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      Federated learning enables big data for rare cancer boundary detection

      research-article
      1 , 2 , 3 , 4 , 1 , 2 , 3 , 5 , 5 , 5 , 5 , 5 , 5 , 5 , 1 , 2 , 1 , 2 , 2 , 1 , 2 , 1 , 2 , 6 , 6 , 6 , 7 , 8 , 9 , 10 , 9 , 6 , 7 , 11 , 12 , 12 , 12 , 12 , 13 , 13 , 13 , 14 , 15 , 16 , 15 , 15 , 16 , 17 , 17 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 23 , 23 , 23 , 25 , 1 , 26 , 27 , 28 , 27 , 29 , 30 , 31 , 29 , 32 , 33 , 33 , 34 , 35 , 35 , 35 , 35 , 35 , 36 , 36 , 36 , 36 , 37 , 37 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 44 , 44 , 44 , 44 , 44 , 45 , 46 , 46 , 45 , 45 , 47 , 47 , 47 , 48 , 49 , 48 , 50 , 50 , 51 , 52 , 53 , 54 , 55 , 55 , 56 , 56 , 57 , 57 , 58 , 59 , 58 , 59 , 60 , 4 , 59 , 60 , 58 , 61 , 62 , 61 , 61 , 63 , 63 , 63 , 63 , 63 , 64 , 64 , 64 , 64 , 64 , 65 , 66 , 67 , 68 , 68 , 69 , 70 , 71 , 72 , 70 , 73 , 73 , 74 , 74 , 73 , 73 , 73 , 74 , 74 , 75 , 51 , 76 , 77 , 76 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 83 , 83 , 80 , 85 , 86 , 86 , 86 , 86 , 87 , 88 , 87 , 89 , 90 , 42 , 90 , 90 , 90 , 90 , 41 , 42 , 91 , 91 , 91 , 91 , 92 , 93 , 91 , 91 , 92 , 94 , 92 , 93 , 93 , 95 , 96 , 96 , 96 , 96 , 97 , 98 , 97 , 99 , 100 , 101 , 101 , 102 , 101 , 103 , 104 , 104 , 105 , 106 , 106 , 106 , 106 , 107 , 107 , 108 , 107 , 107 , 107 , 109 , 110 , 109 , 109 , 111 , 112 , 111 , 113 , 113 , 113 , 114 , 114 , 114 , 114 , 115 , 116 , 116 , 116 , 117 , 118 , 119 , 120 , 121 , 119 , 122 , 123 , 123 , 122 , 123 , 123 , 123 , 124 , 123 , 125 , 126 , 127 , 127 , 127 , 127 , 128 , 129 , 130 , 130 , 131 , 131 , 132 , 133 , 133 , 133 , 133 , 134 , 135 , 133 , 136 , 137 , 138 , 137 , 139 , 140 , 140 , 140 , 140 , 140 , 140 , 141 , 142 , 142 , 142 , 143 , 142 , 144 , 145 , 2 , 146 , 112 , 147 , 147 , 148 , 147 , 147 , 147 , 149 , 150 , 151 , 151 , 151 , 152 , 152 , 151 , 151 , 151 , 151 , 5 , 4 , 129 , 69 , 153 , 5 , 1 , 2 , 3 ,
      Nature Communications
      Nature Publishing Group UK
      CNS cancer, Computer science, Medical imaging, Medical research, Biomedical engineering

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Although machine learning (ML) has shown promise across disciplines, out-of-sample generalizability is concerning. This is currently addressed by sharing multi-site data, but such centralization is challenging/infeasible to scale due to various limitations. Federated ML (FL) provides an alternative paradigm for accurate and generalizable ML, by only sharing numerical model updates. Here we present the largest FL study to-date, involving data from 71 sites across 6 continents, to generate an automatic tumor boundary detector for the rare disease of glioblastoma, reporting the largest such dataset in the literature ( n = 6, 314). We demonstrate a 33% delineation improvement for the surgically targetable tumor, and 23% for the complete tumor extent, over a publicly trained model. We anticipate our study to: 1) enable more healthcare studies informed by large diverse data, ensuring meaningful results for rare diseases and underrepresented populations, 2) facilitate further analyses for glioblastoma by releasing our consensus model, and 3) demonstrate the FL effectiveness at such scale and task-complexity as a paradigm shift for multi-site collaborations, alleviating the need for data-sharing.

          Abstract

          Federated ML (FL) provides an alternative to train accurate and generalizable ML models, by only sharing numerical model updates. Here, the authors present the largest FL study to-date to generate an automatic tumor boundary detector for glioblastoma.

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          Most cited references102

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          Deep Residual Learning for Image Recognition

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            Is Open Access

            The FAIR Guiding Principles for scientific data management and stewardship

            There is an urgent need to improve the infrastructure supporting the reuse of scholarly data. A diverse set of stakeholders—representing academia, industry, funding agencies, and scholarly publishers—have come together to design and jointly endorse a concise and measureable set of principles that we refer to as the FAIR Data Principles. The intent is that these may act as a guideline for those wishing to enhance the reusability of their data holdings. Distinct from peer initiatives that focus on the human scholar, the FAIR Principles put specific emphasis on enhancing the ability of machines to automatically find and use the data, in addition to supporting its reuse by individuals. This Comment is the first formal publication of the FAIR Principles, and includes the rationale behind them, and some exemplar implementations in the community.
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              U-Net: Convolutional Networks for Biomedical Image Segmentation

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                Author and article information

                Contributors
                sbakas@upenn.edu
                Journal
                Nat Commun
                Nat Commun
                Nature Communications
                Nature Publishing Group UK (London )
                2041-1723
                5 December 2022
                5 December 2022
                2022
                : 13
                : 7346
                Affiliations
                [1 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Center for Biomedical Image Computing and Analytics (CBICA), , University of Pennsylvania, ; Philadelphia, PA USA
                [2 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Department of Radiology, Perelman School of Medicine, , University of Pennsylvania, ; Philadelphia, PA USA
                [3 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Department of Pathology and Laboratory Medicine, Perelman School of Medicine, , University of Pennsylvania, ; Philadelphia, PA USA
                [4 ]GRID grid.6936.a, ISNI 0000000123222966, Department of Informatics, , Technical University of Munich, ; Munich, Bavaria Germany
                [5 ]GRID grid.419318.6, ISNI 0000 0004 1217 7655, Intel Corporation, ; Santa Clara, CA USA
                [6 ]GRID grid.5253.1, ISNI 0000 0001 0328 4908, Department of Neuroradiology, , Heidelberg University Hospital, ; Heidelberg, Germany
                [7 ]GRID grid.7497.d, ISNI 0000 0004 0492 0584, Clinical Cooperation Unit Neuropathology, , German Cancer Consortium (DKTK) within the German Cancer Research Center (DKFZ), ; Heidelberg, Germany
                [8 ]GRID grid.5253.1, ISNI 0000 0001 0328 4908, Department of Neuropathology, , Heidelberg University Hospital, ; Heidelberg, Germany
                [9 ]GRID grid.7497.d, ISNI 0000 0004 0492 0584, Division of Medical Image Computing, , German Cancer Research Center, ; Heidelberg, Germany
                [10 ]GRID grid.5253.1, ISNI 0000 0001 0328 4908, Pattern Analysis and Learning Group, Department of Radiation Oncology, , Heidelberg University Hospital, ; Heidelberg, Germany
                [11 ]GRID grid.5253.1, ISNI 0000 0001 0328 4908, Neurology Clinic, Heidelberg University Hospital, ; Heidelberg, Germany
                [12 ]GRID grid.266102.1, ISNI 0000 0001 2297 6811, Department of Radiology & Biomedical Imaging, , University of California San Francisco, ; San Francisco, CA USA
                [13 ]GRID grid.444681.b, ISNI 0000 0004 0503 4808, Symbiosis Center for Medical Image Analysis, , Symbiosis International University, ; Pune, Maharashtra India
                [14 ]GRID grid.416861.c, ISNI 0000 0001 1516 2246, Department of Neuroimaging and Interventional Radiology, , National Institute of Mental Health and Neurosciences, ; Bangalore, Karnataka India
                [15 ]GRID grid.28803.31, ISNI 0000 0001 0701 8607, Department of Radiology, School of Medicine and Public Health, , University of Wisconsin, ; Madison, WI USA
                [16 ]GRID grid.28803.31, ISNI 0000 0001 0701 8607, Department of Medical Physics, School of Medicine and Public Health, , University of Wisconsin, ; Madison, WI USA
                [17 ]GRID grid.415967.8, ISNI 0000 0000 9965 1030, Leeds Teaching Hospitals Trust, , Department of Radiology, ; Leeds, UK
                [18 ]GRID grid.38142.3c, ISNI 000000041936754X, Department of Radiology, Brigham and Women’s Hospital, , Harvard Medical School, ; Boston, MA USA
                [19 ]GRID grid.32224.35, ISNI 0000 0004 0386 9924, Athinoula A. Martinos Center for Biomedical Imaging, , Massachusetts General Hospital, ; Charlestown, MA USA
                [20 ]GRID grid.418701.b, ISNI 0000 0001 2097 8389, Catalan Institute of Oncology, ; Badalona, Spain
                [21 ]GRID grid.418476.8, ISNI 0000 0004 1767 8715, Consorci MAR Parc de Salut de Barcelona, ; Catalonia, Spain
                [22 ]GRID grid.429182.4, Department of Radiology (IDI), Girona Biomedical Research Institute (IdIBGi), , Josep Trueta University Hospital, ; Girona, Spain
                [23 ]GRID grid.473675.4, Institute of Neuroradiology, Neuromed Campus (NMC), , Kepler University Hospital Linz, ; Linz, Austria
                [24 ]GRID grid.473675.4, Department of Neurooncology, Neuromed Campus (NMC), , Kepler University Hospital Linz, ; Linz, Austria
                [25 ]GRID grid.419833.4, ISNI 0000 0004 0601 4251, Institute of Diagnostic and Interventional Neuroradiology, , RKH Klinikum Ludwigsburg, ; Ludwigsburg, Germany
                [26 ]GRID grid.414316.5, ISNI 0000 0004 0444 1241, Department of Radiation Oncology, , Christiana Care Health System, ; Philadelphia, PA USA
                [27 ]GRID grid.265008.9, ISNI 0000 0001 2166 5843, Sidney Kimmel Medical College, , Thomas Jefferson University, ; Philadelphia, PA USA
                [28 ]GRID grid.411024.2, ISNI 0000 0001 2175 4264, Department of Radiation Oncology, , University of Maryland, ; Baltimore, MD USA
                [29 ]GRID grid.265008.9, ISNI 0000 0001 2166 5843, Department of Radiation Oncology, Sidney Kimmel Cancer Center, , Thomas Jefferson University, ; Philadelphia, PA USA
                [30 ]GRID grid.261331.4, ISNI 0000 0001 2285 7943, Department of Radiation Oncology, The James Cancer Hospital and Solove Research Institute, , The Ohio State University Comprehensive Cancer Center, ; Columbus, OH USA
                [31 ]GRID grid.265008.9, ISNI 0000 0001 2166 5843, Department of Radiology, Sidney Kimmel Cancer Center, , Thomas Jefferson University, ; Philadelphia, PA USA
                [32 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Russell H. Morgan Department of Radiology and Radiological Science, , Johns Hopkins University School of Medicine, ; Baltimore, MD USA
                [33 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Malone Center for Engineering in Healthcare, The Whiting School of Engineering, , Johns Hopkins University, ; Baltimore, MD USA
                [34 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, Department of Electrical and Computer Engineering, Whiting School of Engineering, , Johns Hopkins University, ; Baltimore, MD USA
                [35 ]GRID grid.10784.3a, ISNI 0000 0004 1937 0482, The Chinese University of Hong Kong, ; Hong Kong, China
                [36 ]GRID grid.10267.32, ISNI 0000 0001 2194 0956, Centre for Biomedical Image Analysis, , Faculty of Informatics, Masaryk University, ; Brno, Czech Republic
                [37 ]GRID grid.10267.32, ISNI 0000 0001 2194 0956, Department of Radiology and Nuclear Medicine, Faculty of Medicine, , Masaryk University, Brno and University Hospital Brno, ; Brno, Czech Republic
                [38 ]GRID grid.10267.32, ISNI 0000 0001 2194 0956, Department of Biophysics, Faculty of Medicine, , Masaryk University, ; Brno, Czech Republic
                [39 ]GRID grid.10267.32, ISNI 0000 0001 2194 0956, Department of Neurosurgery, Faculty of Medicine, , Masaryk University, Brno, and University Hospital and Czech Republic, ; Brno, Czech Republic
                [40 ]GRID grid.468198.a, ISNI 0000 0000 9891 5233, Department of Neuro Oncology, , H. Lee Moffitt Cancer Center and Research Institute, ; Tampa, FL USA
                [41 ]GRID grid.17089.37, ISNI 0000 0001 2190 316X, University of Alberta, ; Edmonton, AB Canada
                [42 ]Alberta Machine Intelligence Institute, Edmonton, AB Canada
                [43 ]GRID grid.468198.a, ISNI 0000 0000 9891 5233, Department of Radiology, , H. Lee Moffitt Cancer Center and Research Institute, ; Tampa, FL USA
                [44 ]GRID grid.267313.2, ISNI 0000 0000 9482 7121, University of Texas Southwestern Medical Center, ; Dallas, TX USA
                [45 ]GRID grid.19006.3e, ISNI 0000 0000 9632 6718, UCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers, Department of Radiological Sciences, David Geffen School of Medicine, , University of California Los Angeles, ; Los Angeles, CA USA
                [46 ]GRID grid.19006.3e, ISNI 0000 0000 9632 6718, UCLA Neuro-Oncology Program, Department of Neurology, David Geffen School of Medicine, , University of California Los Angeles, ; Los Angeles, CaA USA
                [47 ]GRID grid.19006.3e, ISNI 0000 0000 9632 6718, Department of Radiological Sciences, David Geffen School of Medicine, , University of California Los Angeles, ; Los Angeles, CA USA
                [48 ]GRID grid.1014.4, ISNI 0000 0004 0367 2697, College of Medicine and Public Health, , Flinders University, ; Bedford Park, SA Australia
                [49 ]GRID grid.414925.f, ISNI 0000 0000 9685 0624, Division of Surgery and Perioperative Medicine, , Flinders Medical Centre, ; Bedford Park, SA Australia
                [50 ]GRID grid.414925.f, ISNI 0000 0000 9685 0624, South Australia Medical Imaging, , Flinders Medical Centre, ; Bedford Park, SA Australia
                [51 ]GRID grid.39382.33, ISNI 0000 0001 2160 926X, Department of Neurology, , Baylor College of Medicine, ; Houston, TX USA
                [52 ]GRID grid.411087.b, ISNI 0000 0001 0723 2494, Institute of Computing, , University of Campinas, ; Campinas, São Paulo Brazil
                [53 ]GRID grid.456464.1, ISNI 0000 0000 9362 8972, Federal Institute of São Paulo, ; Campinas, São Paulo Brazil
                [54 ]GRID grid.419114.8, Instituto de Neurologia de Curitiba, ; Curitiba, Paraná Brazil
                [55 ]GRID grid.411078.b, ISNI 0000 0004 0502 3690, Department of Radiology, , Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, ; Paraná, Brazil
                [56 ]GRID grid.20736.30, ISNI 0000 0001 1941 472X, Department of Informatics, , Universidade Federal do Paraná, Curitiba, ; Paraná, Brazil
                [57 ]GRID grid.4367.6, ISNI 0000 0001 2355 7002, Department of Radiology, , Washington University in St. Louis, ; St. Louis, MO USA
                [58 ]GRID grid.6936.a, ISNI 0000000123222966, Department of Diagnostic and Interventional Neuroradiology, School of Medicine, Klinikum rechts der Isar, , Technical University of Munich, ; Munich, Germany
                [59 ]GRID grid.15474.33, ISNI 0000 0004 0477 2438, TranslaTUM (Zentralinstitut für translationale Krebsforschung der Technischen Universität München), , Klinikum rechts der Isar, ; Munich, Germany
                [60 ]GRID grid.6936.a, ISNI 0000000123222966, Image-Based Biomedical Modeling, Department of Informatics, , Technical University of Munich, ; Munich, Germany
                [61 ]GRID grid.137628.9, ISNI 0000 0004 1936 8753, Department of Radiology, , NYU Grossman School of Medicine, ; New York, NY USA
                [62 ]GRID grid.137628.9, ISNI 0000 0004 1936 8753, Department of Neurosurgery, , NYU Grossman School of Medicine, ; New York, NY USA
                [63 ]GRID grid.5734.5, ISNI 0000 0001 0726 5157, Support Center for Advanced Neuroimaging, University Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Inselspital, , University of Bern, ; Bern, Switzerland
                [64 ]GRID grid.430503.1, ISNI 0000 0001 0703 675X, Department of Neurosurgery, , Anschutz Medical Campus, University of Colorado, ; Aurora, CO USA
                [65 ]GRID grid.241104.2, ISNI 0000 0004 0452 4020, Department of Radiology, , University Hospitals Cleveland, ; Cleveland, OH USA
                [66 ]GRID grid.473817.e, ISNI 0000 0004 0418 9795, Department of Neurological Surgery, , University Hospitals-Seidman Cancer Center, ; Cleveland, OH USA
                [67 ]GRID grid.67105.35, ISNI 0000 0001 2164 3847, Case Comprehensive Cancer Center, ; Cleveland, OH USA
                [68 ]GRID grid.67105.35, ISNI 0000 0001 2164 3847, Department of Neurosurgery, , Case Western Reserve University School of Medicine, ; Cleveland, OH USA
                [69 ]GRID grid.48336.3a, ISNI 0000 0004 1936 8075, National Cancer Institute, National Institute of Health, , Division of Cancer Epidemiology and Genetics, ; Bethesda, MD USA
                [70 ]GRID grid.21925.3d, ISNI 0000 0004 1936 9000, Department of Radiology, Neuroradiology Division, , University of Pittsburgh, ; Pittsburgh, PA USA
                [71 ]GRID grid.240145.6, ISNI 0000 0001 2291 4776, Department of Diagnostic Radiology, , University of Texas MD Anderson Cancer Center, ; Houston, TX USA
                [72 ]GRID grid.412689.0, ISNI 0000 0001 0650 7433, University of Pittsburgh Medical Center, ; Pittsburgh, PA USA
                [73 ]GRID grid.214458.e, ISNI 0000000086837370, Department of Neuroradiology, , University of Michigan, ; Ann Arbor, MI USA
                [74 ]GRID grid.214458.e, ISNI 0000000086837370, Department of Computational Medicine and Bioinformatics, , University of Michigan, ; Ann Arbor, MI USA
                [75 ]GRID grid.39382.33, ISNI 0000 0001 2160 926X, Department of Radiology, , Baylor College of Medicine, ; Houston, TX USA
                [76 ]GRID grid.7445.2, ISNI 0000 0001 2113 8111, Department of Computing, , Imperial College London, ; London, UK
                [77 ]GRID grid.4991.5, ISNI 0000 0004 1936 8948, Institute of Biomedical Engineering, Department of Engineering Science, , University of Oxford, ; Oxford, UK
                [78 ]GRID grid.7445.2, ISNI 0000 0001 2113 8111, Department of Radiology, , Imperial College NHS Healthcare Trust, ; London, UK
                [79 ]GRID grid.7445.2, ISNI 0000 0001 2113 8111, Computational Oncology Group, Institute for Global Health Innovation, , Imperial College London, ; London, UK
                [80 ]GRID grid.11047.33, ISNI 0000 0004 0576 5395, Department of NeuroRadiology, , University of Patras, ; Patras, Greece
                [81 ]GRID grid.11047.33, ISNI 0000 0004 0576 5395, Department of Neurosurgery, , University of Patras, ; Patras, Greece
                [82 ]GRID grid.11047.33, ISNI 0000 0004 0576 5395, Clinical Radiology Laboratory, Department of Medicine, , University of Patras, ; Patras, Greece
                [83 ]GRID grid.11047.33, ISNI 0000 0004 0576 5395, Department of Electrical and Computer Engineering, , University of Patras, ; Patras, Greece
                [84 ]GRID grid.11047.33, ISNI 0000 0004 0576 5395, Department of Neuro-Oncology, , University of Patras, ; Patras, Greece
                [85 ]GRID grid.11047.33, ISNI 0000 0004 0576 5395, Department of Radiation Oncology, , University of Patras, ; Patras, Greece
                [86 ]GRID grid.15444.30, ISNI 0000 0004 0470 5454, Yonsei University College of Medicine, ; Seoul, Korea
                [87 ]GRID grid.239864.2, ISNI 0000 0000 8523 7701, Department of Radiation Oncology, , Henry Ford Health System, ; Detroit, MI USA
                [88 ]GRID grid.239864.2, ISNI 0000 0000 8523 7701, Public Health Sciences, , Henry Ford Health System, ; Detroit, MI USA
                [89 ]GRID grid.16821.3c, ISNI 0000 0004 0368 8293, SJTU-Ruijin-UIH Institute for Medical Imaging Technology, Ruijin Hospital, , Shanghai Jiao Tong University School of Medicine, ; 200025 Shanghai, China
                [90 ]GRID grid.67105.35, ISNI 0000 0001 2164 3847, Case Western Reserve University, ; Cleveland, OH USA
                [91 ]GRID grid.5645.2, ISNI 000000040459992X, Department of Radiology and Nuclear Medicine, , Erasmus MC University Medical Centre Rotterdam, ; Rotterdam, Netherlands
                [92 ]GRID grid.5645.2, ISNI 000000040459992X, Department of Neurosurgery, Brain Tumor Center, , Erasmus MC University Medical Centre Rotterdam, ; Rotterdam, Netherlands
                [93 ]GRID grid.508717.c, ISNI 0000 0004 0637 3764, Department of Neurology, , Brain Tumor Center, Erasmus MC Cancer Institute, ; Rotterdam, Netherlands
                [94 ]GRID grid.508717.c, ISNI 0000 0004 0637 3764, Department of Pathology, , Brain Tumor Center, Erasmus MC Cancer Institute, ; Rotterdam, Netherlands
                [95 ]GRID grid.5645.2, ISNI 000000040459992X, Biomedical Imaging Group Rotterdam, Department of Radiology and Nuclear Medicine, , Erasmus MC University Medical Centre Rotterdam, ; Rotterdam, Netherlands
                [96 ]GRID grid.59734.3c, ISNI 0000 0001 0670 2351, Department of Radiation Oncology, , Icahn School of Medicine at Mount Sinai, ; New York, NY USA
                [97 ]GRID grid.451012.3, ISNI 0000 0004 0621 531X, NORLUX Neuro-Oncology Laboratory, Department of Cancer Research, , Luxembourg Institute of Health, ; Luxembourg, Luxembourg
                [98 ]GRID grid.451012.3, ISNI 0000 0004 0621 531X, Translation Radiomics, Department of Cancer Research, , Luxembourg Institute of Health, ; Luxembourg, Luxembourg
                [99 ]GRID grid.419123.c, ISNI 0000 0004 0621 5272, Luxembourg Center of Neuropathology, , Laboratoire National De Santé, ; Luxembourg, Luxembourg
                [100 ]GRID grid.86715.3d, ISNI 0000 0000 9064 6198, Department of Computer Science, , Université de Sherbrooke, ; Sherbrooke, QC Canada
                [101 ]GRID grid.86715.3d, ISNI 0000 0000 9064 6198, Centre de Recherche du Centre Hospitalière Universitaire de Sherbrooke, ; Sherbrooke, QC Canada
                [102 ]GRID grid.86715.3d, ISNI 0000 0000 9064 6198, Division of Neurosurgery and Neuro-Oncology, Faculty of Medicine and Health Science, , Université de Sherbrooke, ; Sherbrooke, QC Canada
                [103 ]GRID grid.86715.3d, ISNI 0000 0000 9064 6198, Department of Nuclear Medicine and Radiobiology, , Sherbrooke Molecular Imaging Centre, Université de Sherbrooke, ; Sherbrooke, QC Canada
                [104 ]GRID grid.152326.1, ISNI 0000 0001 2264 7217, Electrical and Computer Engineering, , Vanderbilt University, ; Nashville, TN USA
                [105 ]GRID grid.152326.1, ISNI 0000 0001 2264 7217, Department of Computer Science, , Vanderbilt University, ; Nashville, TN USA
                [106 ]GRID grid.412807.8, ISNI 0000 0004 1936 9916, Department of Neurosurgery, , Vanderbilt University Medical Center, ; Nashville, TN USA
                [107 ]GRID grid.213910.8, ISNI 0000 0001 1955 1644, Innovation Center for Biomedical Informatics (ICBI), , Georgetown University, ; Washington, DC USA
                [108 ]GRID grid.411663.7, ISNI 0000 0000 8937 0972, Division of Neuroradiology & Neurointerventional Radiology, Department of Radiology, , MedStar Georgetown University Hospital, ; Washington, DC USA
                [109 ]GRID grid.13097.3c, ISNI 0000 0001 2322 6764, School of Biomedical Engineering & Imaging Sciences, , King’s College London, ; London, UK
                [110 ]GRID grid.429705.d, ISNI 0000 0004 0489 4320, Department of Neuroradiology, , Ruskin Wing, King’s College Hospital NHS Foundation Trust, ; London, UK
                [111 ]GRID grid.413032.7, ISNI 0000 0000 9947 0731, Stoke Mandeville Hospital, ; Mandeville Road, Aylesbury, UK
                [112 ]GRID grid.410356.5, ISNI 0000 0004 1936 8331, Department of Biomedical and Molecular Sciences, , Queen’s University, ; Kingston, ON Canada
                [113 ]Neosoma Inc., Groton, MA USA
                [114 ]GRID grid.7776.1, ISNI 0000 0004 0639 9286, University of Cairo School of Medicine, ; Giza, Egypt
                [115 ]GRID grid.5734.5, ISNI 0000 0001 0726 5157, University of Bern, ; Bern, Switzerland
                [116 ]GRID grid.413967.e, ISNI 0000 0001 0842 2126, Department of Radiology, , Asan Medical Center, ; Seoul, South Korea
                [117 ]GRID grid.418624.d, ISNI 0000 0004 0614 6369, The Clatterbridge Cancer Centre NHS Foundation Trust Pembroke Place, ; Liverpool, UK
                [118 ]GRID grid.34477.33, ISNI 0000000122986657, Department of Radiology, , University of Washington, ; Seattle, WA USA
                [119 ]GRID grid.430814.a, ISNI 0000 0001 0674 1393, Netherlands Cancer Institute, ; Amsterdam, Netherlands
                [120 ]GRID grid.430814.a, ISNI 0000 0001 0674 1393, Department of Radiology, , Netherlands Cancer Institute, ; Amsterdam, Netherlands
                [121 ]GROW School of Oncology and Developmental Biology, Maastricht, Netherlands
                [122 ]Clínica Imbanaco Grupo Quirón Salud, Cali, Colombia
                [123 ]GRID grid.8271.c, ISNI 0000 0001 2295 7397, Universidad del Valle, ; Cali, Colombia
                [124 ]GRID grid.4305.2, ISNI 0000 0004 1936 7988, The University of Edinburgh, ; Edinburgh, UK
                [125 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Department of Industrial and Systems Engineering, , University of Iowa, ; Iowa, USA
                [126 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Department of Industrial and Systems Engineering, Department of Radiation Oncology, , University of Iowa, ; Iowa City, IA USA
                [127 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Department of Radiation Oncology, , University of Iowa, ; Iowa City, IA USA
                [128 ]GRID grid.267308.8, ISNI 0000 0000 9206 2401, MD Anderson Cancer Center, , University of Texas, ; Houston, TX USA
                [129 ]GRID grid.7400.3, ISNI 0000 0004 1937 0650, Department of Quantitative Biomedicine, , University of Zurich, ; Zurich, Switzerland
                [130 ]GRID grid.412004.3, ISNI 0000 0004 0478 9977, Department of Neurology, Clinical Neuroscience Center, , University Hospital Zurich and University of Zurich, ; Zurich, Switzerland
                [131 ]GRID grid.412004.3, ISNI 0000 0004 0478 9977, Department of Neuroradiology, Clinical Neuroscience Center, , University Hospital Zurich and University of Zurich, ; Zurich, Switzerland
                [132 ]GRID grid.265892.2, ISNI 0000000106344187, University of Alabama in Birmingham, ; Birmingham, AL USA
                [133 ]GRID grid.36425.36, ISNI 0000 0001 2216 9681, Department of Biomedical Informatics, , Stony Brook University, Stony Brook, ; New York, USA
                [134 ]GRID grid.36425.36, ISNI 0000 0001 2216 9681, Department of Radiation Oncology, , Stony Brook University, ; Stony Brook, NY USA
                [135 ]GRID grid.36425.36, ISNI 0000 0001 2216 9681, Department of Radiology, , Stony Brook University, ; Stony Brook, NY USA
                [136 ]GRID grid.135519.a, ISNI 0000 0004 0446 2659, Scientific Data Group, , Oak Ridge National Laboratory, ; Oak Ridge, TN USA
                [137 ]GRID grid.442143.4, ISNI 0000 0001 2107 1148, Escuela Superior Politecnica del Litoral, ; Guayaquil, Guayas Ecuador
                [138 ]Sociedad de Lucha Contral el Cancer - SOLCA, Guayaquil Ecuador, Guayaquil, Ecuador
                [139 ]GRID grid.442122.3, ISNI 0000 0000 8596 0668, Universidad Católica de Cuenca, ; Cuenca, Ecuador
                [140 ]GRID grid.5380.e, ISNI 0000 0001 2298 9663, Universidad de Concepción, ; Concepción, Biobío Chile
                [141 ]GRID grid.4868.2, ISNI 0000 0001 2171 1133, School of Electronic Engineering and Computer Science, , Queen Mary University of London, ; London, UK
                [142 ]GRID grid.412438.8, ISNI 0000 0004 1764 5403, Department of Radiology, , University College Hospital Ibadan, ; Oyo, Nigeria
                [143 ]Clinix Healthcare, Lagos, Lagos, Nigeria
                [144 ]Department of Radiology, Muhammad Abdullahi Wase Teaching Hospital, Kano, Nigeria
                [145 ]GRID grid.10824.3f, ISNI 0000 0001 2183 9444, Department of Radiology, , Obafemi Awolowo University Ile-Ife, ; Ile-Ife, Osun Nigeria
                [146 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Center for Global Health, Perelman School of Medicine, , University of Pennsylvania, ; Philadelphia, PA USA
                [147 ]GRID grid.410356.5, ISNI 0000 0004 1936 8331, School of Computing, , Queen’s University, ; Kingston, ON Canada
                [148 ]GRID grid.449392.1, ISNI 0000 0004 0417 6900, Department of Electrical Engineering, Qazvin Branch, , Islamic Azad University, ; Qazvin, Iran
                [149 ]GRID grid.410356.5, ISNI 0000 0004 1936 8331, The Faculty of Arts & Sciences, , Queen’s University, ; Kingston, ON Canada
                [150 ]GRID grid.410356.5, ISNI 0000 0004 1936 8331, Department of Oncology, , Queen’s University, ; Kingston, ON Canada
                [151 ]GRID grid.417949.6, ISNI 0000 0004 0638 1385, Center for Research and Innovation, , American College of Radiology, ; Philadelphia, PA USA
                [152 ]GRID grid.417949.6, ISNI 0000 0004 0638 1385, Data Science Institute, , American College of Radiology, ; Reston, VA USA
                [153 ]GRID grid.94365.3d, ISNI 0000 0001 2297 5165, Center for Biomedical Informatics and Information Technology, National Cancer Institute (NCI), , National Institute of Health, ; Bethesda, MD USA
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                Article
                33407
                10.1038/s41467-022-33407-5
                9722782
                36470898
                906107c7-b9b7-4c14-bdae-aa2668103431
                © The Author(s) 2022

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                : 7 April 2022
                : 16 September 2022
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                cns cancer,computer science,medical imaging,medical research,biomedical engineering
                Uncategorized
                cns cancer, computer science, medical imaging, medical research, biomedical engineering

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