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Ina Zheleva

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Open access Jul 2026

Enhancing the Explainability of the MRI-Based Brain Tumour Detection with Image Preprocessing

Accurate and interpretable brain tumour detection from magnetic resonance imaging (MRI) is important for the reliable use of computer-assisted diagnostic systems. This study examines whether image preprocessing can improve the localisation quality of explanations generated by convolutional neural network (CNN) classifiers while preserving high classification performance. Two pre-trained CNN architectures, ResNet50 and DenseNet121, were fine-tuned using the BRISC 2025 dataset, which contains 6000 annotated contrast-enhanced T1-weighted MRI images: 5000 training images and 1000 test images. The dataset includes four classes: glioma, meningioma, pituitary tumour, and healthy brain images. The original classification layers were replaced with custom fully connected heads designed for four-class classification. Model explanations were generated using Grad-CAM, Integrated Gradients, and LIME. Their localisation quality was evaluated against the available tumour segmentation masks using Intersection over Union (IoU), the Dice coefficient, and the Pointing Game metric. Tests show that both models (99.1% for ResNet50 and 99.2% for DenseNet121) perform well in terms of validation accuracy, but the explanation maps often operate in regions outside the clinically relevant area. To combat this issue, an image preprocessing pipeline utilising Otsu threshold masking, hole filling, and brightness–contrast jittering was implemented to filter noise from the background and isolate the focus area—brain region. After preprocessing, the validation accuracy of the DenseNet121 model was 99.6%, and the average Grad-CAM explainability metrics improved from 21.49% to 23.08% IoU, from 30.21% to 32.49% Dice coefficient, and from 48.33% to 51.67% Pointing Game score. The results indicate that conventional image preprocessing can moderately improve the spatial agreement between explanation maps and annotated tumour regions without reducing classification accuracy.

Aykut Ismailov, Ina Zheleva, P. Georgieva et al. · 0 citations