What is the best data augmentation approach for brain tumor segmentation using 3D U-Net?

Training segmentation networks requires large annotated datasets, which in medical imaging can be hard to obtain. Despite this fact, data augmentation has in our opinion not been fully explored for brain tumor segmentation (a possible explanation is that the number of training subjects (369) is rather large in the BraTS 2020 dataset). Here we apply different types of data augmentation (flipping, rotation, scaling, brightness adjustment, elastic deformation) when training a standard 3D U-Net, and demonstrate that augmentation significantly improves performance on the validation set (125 subjects) in many cases. Our conclusion is that brightness augmentation and elastic deformation works best, and that combinations of different augmentation techniques do not provide further improvement compared to only using one augmentation technique.