Accurate segmentation of brain tumors from multi-modal MRI is crucial for diagnosis and treatment planning. However, challenges such as severe class imbalance, modality-specific feature heterogeneity, and predictive uncertainty hinder reliable performance. In this work, we propose UTriGate-Net, a novel uncertainty-aware multi-modal brain tumor segmentation framework. First, we design a Triaxial Context Encoding (TCE) block that extracts anisotropic spatial features by applying directional convolutions along the axial, coronal, and sagittal planes, thereby enhancing 3D contextual representation. Second, we introduce a Gated Modality Fusion (GMF) module, which adaptively integrates complementary information across modalities through modality-specific gating weights that suppress redundancy while retaining salient features. Finally, to improve segmentation reliability, we develop an Uncertainty-Regularized Weighted Loss (URWL) that combines dynamic class-specific weighting to mitigate class imbalance with an entropy-based uncertainty penalty to encourage well-calibrated predictions. Experiments on the BraTS 2019 and 2020 datasets demonstrate that UTriGate-Net achieves superior segmentation accuracy and robustness, particularly in challenging subregions. Overall, the proposed framework offers a promising solution for reliable and precise brain tumor delineation in clinical practice.
Zhou et al. (Sun,) studied this question.
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