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Revisiting MAE Pre-training for 3D Medical Image Segmentation

CVPR 2025 · Label-efficient and robust learning › Self-supervised and contrastive · approach: Self-supervised neuroimaging representations · 19 citations (OpenAlex)

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Revisits masked autoencoder pre-training for 3D CNNs on a 39k brain MRI dataset using a ResEnc U-Net in nnU-Net, producing Spark3D, which beats SSL baselines and the nnU-Net from-scratch baseline across 11 brain MRI segmentation datasets.

Problem

SSL pre-training for 3D medical image segmentation has been hampered by small pre-training datasets, outdated backbones, and weak evaluation, so it is unclear whether it beats strong from-scratch nnU-Net baselines.

Approach

Applies a carefully configured masked autoencoder to a residual encoder U-Net (CNN) with sparse convolutions, mask tokens, densification convs, dynamic masking ratio, and a tuned fine-tuning schedule, pre-trained on 39k brain MRIs and validated on separate development and test datasets.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
apply Spark3D MAE pre-training instead of training from scratch with the fixed configurationResEnc U-Net · Test datasets (D1-D11)Avg. DSC: 70.40 -> 72.37Helped
add sparse convolutions and mask-aware normalization (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.35 -> 71.36No clear effect
add a learnable mask token after sparse convolutions and normalization (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.36 -> 71.37No clear effect
add densification convolution (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.37 -> 71.66Helped
use a 30% mask ratio instead of 75% (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.66 -> 71.08Hurt
use a 45% mask ratio instead of 75% (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.66 -> 71.08Hurt
use a 60% mask ratio instead of 75% (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.60 vs 71.66No clear effect
use a 90% mask ratio instead of 75% (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.66 -> 71.19Hurt
sample mask ratios uniformly from 60% to 90% instead of using fixed 75% masking (ablation)MAE pre-training for ResEnc U-Net · Development datasets (D1-D5)Avg. DSC: 71.65 vs 71.66No clear effect
use dynamic nnU-Net planning instead of fixed planningtraining from scratch · Brain Mets (D2)DSC: 56.53 -> 63.66Helped
use dynamic nnU-Net planning instead of fixed planningtraining from scratch · T2 Aneurysms (D11)DSC: 41.97 -> 46.76Helped
use fixed planning instead of dynamic nnU-Net planningtraining from scratch · Cosmos22 (D6)DSC: 60.28 -> 78.17Helped

Surprising findings

Limitations

Experimental setup

Datasets: proprietary brain MRI pre-training dataset (39,168 volumes) MS FLAIR Brain Mets Hippocampus (MSD) ATLAS v2.0 CrossModa Cosmos22 HaNSeg ISLES22 HNTS-MRG24 BraTS Africa T2 Aneurysms

Benchmarks: MS FLAIR Brain Mets Hippocampus Atlas22 CrossModa Cosmos22 ISLES22 HaNSeg HNTS-MRG24 BraTS Africa T2 Aneurysms

Metrics: Dice similarity coefficient normalized surface distance average rank

Baselines: nnU-Net (dynamic) nnU-Net (fixed) VoCo Volume Fusion Models Genesis

Builds on: masked autoencoder nnU-Net Models Genesis VoCo SparK

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