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Detection of Brain Tumor using Medical Images: A Comparative
Study of Machine Learning Algorithms A Systematic Literature
Review
Solomon Antwi Buabeng
1,2
, Atta Yaw Agyeman
3
, Samuel Gbli Tetteh
3
, Lois Azupwah
4
1
Department of Computer Science and Informatics, University of Energy and Natural Resources Sunyani, Ghana
2
Department of Computer Science, Sunyani Technical University, Sunyani, Ghana
3
D Jarvis College of Computing and Digital Media, DePaul University, Chicago, USA
4
University Clinic, University of Energy and Natural Resources Sunyani, Ghana
DOI: https://doi.org/10.51583/IJLTEMAS.2024.130907
Received: 16 July 2024; Accepted: 29 July 2024; Published: 05 October 2024
Abstract: Background: Brain tumors are a significant global health concern impacting both adults and children. Tumors are
characterized by abnormal or excessive growth resulting from uncontrolled cell division. Diagnosing brain tumors poses various
challenges, including limited funding, a shortage of qualified professionals, and insufficient access to medical facilities in remote
regions. Different learning techniques for detecting brain tumors have been developed due to their ease of use, cost-effectiveness,
and non-invasive nature, in contrast to other invasive methods.
Methods: This research conducts a systematic literature review to explore modern trends and concepts of machine learning in
healthcare, aiming to identify effective techniques for brain tumor detection. It also compares and analyzes the most efficient
machine learning methods currently in use, focusing on aspects such as machine learning algorithms, image augmentation,
evaluation metrics, and the sizes of datasets employed. Results: The findings indicate that non-invasive methods, such as machine
learning algorithms for brain tumor detection, are cost-effective and provide quick results. Conclusions: This systematic literature
review offers a technical overview, demonstrating the efficiency and effectiveness of machine learning techniques in making brain
tumor detection feasible. The study utilizes deep learning and machine learning methods to comprehensively analyse diagnosis,
imaging, and clinical evaluations in medical fields related to brain tumor detection.
Keywords: Classification, Artificial Intelligence, Deep Learning, Machine Learning.
I. Introduction
The International Agency for Research on Cancer (IARC) reports that approximately 126,000 people are diagnosed with brain
tumors annually, with an estimated 97,000 deaths (Al-Tamimi & Sulong, 2015). Abnormal human nervous system growth poses
significant health risks (Sarkar, Alahe, & Ahmad, 2023). Brain tumors are among the most severe health challenges today due to the
development of uncontrolled destructive cells in the nervous system. Early detection and treatment are crucial, as brain tumors can be
particularly dangerous if not addressed promptly (Krishnapriya & Karuna, 2017). The World Health Organization (WHO) identifies
malignant brain tumors as destructive and fatal neoplasms with high mortality rates across all age groups (Xie et al., 2022).
Annually, 9.6 million people worldwide die from brain cancer, according to the WHO (Vimala, Srinivasan, Mathivanan, Jayagopal,
& Dalu, 2023). Brain tumors are a prevalent and severe condition, reducing life expectancy across genders and age groups. Early
detection and treatment are essential to prevent permanent organ damage (Williams, Appiahene, & Timmy, 2023). Common
symptoms include poor communication, headaches, drowsiness, seizures, cognitive and personality changes, and delirium, often due
to increased intracranial pressure (Susan M. Chang, Erin Dunbar, Virginia Dzul-Church, Laura Koehn, & Margaretta S. Page, RN,
2015). Factors contributing to brain tumors include hormonal factors, nutrition, smoking, alcohol, and aspartame (Farmanfarma,
Mohammadian, Shahabinia, Hassanipour, & Salehiniya, 2019). Previous research indicates that MRI features of newly predicted
brain tumors are used for diagnosis and treatment planning (Dong et al., 2011). Causes include inheritance, radiation exposure,
metastasis, and medical history, with symptoms such as headaches, nausea, and other standard symptoms of brain tumors and
cancers (Raghavapudi, Singroul, & Kohila, 2021). Symptoms also include seizures, vision changes, headaches, hearing issues,
balance problems, cognitive difficulties, and sudden mood changes like aggression and hallucinations (Elshaikh et al., 2021).
Common detection techniques include MRI, X-ray, and CT scans, which are critical for early brain tumor detection and effective
treatment (Biswas & Islam, 2023). Non-invasive techniques are vital in treatment processes (Rasool et al., 2022). Manual MRI
diagnosis can be time-consuming and prone to errors. Deep neural frameworks automate complex medical processes, aiding
healthcare professionals in diagnosis (Kuraparthi, Reddy, Sujatha, Valiveti, & Duggineni, 2021). Non-invasive, smartphone-based
devices show promise for addressing healthcare concerns related to brain tumors (Jia, Shkolyar, & Laurie, 2021). Various studies
have developed robust, non-invasive techniques for brain tumor detection and diagnosis, utilizing medical imaging and machine
learning to make accurate predictions. This research aims to review modern trends in adapting machine learning techniques in
healthcare, identifying efficient methods for brain tumor detection and diagnosis using medical images. Additionally, the study
compares effective machine learning techniques regarding image augmentation, evaluation metrics, dataset size, and model accuracy.
Table 1 outlines the research questions in this systematic literature review, highlighting the motivation behind these questions to
guide future research towards non-invasive, robust models for brain tumor prediction and diagnosis, emphasizing the role of machine
learning in classification and detection.
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Table1 Research questions underlying this systematic literature review
1. What are the most extensively used and effective
machine-learning techniques for brain tumor detection
using medical images?
To examine the most utilized and effective machine-learning technique
for brain tumor detection with the use of medical images
2. Size of the dataset (medical images) used:
(a) What dataset (images) size is used or applied for the
study?
(b) What are effective preprocessing techniques adapted
for machine learning models in brain tumor detection?
Machine learning techniques perform better with huge dataset sizes,
and huge is dataset size examined with other preprocessing techniques
which includes augmentation image extraction technique.
3. What is the accuracy of machine learning techniques
for brain tumor detection using medical images?
To examine the machine learning technique performance used brain
tumor detection using medical images, and to evaluate the efficiency of
the technique in brain tumor detection.
Several Techniques for Brain Tumor Prediction and Detection
Various techniques are used for predicting and detecting brain tumors, including Computed Tomography (CT) scans and Diffusion
Tensor Imaging (DTI). For this purpose, many brain scanning systems are employed such as Magnetic Resonance Imaging (MRI),
Positron Emission Tomography (PET), and biopsies (tissue sample analysis). However, these methods, particularly MRI, can be
time-consuming and heavily reliant on the expertise of the operator (Mangla, 2022; Shohag, Aktar, Science, & Imtiaz, 2015; Ali et
al., 2022; Amin, Sharif, Haldorai, Yasmin, & Sundar, 2022). MRI is the most commonly used tool for detecting and diagnosing brain
tumors, yet the interpretation of MRI images can be challenging due to the complexity and variability of brain anatomy (Suchetha,
Bhat, Hegde, Mallikarjun, & Karthik, 2023). In treating brain tumors, neurosurgical resection is often the first step (Vermeulen et al.,
2023).
Deep learning, particularly Convolutional Neural Networks (CNNs), has shown superior performance in computer vision tasks,
including medical image analysis (Miah et al., 2024). These deep-learning models continuously mine significant image features,
evaluate patterns, and classify these features (Ali et al., 2022). Computer-aided diagnostics (CAD) has significantly progressed with
machine learning and deep learning techniques in medical image detection (Islam et al., 2022; Anagun, 2023). Since the introduction
of artificial intelligence, there has been considerable technological advancement in healthcare over the past 15 years (Williams et al.,
2023). Machine learning and image processing techniques have automated processes, resulting in efficient, accurate, and reliable
outcomes in disease detection, planning, and diagnosis (Kitsios, Kamariotou, & Syngelakis, 2023). Deep learning excels in complex
tasks such as speech recognition, image classification, and natural language processing, making it a valuable tool for predictive
analytics (Aafreen, Zarreen, Ahmad, & Razzaque, 2022).
Contributions to Knowledge
This systematic literature review makes the following contributions:
Examined 20 original papers on machine-learning techniques for brain tumour detection using medical images, providing
comprehensive knowledge in this domain.
Offers a detailed analysis of medical image segmentation, including:
(a) Evaluation techniques
(b) Machine learning techniques
(c) Dataset sizes used in research
(d) Performance of the adopted ML models
Provides findings that will guide future research and development in this field.
II. Method
This narrative review critically examines and analyses the current information on the application of machine-learning techniques for
brain tumour detection. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)
standards. The PRISMA checklist was followed, and the Mendeley data repository was registered on December 12, 2019. Research
articles were sourced from Research Gate, Google Scholar, PubMed, and Directory of Open Access Journals databases, covering the
period from 2010 to 2024. The search included all relevant investigations, clinical tests, and image-based brain detection studies.
Only English-language literature was used. Papers lacking sufficient data for outcome assessment or those not including medical
images were excluded.
The paper includes figures such as a conceptual framework (Fig. 1) summarising the research sections and subsections, a summary of
the search criteria (Fig. 2), and a table (Table 2) detailing the number of studies and their machine learning models.
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Figure 1: conceptual framework summarizing the sections/ subsections for this research work.
Applications of Machine Learning Models in Brain Tumor Detection
Artificial intelligence and deep learning are increasingly being integrated into various technological domains. In medical imaging,
there has been a significant uptick in the use of AI, particularly convolutional neural networks (CNNs), which mimic the neurons in
the human visual cortex (Gordon, 2021). CNNs can process vast amounts of data more quickly than humans, and in the context of
brain tumors, they have demonstrated performance comparable to expert levels (Gordon, 2021). Recently, CNNs have become more
prevalent in brain tumor classification due to their outstanding performance and extremely high accuracy in research environments
(Xie et al., 2022).
RESEARCH GATE
N = 282
GOOGLE
SCHOLAR
N = 338
MEDPUB
N = 135
DIRECTORY OF OPEN
ACCESS JOURNAL
N = 48
TITLE AND ABSTRACT SCREEENED N = 351
FULL PAPER SCREENED N = 67
PAPER INCLUDED IN THE REVIEW N = 14
N = 803
REVIEWS AND CHAPTER REMOVED N = 323
DUPLICATE REMOVED N = 129
N = 452
REMOVED AFTER TIRLE AND SCREENING
N = 284
EXCLUDED N = 53
INCLUDED
ELIGIBILITY
SCREENING
IDENTIFICATION
Figure 2: The flow diagram, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA),
illustrates the review process, detailing the examination of papers, identification of duplicates, and removal of redundant papers.
Additionally, it outlines the screening of abstracts and titles, as well as the inclusion and exclusion of full papers following the search
across different databases.
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Table 2: This table presents the performance metrics of various machine learning techniques used for brain tumor detection, along
with detailed information about each model. Furthermore, it provides an overview of current studies focusing on machine learning
models and their respective summaries.
Publisher
Dataset
size
Performance evaluation
Ref/ No
Model / Technique
Image
argumentati
on
Highest
Accuracy
sensitivi
ty
specificit
y
Journal Of
Information
Systems
Engineering
And Business
Intelligence
2969
High 96.0
98.0
95.71
(Biswas &
Islam, 2023)
Alex Net, =93.05%
No
Google Net= 89.39
VGG16=85.24
Vgg16=99.28
Electronic
Research
Archive
2065
High 99.45
X
X
(Swarup,
Singh,
Kumar, &
Pandey,
2023)
Google Net =98.95
Alex Net=99.45
yes
Frontier In
Human
Neuroscience
253
High 99.48
98.76
X
(Krishnapriya
& Karuna,
2017)
VGG19
=99.48
VGG16=99
ResNet50
=97.92
Inception V3
=81.25
yes
Journal Of
Online And
Biomedical
Engineering
(IJOE)
253
High 96.10
X
X
(Azshafarrah,
Komar,
Mahamad,
Saon, &
Mudjanarko,
2023)
Alexnet
=96.10
VGG =94.6
ResNet50
=91.56
yes
Journal Of
Positive School
Psychology
3064
High 93.29
x
x
((Samee et
al., 2022)
dense Net
=93.29
ResNet149
=71.88
No
Entropy
(M D P I)
1426
High 98.1
x
x
(Rasool et al.,
2022)
google net+ s v m
98.1
yes
Google Net fine-
turning 93.1
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IIETA
253
High 98.28
x
x
(Kuraparthi et
al., 2021)
Alex Net=91.38
yes
VGG16 =94.83
ResNet50=98.28
Alex Net CNN+
Bayes Net=88.75
Hindawi
(Journal Of
Sensor)
3600
High 98.20
x
x
(Sarkar et al.,
2023)
Alex Net
CNN+SMO=98.15
no
Alex Net
CNN+NB
=86.25
Alex Net CNN
+RF=98.20
Hindawi
(Computational
3064
High 99.7
x
x
(Kibriya et
al., 2022)
Alex Net=98
yes
Intelligence And
Google Net=97.6
Neuroscience)
ResNet18=98
ResNet18
+SVM+KNN=99.7
Indonesian
Journal Of
Electrical
Engineering
And Computer
Science
3000
High 95.8
X
X
(Abbood,
Shallal, &
Fadhel, 2021)
Alex Net 82.7
VGG16
=,86.4
Google Net=91
RestNet=
95.8
no
International
Journal Of
Academic
Engineering
Research
(IJAER)
10000
High
99.88
x
x
(Almadhoun
& Naser,
2022)
Inception
99.88
VGG16=99.86
Mobile Net =88.96
Res Net 98.14
yes
conference
paper
27
Promising
66.6
x
x
(Al-ayyoub,
Alabed-
alaziz, &
Darwish,
2012)
NN=66.6
J48=59.2
NB=59.2
Lazy-IBk =62.9
no
Medical
Informatics And
Decision-
Making
3264
High 93.29
high
88.0
x
(Saeedi,
Rezayi,
Keshavarz, &
Kalhori,
2023)
Dense net 169
=93.29
Res Net=7.
yes
Original
Research
Adult Brain
237
High 87.0
x
x
(Gutta,
Acharya,
Shiroishi, &
Hwang,
2024)
GB= 64
CNN= 87.0
SVM =56
RF =58
no
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Figure 3 illustrates the number of studies corresponding to each machine learning model listed in the table.
Various machine learning techniques are utilized in the detection of a wide range of diseases, facilitating the discovery of
relationships and predictions based on specific features. The architecture of Alex Net comprises a diverse series of average pooling
convolutional units. ResNet demonstrates improved accuracy when abundant data with increased parameters and layers are
available.The total number of filters equals the size of the output feature, and doubling the total number of filters results in halving
the future maps to maintain time complexity on each layer. ResNet effectively resolves the issue of accuracy degradation.
Traditionally, brain tumor treatment and detection involve surgical resection and radio- and chemotherapy, yet these methods are
limited by challenges such as difficulties in surgical resection and cellular damage from therapies. The significant impact of brain
tumor statistics has prompted researchers to explore diverse techniques in brain tumor detection, aiming for effective and efficient
classification, diagnosis, and therapy.
Deep learning techniques currently outperform conventional machine learning techniques and are predominantly applied in various
healthcare delivery systems, including medical image analysis. Convolutional Neural Networks (CNNs), a deep learning approach
frequently employed in medical imaging problems, are predominantly used in the detection of brain tumors and medical image
analysis due to their high accuracy performance in research contexts.
Artificial Neural Networks (ANNs) consist of interconnected processing neurons, serving as mathematical equivalents to biological
neural systems. ANNs are widely utilized in medicine, particularly in brain tumor detection, due to their high accuracy in image
recognition and ability to discern complex data relationships.
Convolutional Neural Networks (CNNs) represent a class of deep learning methodologies predominantly utilized for data analysis
and visualization, requiring minimal preprocessing strategies. CNNs have found extensive application across various domains,
including natural language processing, image classification, and medical imaging. Presently, machine learning, particularly deep
learning techniques, is adept at discerning patterns within medical images, as it excels in extracting and synthesizing knowledge from
data rather than relying solely on scientific texts. Machine learning techniques have evolved into potent tools for medical
applications, playing a crucial role in enhancing performance across diverse fields such as tissue segmentation, diagnosis, and
molecular identification (Amin et al., 2022; Saeedi et al., 2023).
In a study conducted by Saad, Suliman, Bitar, and Bshara (2023), a hybrid model was employed for brain tumor detection using MRI
images, achieving an accuracy of 96.6%. Similarly, MRI images were utilized in another study conducted by Earning, Ahmed,
Ibrahim, Ahmed, and Hassan (2023) and Sarkar et al. (2023).
Bahadure, Ray, and Thethi (2017) employed medical image segmentation from Region of Interest (ROI) in brain tumor detection
using MRI. The authors utilized wavelet transform to segment brain tumor images before applying machine learning techniques for
tumor stage classification through feature vector analysis and region segmentation. CNNs demonstrate remarkable efficacy and
efficiency in handling image datasets due to their fundamental principles allowing convolutional operations between kernels and
1 1 1
9
1 1 1
2
6
1 1
10
1
4
1 1 1 1
Number of studies and Machine learning models used
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image feature extraction (Aafreen et al., 2022). In this context, Hossain, Shishir, Ashraf, and Alpha (2019) proposed a CNN
architecture for brain tumor detection consisting of 5 layers, 32 convolutional filters of 3*3, and 3 channels, achieving an accuracy of
97.87%. Kuraparthi et al. (2021) introduced a deep neural network for brain tumor detection, employing CNN models such as Alex
Net, ResNet50, and VGG16 on Kaggle and Brats publicly available datasets. The proposed technique achieved accuracies ranging
from 98.28% to 99.0% with and without data augmentation, respectively, with the ResNet model. Miah et al. (2024) investigated
brain tumor detection using clustering and softmax for MRI image analysis. The performance of CNN was compared with Decision
Tree (DT) and Radial Basis Function (RBF), with the softmax classifier demonstrating the best performance, achieving an accuracy
of 99.52% on test data.
Gaps identified in the reviewed literature
(Al-ayyoub et al., 2012) (Krishnapriya & Karuna, 2017)(Acharya & Shiroishi, 2021) (Xu et al., 2022)(Azshafarrah et al., 2023)
tilized relatively small datasets for predicting brain tumors. For example, (Al-Ayoub et al., 2012) employed only 27 MRI images for
brain tumor detection. Although smaller datasets can suffice for brain tumor detection, techniques like transfer learning and
validation (Menze et al., 2015; Deepak & Ameer, 2019) can enhance their effectiveness.
Data augmentation is a commonly employed technique to enhance the generalization of deep learning models. Smaller dataset sizes
often lead to overfitting, where the model memorizes the training data (Nalepa, Marcinkiewicz, & Kawulok, 2019). (Biswas & Islam,
2023) conducted research using the CNN-SVM technique for brain tumor detection with a large dataset but without applying data
augmentation, while (Gutta et al., 2024) utilized a sizable dataset obtained from Region of Interest. Conversely, (Swarup et al., 2023)
employed a large dataset but utilized only two convolutional neural networks for brain tumor detection. Additionally, (Shohag et al.,
2015), (Kibriya et al., 2022), and (Miah et al., 2024) utilized much larger datasets for detection but did not specify the origin or
source of the datasets.
However, (Almadhoun & Naser, 2022), (Sarkar et al., 2023), and (Gutta et al., 2024) addressed these dataset gaps, as outlined in
section 1.1. The study by (Saeedi et al., 2023) provided comprehensive details on data collection, including the source, preprocessing
techniques, and introduction after image augmentation, along with the machine learning models used and their respective
performance in the research study. Moreover, none of the research papers included in the studies of various models addressed time
complexity, which is crucial for detecting and diagnosing diseases as it helps determine the efficiency of the applied model on the
dataset.
Limitations of this study
This study encompasses a wide array of designs and data types, primarily drawn from published articles. It emphasizes utilizing
medical images for brain tumor detection. However, it neglects materials not published in reputable peer-reviewed scientific journals,
as these are not indexed and accessible through the databases searched.
III. Conclusion And Future Works
The utilisation of machine learning in medical image detection, such as for brain tumors, is cost-effective and highly efficient.
Timely and accurate decision-making is crucial for medical practitioners, and machine learning excels in this domain. A study
conducted by Naveen et al. (2021) achieved an accuracy of 95.42% in brain tumor detection using a convolutional neural network
(CNN), while Abdelgawad (2023) reported a slightly lower accuracy of 93.3% with CNN. Tasci et al. (2022) employed a soft-
voting-based ensemble technique on TCGA and CGGA datasets, yielding accuracies of 87.606% and 79.668%, respectively.
However, Abbood et al. (2021) outperformed Tasci et al. (2022) with an accuracy of 95.58%.
Furthermore, Samee et al. (2022) achieved a 93.29% accuracy with a neural network, slightly lower than Anaraki et al.'s (2018) CNN
accuracy of 94.2%. Similarly, Samee et al. (2022) achieved a 99.51% accuracy, lower than Reszke and Smaga's (2023) 92.59%. A.
Rohini et al. (2023) utilized a multimodal hybrid CNN for brain tumor detection, obtaining an accuracy of 99.43%, slightly lower
than Anagun's (2023) 99.85% with CNN. In Figure 2, representing the total number of papers used in the research studies, Alex Net
emerged as the most utilized model (10 papers), followed by VGG16 and ResNet with 9 and 6 papers, respectively. Google Net was
utilized in 4 studies, Dense Net in 2, and other models in single studies. Although the evidence supports the application of machine
learning in brain tumor detection, the most effective model type remains uncertain.
Data augmentation is crucial in medical imaging to mitigate biases from uneven class distribution. It enhances the performance of
machine learning models, facilitating efficient tumor detection and aiding in effective medical treatments. However, a significant
limitation lies in using small datasets, which perform better and prevent overfitting when augmented with larger datasets.This study
aims to illustrate the effectiveness of machine learning models in disease detection through a comprehensive analysis of medical
images. It underscores the importance of utilizing machine learning to reduce costs and enable informed medical decisions.
The systematic literature review evaluated various machine learning models for brain tumor detection, analyzing dataset sources and
augmentation techniques. Alex Net emerged as the most frequently used model, followed by ResNet and VGG16. The study
recommends augmenting medical image datasets to improve accuracy and mitigate overfitting.
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