How far can structure and unlabelled data stretch a few annotations?
Brain tumour segmentation on multi-contrast MRI and autism classification from
resting-state fMRI, each with a model built around a property of the data that the usual
baseline ignores: the left-right symmetry of the brain, and the estimation noise of a
connectome measured from a few minutes of signal.
MSD Task01 (BraTS): 750 scans, four contrasts each. Every encoder level can read
the features of its mirror image across the midline, and the network is pretrained without labels by
reconstructing hidden tissue from its contralateral twin.
3D U-Netmasked image modellingDice · HD9596 test scans
Resting-state fMRI
Noise-aware connectome classifier
ABIDE I: 871 scans from 20 sites. Each scan's connectome is re-estimated on six
sub-windows, and the classifier is trained on that spread rather than on one point per subject, which
penalises connections that are not reproducible within a scan.
SPD geometryvicinal risk5 atlases5 × 10-fold + leave-site-out
Structural MRI · test scans
Tumour viewer
Four co-registered contrasts with the reference annotation and the predictions of both
models trained on 10% of the labels. Drag to rotate in 3D, scroll to move through slices.
Scan
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View
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oedemanon-enhancing coreenhancing tumour
This scan
Dice (higher is better) and HD95 in mm (lower is better)
select a scan
Structural MRI · 96 held-out scans
Label efficiency
The same U-Net backbone, data pipeline and training budget at every point; only the
bilateral blocks and the pretraining differ. Bars are 95% bootstrap intervals over test scans.
Dice against the number of annotated scans
Scan by scan
Each dot is a test scan; above the diagonal, ours is better.
What each part contributes
10% of labels, mean Dice
Boundary error
HD95 in mm, mean over test scans
Resting-state fMRI · deployed model
Connectome
The connections the classifier weighs most, drawn between region centres in MNI space.
Warm-coloured edges push the prediction towards autism, blue ones towards typical development. Weights are those of the model fitted
on all 871 subjects, in units of standardised features.
Direction
Camera
These are weights of a linear classifier on standardised features, not group
differences, and a single weight should not be read as an effect size.
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Strongest connections
largest absolute weights
Resting-state fMRI · 871 subjects, 20 sites
Classifiers
All models are scored on the same 50 train/test splits (5 repeats of 10-fold
cross-validation, stratified by site and diagnosis), and again with each of the 20 sites held out in
turn.
Every atlas
ours against the strongest baseline on each atlas
All models, repeated cross-validation
mean over repeats with 95% bootstrap interval
Split by split
difference to the strongest baseline on each split
Leave one site out
accuracy on each held-out site, all five atlases
Calibration
predicted probability against observed frequency, all five atlases
Trust · tumour segmentation · 96 held-out scans
Audit: segmentation
Before relying on a prediction: does the network know when it is wrong, do its probabilities
mean what they say, can its volumes be followed over time, where does it fail, and what happens when the
images get worse. Each line of the scorecard has a written rule; the evidence is below it.
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Does it know when it is wrong?
each dot is a test scan; further right means more uncertain
Declining the most uncertain scans
mean error of the scans that remain
Do voxel probabilities mean what they say?
within five voxels of the predicted or true region
Can volumes be followed?
predicted against reference volume, log scale
Where it fails
Dice by tertile of whole-tumour volume
Worse images
mean Dice on the same scans under the same perturbations
Which contrasts it relies on
Dice lost when one contrast is removed, ours
Same test, U-Net from scratch
for comparison
Where the gradient points
share of gradient × input inside the segmented tumour, by contrast
The bilateral blocks
how much the exchange changes the features, and whether left-right asymmetry alone finds the tumour
Uncertainty and gradient maps of the showcase scans are in the tumour viewer, under Overlay.
Rules and limits: the plan page.
An AUC alone does not say whether the probabilities can be believed, whether the classifier
is reading the site or the head motion instead of the brain, whether it holds in every group, or what it
looks at. The scorecard answers with rules written down in advance; the evidence follows.
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Calibration
predicted probability of autism against the observed fraction
All models
raw and recalibrated; the recalibration is fitted on other folds only
Declining hard cases
accuracy when only the most confident subjects are scored
Is the AUC a shortcut?
classifiers that see only nuisance variables, on the same folds
Every group
AUC of the noise-aware model inside each group
What it looks at
strongest regions of the shipped classifier
Features are entries of the matrix logarithm of the connectivity matrix, so a single entry is not one edge. Regions and lobe blocks are the safer reading.
Lobe by lobe (AAL)
weight per feature in each block of regions
Stable under refitting?
30 bootstrap refits of the classifier
Is the explanation faithful?
AUC after deleting the features an explanation names
Nothing leaves your browser
Run the models
The connectome classifier runs here in plain JavaScript: shrinkage covariance, matrix
logarithm by Jacobi rotations, standardisation and the linear score, on scans of subjects that model
never saw during training. The segmentation network runs through ONNX Runtime Web.
fMRI
Classify a resting-state scan
held-out subjects of one cross-validation fold
MRI
Segment a scan
the bilateral U-Net, 10.8M parameters, fetched from Hugging Face
Downloads about 43 MB once, then runs four windows in a background thread: a few minutes on the CPU, faster with WebGPU. The page stays usable meanwhile.
The ideas, interactively
How it works
Three pictures that carry most of the method. The documentation has the derivations.
Bilateral exchange
Every position reads its mirror image across the midline. Move the probe.
Contralateral masking
Each hidden cube has a visible twin on the other side. Compare with ordinary random masking.
Training on a scan's own noise
Each subject is a cloud of window connectomes rather than one point.
From raw download to this page
Reproduce
One Nextflow pipeline runs both studies, locally, in Docker or on a cluster; a test profile
runs every stage on synthetic data in a few minutes.
Pipeline
Everything, one command
nextflow run mahdisabetkish/brainssl -profile docker,gpu