SIAM: Head and Brain MRI Segmentation from Few High-Quality Templates via Synthetic Training

Synthetic training has recently advanced brain MRI segmentation by enabling contrast-agnostic models trained entirely on generated data. However, most existing approaches rely on hundreds of automatically labeled templates, introducing systematic biases and limiting their flexibility to incorporate new anatomical structures. We present the Segment It All Model (SIAM), a 3D whole-head segmentation framework for 16 anatomical structures, trained using only six high-quality, manually annotated templates. SIAM extends domain randomization to both intensity and shape domains: synthetic image generation ensures contrast variability, while high-resolution spatial transformations model anatomical differences in cortical thickness and deep nuclei morphology. Unlike prior synthetic models, SIAM simultaneously segments brain as well as extra-cerebral tissues, including cerebrospinal fluid, vessels, dura mater, skull, and skin, enabling fully automated, preprocessing-free analysis. Evaluation across eight heterogeneous datasets (N=301), that include multiple contrasts (T1-weighted, T2-weighted, CT) and span a wide range of ages, demonstrates that SIAM matches or outperforms state-of-the-art methods for brain structures, in addition to extending automated segmentation to non-brain structures. The model also exhibits superior consistency across contrasts and repeated acquisitions, together with improved sensitivity to subtle gray matter atrophy. We openly release the model and the label templates at https://github.com/romainVala/SIAM.

PyCellMech: A shape-based feature extraction pipeline for use in medical and biological studies

Summary: Medical researchers obtain knowledge about the prevention and treatment of disability and disease using physical measurements and image data. To assist in this endeavor, feature extraction packages are available that are designed to collect data from the image structure. In this study, we aim to augment current works by adding to the current mix of shape-based features. The significance of shape-based features has been explored extensively in research for several decades, but there is no single package available in which all shape-related features can be extracted easily by the researcher. PyCellMech has been crafted to address this gap. The PyCellMech package extracts three classes of shape features, which are classified as one-dimensional, geometric, and polygonal. Future iterations will be expanded to include other feature classes, such as scale-space. Availability and implementation: PyCellMech is freely available at https://github.com/icm-dac/pycellmech.