2, fluid‐attenuated inversion recovery (FLAIR), and T1C images. Here, the proposed modified fuzzy c means clustering algorithm is used for enhancing the tumor portion extraction process. Then, the substructures of tumor such as edema, enhancing tumor, and necrotic regions are segmented from MMMRI sequences, T2, FLAIR, and T1C using region‐wise set operations in Phase II. Finally, 3D visualization of the segmented tumor and volume estimation is performed as postprocessing in Phase III. The proposed work was experimented on BraTS 2013 dataset. The quantitative analysis is performed using William's Index, Dice, sensitivity, specificity, and accuracy and is compared with 19 state‐of‐the‐art methods. The proposed method yields comparable results as 77%, 53%, and 59% of Dice for complete, core, and enhancing tumor regions, respectively.