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Attention-enhanced SAM with PBFO tuning: advancing glioma MRI segmentation.

Salem Alhatamleh,Hamad Yahia Abu Mhanna,7 Authors,Kholoud J. Sandougah

2026 · DOI: 10.3389/fmed.2026.1730353
Frontiers in Medicine · 0 Citations

TLDR

This study introduces PoSAM-ULTRA, an improved segmentation framework designed to enhance the accuracy and robustness of brain tumor segmentation, and demonstrates the robustness and reliability of PoSAM-ULTRA in handling the complexity of brain tumor MRI segmentation.

Abstract

Introduction

The segmentation of brain tumor MRI images is one of the most challenging tasks because of the variability and complexity associated with tumor tissues. This study introduces PoSAM-ULTRA, an improved segmentation framework designed to enhance the accuracy and robustness of brain tumor segmentation.

Methods

PoSAM-ULTRA employs the Polar-Bear Foraging Optimisation (PBFO) algorithm for hyperparameter tuning and utilizes an improved Segment Anything Model as its backbone. The framework is based on a ResNet-34 encoder modified to accept a four-channel input (RGB + prior information). Multi-scale feature extraction is performed via DownBlocks, while discriminative feature learning is enhanced using the Convolutional Block Attention Module (CBAM). Attention Gates are incorporated to ensure effective skip connections, and a multistage decoder is used for robust upsampling and feature integration. The model was evaluated on a dataset from the Integrative Genomic Analysis of Diffuse Lower Grade Gliomas (LGG) and compared with UNet, UNet++, and nnUNet.

Results

The proposed PoSAM-ULTRA model outperformed the baseline models, achieving superior performance with a Dice score of 91.4%, IoU of 88.9%, Accuracy of 99.8%, Precision of 95.2%, and Recall of 93.3%.

Discussion

The obtained results demonstrate the robustness and reliability of PoSAM-ULTRA in handling the complexity of brain tumor MRI segmentation, highlighting its effectiveness for challenging medical image segmentation tasks.