SABViT: A Pilot Feasibility Study of a Self-Attention-Based Vision Transformer for Binary Brain Tumor Detection in MRI

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The accurate and timely identification of brain tumors is crucial for effective diagnosis and treatment planning; however, the manual interpretation of MRI scans continues to be difficult and susceptible to errors. Although convolutional neural networks (CNNs) have made strides in automated classification, their dependence on local feature processing can restrict overall effectiveness. As an initial exploration, this pilot study introduces a Vision Transformer (ViT) model that utilizes self-attention mechanisms to capture both long-range global contexts and detailed local dependencies within image data, facilitating a more thorough feature representation that is vital for detecting subtle pathological patterns. Trained and assessed on a pilot dataset comprising 3,000 MRI images with significant augmentation, the proposed ViT model attained a promising preliminary accuracy of 99.73%, surpassing established CNN-based architectures such as ResNet-50, VGG-16, and EfficientNet-B0 across all evaluation metrics within the constraints of this binary classification task. These feasibility results not only highlight the potential of ViTs for brain tumor classification but also effectively validate the fundamental data processing and model fine-tuning pipeline. The study points out critical limitations, including dataset scale and model explainability, which directly influence the design of a forthcoming large-scale, multi-institutional research initiative. This pilot research lays a foundational framework for the integration of transformer-based models into medical imaging workflows to enhance diagnostic accuracy.

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In the human visual system, visible objects are recognized by features, which can be classified into local features that are based on their simple components (i.e., line segment, angle, color, etc.) and global features that are based on the whole objects (i.e., connectivity, number of holes, etc.). Over the past half century, anatomical, physiological, behavioral and computational studies of the visual systems have led to a generally accepted model of vision, which starts at processing local features in the early stages of the visual pathways, followed by integrating them to global features in the later stages of the visual pathways. However, this popular local-to-global model has been challenged by a set of experiments showing that the visual systems in humans, non-human primates and honey bees are more sensitive to global features than local features. These “global-first” studies further motivated developing new paradigms and approaches to understand human vision and build new vision models. In this study, we started a new series of experiments that examine how two representative pre-trained Convolutional Neural Networks (CNN) (AlexNet and VGG-19) process local and global features. The CNNs were trained to classify geometric shapes into two categories based on local features (e.g., triangle, square and circle) or a global feature (e.g., having a hole). In contrast to the biological visual systems, the CNNs were more effective at classifying images based on local features than the global feature. We further showed that adding distractors greatly lowered the performance of the CNNs, again different from the biological visual systems. Ongoing studies will extend these analyses to other geometrical invariants and internal representations of the CNNs. The overarching goal is to use the powerful CNNs as a tool to gain insights into the biological visual systems, including that of humans and non-human primates.

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