ORIGINAL RESEARCH article

Front. Neurol.

Sec. Artificial Intelligence in Neurology

DenseLes: Slice-Wise Dense Network for Multiple Sclerosis Lesion Segmentation and Classication

  • University of Szeged, Szeged, Hungary

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Abstract

Accurate and reliable segmentation of multiple sclerosis (MS) lesions from magnetic resonance imaging (MRI) is essential for diagnosis and monitoring disease progression. Therefore, a robust and ecient au-tomated approach can provide information about the patient rapidly. We propose a convolutional neural network-based method to segment lesions from FLAIR images. The DenseLes system includes two stages: pre-processing of image data (brain extraction, standardization) then segmentation of MS lesions using an end-to-end slice-wise dense network. We also identify the segmented lesions in specic locations (periventric-ular, (juxta)cortical, infratentorial, spinal). DenseLes is evaluated and compared to other methods on our assembled data and the public MSSEG 2016 MS challenge dataset. Our model demonstrates a signicant improvement in segmentation quality over previous approaches, achieving an average Dice score of 0.80% on the Szeged MS dataset. On the MSSEG 2016 data, our method produced Dice scores ranging from 0.32% to 0.73%, a performance that is comparable to that of human raters.

Summary

Keywords

brain extraction, brain MRI, Convolutio nal Neural Networks (CNN), lesion segmentation, multiple sclerois

Received

12 September 2025

Accepted

06 February 2026

Copyright

© 2026 Katona, Bozsik, Bodnár, Kocsis, Tóth, Szabó, Király, Faragó, Nyúl, Veréb and Kincses. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Zsigmond Tamás Kincses

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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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