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Toward reliable computer-aided brain tumor diagnosis: a contrast-enhanced deep learning approach with hybrid KNN classification

Overview

Authors: Krithika Pandurangan1, Doddi Chandana Gowri2, Jonnla Naga Surekha3, Pratiksha V Chafle4, Kolagotla Venkateswara Reddy5, Shonak Bansal6, Krishna Prakash7, Md Shabiul Islam8,9, Mohammad Tariqul Islam10
  1. Department of MBA, SRM Institute of Science and Technology, Chennai, Tamil Nadu, India
  2. Department of CSE, SRM University, Amaravathi, India
  3. Department of Electronics and Communication Engineering, Dr RVR NRI Institute of Technology (Deemed to be University), Eluru, India
  4. Department of CSE, G H Raisoni University Amravati, Maharashtra, India
  5. Department of Mechanical Engineering, Lakireddy Balireddy College of Engineering, Vijayawada, India
  6. Department of Electronics and Communication Engineering, Chandigarh University, Gharuan, Punjab, India
  7. Department of Information and Communication Technology, Marwadi University, Rajkot, Gujarat, India
  8. Centre for Advanced Devices and Systems, Centre of Excellence for Robotics and Sensing Technologies, Multimedia University, Cyberjaya, Selangor, Malaysia
  9. Faculty of Artificial Intelligence and Engineering, Multimedia University, Cyberjaya, Selangor, Malaysia
  10. Department of Electrical, Electronic and Systems Engineering, Faculty of Engineering and Built Environment, UKM Bangi, Bangi, Selangor, Malaysia
Journal: Frontiers in human neuroscience, volume 20, article 1883543
Dates: received 17 May 2026; accepted 24 August 2026; published online 14 September 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI · PMCID PMC13616713
Status: data only
Categories: structural MRI / diffusion (modality), other condition (population), clinical / translational (subfield)
Methods: Machine learning, Statistics, Preprocessing
Keywords: brain tumors, convolutional neural networks, magnetic resonance imaging, multi-scale contrast enhancement, supervised learning approaches
Citations: not cited yet (Europe PMC); 38 references in the paper

Abstract

Timely and accurate diagnosis of brain tumors using magnetic resonance imaging (MRI) is a major concern in neuro-oncology because of the potential effects of delayed and inconsistent radiological diagnoses on the management of such diseases. Manual analysis of MRIs is time-consuming and highly susceptible to observer variations; thus, there is a need for computer-based and more consistent diagnostic processes. In this study, an automatic diagnostic process based on deep learning was proposed using multiscale contrast enhancement along with lightweight convolutional features and classifiers for diagnosing four classes of brain tumors. The MRI images were analyzed using a Multi-scale Intensity Contrast Amplification (MICA) algorithm that enhances the relevant structural information of the tumors across fine, intermediate, and coarse spatial scales. The refined images were then fed into an in-house convolutional neural network (CNN) backbone architecture that uses depth-wise separable convolution, residual skip connection, and squeeze-and-excitation (SE) attention mechanism to extract compact and discriminative feature representations. To select the optimal decision layer for this representation, three supervised learning methods, namely K-Nearest Neighbors (KNN), Support Vector Machine (SVM), and Random Forest (RF), were trained on this set of features and compared with the softmax head of the CNN. The experiments were performed on a publicly available, three-source combined MRI dataset of 7,023 images across glioma, meningioma, pituitary tumor, and normal categories using both hold-out and 5-fold cross-validation setups. In all the evaluated configurations, the hybrid model of CNN and KNN provided the best hold-out accuracy (96.58%), whereas the hybrid model of CNN and SVM offered the best macro-average precision (98.81%) and area under the ROC curve (99.56%). Both hybrids were statistically superior (p < 0.001) to the softmax head of the CNN in the paired statistical tests. Class Activation visualization based on gradient analysis revealed that the network concentrated on clinically sensible regions of the tumors rather than other irrelevant background regions. With a compact parameter footprint (0.20 MB in half precision) and an inference throughput of approximately 23.7 images per second on the CPU and 220.1 images per second on an NVIDIA A100 GPU at a batch size of 16, the proposed framework offers an accurate, interpretable, and computationally frugal solution that is suitable for computer-aided brain tumor screening in resource-constrained clinical settings.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability statement

The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found at: https://www.kaggle.com/datasets/masoudnickparvar/brain-tumor-MRI-dataset.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 29 September 2026: the first record

Recorded: type, language, journal, volume, pages, dates, 9 authors, 5 keywords, 32 references.

Cite

This paper

Pandurangan, K., Gowri, D. C., Surekha, J. N., Chafle, P. V., Reddy, K. V., Bansal, S., Prakash, K., Islam, M. S., & Tariqul Islam, M. (2026). Toward reliable computer-aided brain tumor diagnosis: a contrast-enhanced deep learning approach with hybrid KNN classification. Frontiers in human neuroscience, 20, 1883543.

BibTeX

@article{pandurangan2026toward,
author = {Pandurangan, Krithika and Gowri, Doddi Chandana and Surekha, Jonnla Naga and Chafle, Pratiksha V and Reddy, Kolagotla Venkateswara and Bansal, Shonak and Prakash, Krishna and Islam, Md Shabiul and Tariqul Islam, Mohammad},
title = {{Toward reliable computer-aided brain tumor diagnosis: a contrast-enhanced deep learning approach with hybrid KNN classification}},
journal = {Frontiers in human neuroscience},
year = {2026},
month = sep,
volume = {20},
pages = {1883543},
publisher = {Frontiers Media SA},
issn = {1662-5161},
pmcid = {PMC13616713}
}

RIS

TY - JOUR
AU - Pandurangan, Krithika
AU - Gowri, Doddi Chandana
AU - Surekha, Jonnla Naga
AU - Chafle, Pratiksha V
AU - Reddy, Kolagotla Venkateswara
AU - Bansal, Shonak
AU - Prakash, Krishna
AU - Islam, Md Shabiul
AU - Tariqul Islam, Mohammad
TI - Toward reliable computer-aided brain tumor diagnosis: a contrast-enhanced deep learning approach with hybrid KNN classification
T2 - Frontiers in human neuroscience
J2 - Front Hum Neurosci
PY - 2026
DA - 2026/09/29
VL - 20
SP - 1883543
SN - 1662-5161
PB - Frontiers Media SA
LA - en
ER -

CSL-JSON

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