Anatomical Consistency Distillation and Inconsistency Synthesis for Brain Tumor Segmentation with Missing Modalities

Multi-modal Magnetic Resonance Imaging (MRI) is imperative for accurate brain tumor segmentation, offering indispensable complementary information. Nonetheless, the absence of modalities poses significant challenges in achieving precise segmentation. Recognizing the shared anatomical structures between mono-modal and multi-modal representations, it is noteworthy that mono-modal images typically exhibit limited features in specific regions and tissues. In response to this, we present Anatomical Consistency Distillation and Inconsistency Synthesis (ACDIS), a novel framework designed to transfer anatomical structures from multi-modal to mono-modal representations and synthesize modality-specific features. ACDIS consists of two main components: Anatomical Consistency Distillation (ACD) and Modality Feature Synthesis Block (MFSB). ACD incorporates the Anatomical Feature Enhancement Block (AFEB), meticulously mining anatomical information. Simultaneously, Anatomical Consistency ConsTraints (ACCT) are employed to facilitate the consistent knowledge transfer, i.e., the richness of information and the similarity in anatomical structure, ensuring precise alignment of structural features across mono-modality and multi-modality. Complementarily, MFSB produces modality-specific features to rectify anatomical inconsistencies, thereby compensating for missing information in the segmented features. Through validation on the BraTS2018 and BraTS2020 datasets, ACDIS substantiates its efficacy in the segmentation of brain tumors with missing MRI modalities.