Prepare multimodal MRI for 3D brain-tumor segmentation by matching the target model’s input contract—not by applying a supposedly universal preprocessing recipe. Confirm the required sequences, channel order, coordinate space, voxel spacing, and brain-extraction policy first; then convert, align, transform, package, and inspect each subject’s images and labels.
What should you confirm before preprocessing?
Start with the exact segmentation task, dataset protocol, and model version you intend to use. “Preprocessed” can mean different things across challenges and models: one may expect brain-extracted images in an atlas space, while another may use images in native space. A pipeline that is valid for one task can produce unsuitable inputs for another.
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Record the model’s input requirements before changing any image. At minimum, establish:
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- The reference image and whether modalities must be aligned to it.
- The required coordinate space, voxel spacing, and orientation, if specified.
- Whether brain extraction is required, prohibited, or optional.
- How the model expects labels, missing modalities, and subject files to be represented.
For example, BraTS materials use T1c, T1n, T2f, and T2w in a segmentation example, while preprocessing policies vary across BraTS tasks. GoAT documentation also provides an example with those four modalities. Do not assume those names, or their order, apply to a different model.
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How should you convert and inventory the MRI data?
Convert without losing identity or geometry
If the source is DICOM and the model pipeline expects NIfTI, convert each series while preserving its subject and series identity and its spatial metadata. The BraTS-METS 2023 workflow includes DICOM-to-NIfTI conversion, but the conversion method and required output layout should follow your dataset and model documentation.
Check every volume before registration
For each subject and sequence, record the dimensions, voxel spacing, orientation, origin or affine, sequence identity, and whether the file opens correctly. Similar filenames do not prove that volumes share the same geometry. Resolve ambiguous series against the dataset’s data dictionary or acquisition records rather than guessing from a filename.
Keep an inventory that links each input series to its converted image and records any missing or unreadable modality. This makes it possible to catch a wrong-series substitution before it propagates into registration or channel assembly.
How do you align modalities within a subject?
Register the available sequences to the reference volume specified by the model or dataset, then inspect the results by overlaying the images. The purpose is to make corresponding anatomy occupy corresponding voxel locations across channels; matching dimensions alone does not establish alignment.
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A historical BraTS benchmark used rigid co-registration to contrast-enhanced T1 (T1c), selecting that reference for the spatial resolution of that dataset. That is an example, not a general rule to use T1c as the reference for every study. Current BraTS workflows likewise describe co-registration as a common preprocessing stage, but the chosen reference and transform still depend on the task.
Use a viewer to check representative anatomical landmarks and tumor boundaries across modalities. Registration software completing without an error does not establish that the result is anatomically sound. 3D Slicer’s BRAINSFit documentation also notes that anatomical change, including tumor growth, can require additional transforms.
Should you register the images to an atlas?
Only do so when the target task or model calls for it. Within-subject alignment makes a subject’s channels line up with each other; atlas registration additionally maps anatomy into a shared reference space across subjects. These steps solve different problems.
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Current BraTS preprocessing documentation lists SRI24 for several tasks and MNI152 for adult glioma tasks from 2024 onward, while a meningioma radiotherapy task remains in native space. By contrast, the historical BraTS benchmark aligned modalities within each subject and did not map patients into a common reference space. These are task-specific choices, not conflicting universal standards. Follow the protocol for the exact task and model version.
When and how should you resample?
Resample only when the required output grid differs from the input geometry or when the model’s contract explicitly specifies a target grid. Record the output spacing and interpolation choices, and verify image and label geometry after transformation.
A historical BraTS benchmark protocol resampled images to 1 mm isotropic resolution. BraTS-METS 2023 also reports uniform 1 mm³ resampling. Those values describe particular protocols; they do not establish 1 mm as the right spacing for arbitrary clinical images or models. Avoid unnecessary resampling, which can alter image values and add transformations that the input specification did not require.
Transform labels with interpolation appropriate to the label representation; categorical label maps must not be treated as ordinary intensity images. After resampling, check that labels still align with their corresponding images and retain the expected label values.
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Choose these operations for their distinct purposes and according to the model, challenge, and data-governance requirements. Skull stripping removes non-brain tissue; defacing removes facial features for privacy. Neither operation is a substitute for the other.
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BraTS task documentation includes different policies: some tasks use skull stripping, some use defacing, and some retain native-space handling. CaPTk’s documented BraTS preprocessing example includes optional skull stripping. Do not add either operation merely because it appears in another pipeline. When later review requires the original coordinates, retain the transforms or other information needed to map results back to the original image space.
How should the files be packaged for the model?
Build the input layout from the model’s documented subject structure, sequence names, channel order, and missing-modality policy. Use the expected file format and naming exactly; do not silently substitute a different sequence because its name looks similar.
For instance, a BraTS tutorial expects preprocessed NIfTI files and illustrates t1n, t1c, t2f, and t2w inputs. A dataset may use other labels such as T1CE or FLAIR. Map names only when the dataset documentation confirms that the underlying acquisition corresponds to the model’s required modality. If a sequence is absent, apply the model’s stated missing-modality rule or stop and resolve the mismatch; do not fabricate a channel by renaming another scan.
What quality checks should you run before inference?
Validate the prepared case, not just the processing log. A successful conversion or registration command does not prove that the inputs are complete or correctly aligned.
- Completeness: confirm that every required modality is present and assigned to the correct subject.
- Geometry: compare image and label dimensions, spacing, orientation, and spatial headers after transformation.
- Alignment: overlay modalities and labels; inspect representative slices in axial, coronal, and sagittal views, or use a 3D viewer.
- Mask handling: check that brain masks or extraction outputs are sensible where applicable and that tumor regions have not been lost through an unintended transformation.
- Registration plausibility: look for obvious shifts, rotations, or anatomical mismatches, especially around the tumor and relevant landmarks.
- Packaging: verify exact filenames, sequence order, folder structure, and label encoding against the model’s input specification.
Keep the original images and a record of applied transforms alongside the prepared data, subject to your data-governance rules. This supports review and, where needed, mapping a result back to the original coordinate system.
Which preprocessing software or pipeline should you use?
Choose a workflow that explicitly supports the task and verify its installed version and configuration. BraTS Orchestrator and BrainLes preprocessing provide task-aware routing and wrappers; CaPTk documents a BraTS preprocessing pipeline; and 3D Slicer provides registration tools. These tools do not make their defaults interchangeable: confirm the actual reference space, extraction behavior, resampling, and output layout selected by the configuration.
BraTS Toolkit documentation marks its older preprocessor as deprecated and recommends BrainLes preprocessing. Because software status and challenge instructions can change, check the live documentation for the version you plan to run. A separate 2025 dataset paper describes a workflow using FeTS, NIfTI, 1 mm³ resampling, SRI24 registration, and automated extraction—another example of a dataset-specific pipeline, not a general prescription.
Quick Recap
How to decide among the main preprocessing choices
| Decision | What it does | How to choose |
|---|---|---|
| Within-subject registration | Aligns modalities belonging to one subject. | Use the target model’s reference and registration requirements so channels line up. |
| Atlas registration | Maps anatomy into a shared reference space across subjects. | Apply only if the task or model specifies an atlas and names the required space. |
| Skull stripping | Removes non-brain tissue. | Follow the model or challenge input policy; it is not a privacy operation. |
| Defacing | Removes facial features for privacy. | Follow privacy rules and verify compatibility with the model’s input requirements. |
| Resampling | Places data on a specified voxel grid. | Match the required spacing and orientation; do not adopt a benchmark setting without a task-specific reason. |
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