Evidence map›Paper›PMID 41841144›Full record

ArticleNeuro-oncology advances

GlioMODA: Robust glioma segmentation in clinical routine.

Julian Canisius, Josef Buchner, Marcel Rosier, Michael Griessmair, Jan C Peeken, Jan S Kirschke, Marie Piraud, Spyridon Bakas, Bjoern Menze, Benedikt Wiestler and 1 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Julian CanisiusDepartment of Neuroradiology, TUM School of Medicine, TUM University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0009-0002-4490-8021
Josef BuchnerDepartment of Radiation Oncology, TUM School of Medicine, TUM University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Marcel RosierDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Michael GriessmairDepartment of Diagnostic, Interventional, and Pediatric Radiology, Inselspital Bern, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0009-0007-3518-0792
Jan C PeekenDepartment of Radiation Oncology, TUM School of Medicine, TUM University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Jan S KirschkeDepartment of Neuroradiology, TUM School of Medicine, TUM University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Marie PiraudHelmholtz AI, Helmholtz Munich, Neuherberg, Germany.
Spyridon BakasDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Bjoern MenzeDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Benedikt WiestlerAI for Image-Guided Diagnosis and Therapy, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-2963-7772
Florian KoflerDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.

Funding

The Federated Tumor Segmentation (FeTS) platform: An intuitive tool facilitating secure multi-institutional collaborationU01CA242871 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BAKAS, SPYRIDON · 2019 to 2021
$1.1M
NCI NIH HHS U01 CA242871
6 · The paper itself

Abstract

Background: Precise glioma segmentation in magnetic resonance imaging (MRI) is essential for accurate diagnosis, optimal treatment planning, and advancing clinical research. However, most deep learning approaches require complete, standardized MRI protocols that are frequently unavailable in routine clinical practice. This study presents and evaluates GlioMODA, a robust deep learning framework designed for automated glioma segmentation that delivers consistent high performance across varied and incomplete MRI protocols. Methods: GlioMODA was trained and validated on the BraTS 2021 dataset (1251 training, 219 testing cases), systematically assessing performance across 11 clinically relevant MRI protocol combinations. Segmentation accuracy was evaluated using Dice similarity coefficients (DSC) and panoptic quality metrics. Volumetric accuracy was benchmarked against manual ground truth, and statistical significance was established via Wilcoxon signed‑rank tests with Benjamini-Yekutieli correction. Results: GlioMODA demonstrated state-of-the-art segmentation accuracy across tumor subregions, maintaining robust performance with incomplete or heterogeneous MRI protocols. Protocols including both T1-weighted contrast-enhanced and T2-FLAIR sequences yielded volumetric differences vs manual ground truth that were not statistically significant for enhancing tumor (median difference 55 mm³, Conclusions: GlioMODA facilitates reliable, automated glioma segmentation using a streamlined 2‑sequence protocol (T1‑contrast + T2‑FLAIR), supporting clinical workflow optimization and broader implementation of quantitative volumetry compatible with RANO 2.0 criteria. GlioMODA is published as an open-source, easy-to-use Python package at https://github.com/BrainLesion/GlioMODA/.

Indexed as

deep learningglioblastomaMRI segmentationRANO 2.0volumetric assessment

Identifiers

PMID41841144
PMCPMC12989096

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.