BrainVLM

Dataset overview

BrainTumor48K combines de-identified institutional cohorts with diverse public MRI resources. The private data support model development, multi-center retrospective testing, and prospective clinical evaluation, while the public data broaden tumor coverage, add healthy controls, and support both 2D representation learning and 3D case-level training. The tables below report the institutional cohort characteristics and, for every public source, the available supervision and its role in the study.

Private data · Institutional cohorts

The private data come from Xiangya Hospital and 11 independent centers: Changde First People’s Hospital, Shanghai Tongji Hospital, the University of South China Second Hospital, Shenzhen Second People’s Hospital, the Third Xiangya Hospital, Jiangxi Provincial People’s Hospital, Chongqing Traditional Chinese Medicine Hospital, the First and Second Affiliated Hospitals of Nanchang University, Hunan Provincial Children’s Hospital, and the First Affiliated Hospital of Lanzhou University. Available T1, T1c, T2, and FLAIR MRI, demographics, radiology reports, and pathological diagnoses were de-identified. Institutional reports were terminology-standardized and reviewed by neuroradiologists before use.

Dataset or medical centerNo. of subjectsMaleFemaleAge in years, mean ± SD (range)
Total10,1474,921 (48%)5,226 (52%)53 ± 16 (1–86)
Train dataset4,9362,571 (52%)2,365 (48%)43 ± 19 (1–86)
Test dataset5,2112,350 (45%)2,861 (55%)48 ± 17 (1–86)
Xiangya Hospital8,8134,256 (48%)4,557 (52%)45 ± 18 (1–86)
Changde First People’s Hospital361193 (53%)168 (47%)55 ± 13 (6–86)
Shanghai Tongji Hospital10454 (52%)50 (48%)54 ± 16 (5–79)
University of South China Second Hospital11057 (52%)53 (48%)52 ± 15 (6–80)
Shenzhen Second People’s Hospital5230 (58%)22 (42%)49 ± 15 (8–75)
The Third Xiangya Hospital10349 (48%)54 (52%)52 ± 17 (7–76)
Jiangxi Provincial People’s Hospital232107 (46%)125 (54%)53 ± 15 (13–82)
Chongqing Traditional Chinese Medicine Hospital4217 (40%)25 (60%)58 ± 12 (26–78)
The First Affiliated Hospital of Nanchang University9740 (41%)57 (59%)46 ± 17 (20–67)
Hunan Provincial Children’s Hospital10356 (54%)47 (46%)28 ± 17 (1–60)
The First Affiliated Hospital of Lanzhou University8131 (38%)50 (62%)52 ± 13 (8–76)
The Second Affiliated Hospital of Nanchang University4931 (63%)18 (37%)54 ± 12 (13–74)

The 4,936-case development cohort comprises 4,816 training patients and 120 validation patients from Xiangya Hospital. The 5,211-case retrospective evaluation comprises 3,877 primary-test patients and 1,334 patients from the 11 external centers.

Public data · Online brain MRI resources

The 39 online sources include BraTS23 and TCIA collections, ReMIND, UPENN-GBM, Radiopaedia, OpenNeuro, IXI, PubMed Central, ImageCLEF, and multiple Kaggle datasets. Structured repositories were converted into case-level MRI, diagnosis, metadata, and report fields. Web-derived figures were separated, filtered, and aligned with their captions. The complete source list below records data format, scale, original information, and the tasks organized for this study.

Data typeData resourceNo. of subjectsNo. of imagesOriginal informationOrganized tasks
2D web crawlingPubMed Central23,849116,296Description2D MRI slice–text description; tumor classification
2D web crawlingCtisus1501,124Description; diagnosis2D MRI slice–text description; tumor classification
2D web crawlingImageCLEFmedical234844,631Description2D MRI slice–text description; tumor classification
2D KaggleBr35H2,137Diagnosis; segmentation2D MRI slice–text description; tumor classification
2D KaggleFigshare Brain Tumor Dataset2333,064DiagnosisTumor classification
2D KaggleBrain Tumor Classification3,264DiagnosisTumor classification
2D KaggleBrain Tumor MRI Images 44 Classes4,479DiagnosisTumor classification
3D TumorLGG-1p19qDeletion15932,829Diagnosis; segmentation3D MRI–report; tumor classification
3D TumorBraTS233,2632,156,589Diagnosis; segmentation3D MRI–report; tumor classification
3D TumorReMIND*10860,963Diagnosis; metadata3D MRI–report; tumor classification
3D TumorRHUH-GBM40122,835DiagnosisTumor classification
3D TumorUPENN-GBM630622,112Diagnosis; segmentation3D MRI–report; tumor classification
3D TumorGLIS-RT23083,196DiagnosisTumor classification
3D TumorQIN GBM Treatment Response5466,988DiagnosisTumor classification
3D TumorLUMIERE91460,155DiagnosisTumor classification
3D TumorOpenNeuro (Diffuse Gliomas)4222,412DiagnosisTumor classification
3D TumorBrain-Tumor-Progression2046,573Diagnosis; segmentation3D MRI–report; tumor classification
3D TumorRadiopaedia2,606376,374Diagnosis; report3D MRI–report; tumor classification
3D TumorBurdenko180460,524DiagnosisTumor classification
3D TumorRIDER19115,100DiagnosisTumor classification
3D TumorACRIN-DSC-MR-Brain1231,385,512DiagnosisTumor classification
3D TumorACRIN-FMISO-Brain50508,500DiagnosisTumor classification
3D TumorMeningioma-SEG-CLASS9683,556Diagnosis; metadata3D MRI–report; tumor classification
3D TumorBrain Metastasis MRI Dataset7585,400Diagnosis; segmentation3D MRI–report; tumor classification
3D TumorBrain-TR-GammaKnife478,300DiagnosisTumor classification
3D HealthyAOMIC-ID10009281,101,652DiagnosisTumor or healthy classification
3D HealthyAOMIC-PIOP1216251,380DiagnosisTumor or healthy classification
3D HealthyIXI582398,774DiagnosisTumor or healthy classification
3D HealthyOpenNeuro (Listening Task)78136,694DiagnosisTumor or healthy classification
3D HealthyOpenNeuro (Healthy Adults)66122,175DiagnosisTumor or healthy classification
3D HealthyOpenNeuro (Visual Audiovisual Speech)60105,160DiagnosisTumor or healthy classification
3D HealthyOpenNeuro (Dynamic Passive Threat)82126,299DiagnosisTumor or healthy classification
3D HealthyOpenNeuro (UCLA Consortium)272285,910DiagnosisTumor or healthy classification
3D HealthyOpenNeuro (NIMH Healthy)157461,281DiagnosisTumor or healthy classification
3D HealthyDLBS Dataset31599,344DiagnosisTumor or healthy classification
3D HealthyQTAB Dataset4221,251,467DiagnosisTumor or healthy classification
Public testEGD Dataset774DiagnosisTumor classification
Public testBrain-Mets-Lung100DiagnosisTumor classification
Public testVestibular-Schwannoma-MC2190DiagnosisTumor classification

“3D Healthy” denotes healthy participants with 3D MRI volumes; “3D Tumor” denotes patients with brain tumors. ReMIND contributes 108 tumor cases after excluding six non-tumor brain disease cases. Some training data cannot be redistributed because of source-specific policies, including Radiopaedia restrictions.

BrainTumor48K dataset curation

The processed sources are assembled into complementary 2D and 3D resources rather than being reduced to a single homogeneous task. Across 47,947 individuals, BrainTumor48K contains 24,716 2D MRI cases for broad image–text representation learning and 23,231 case-level 3D MRI studies for volumetric diagnosis. Within the 3D component, 18,113 cases include both reports and pathological labels, while 5,118 provide MRI and diagnostic labels for classification.

BrainTumor48K dataset curation and data organization
Supplementary Figure 2. Data sources, supervision types, and the construction of BrainTumor48K.

Progressive training and diagnostic reliability

BrainVLM was developed with 35,227 online cases and 4,816 cases from Xiangya Hospital, with another 500 online and 120 institutional cases reserved for validation. Training progresses from large-scale 2D MRI–text representation learning to joint 2D–3D learning and, finally, instruction tuning on higher-quality case-level 3D MRI data linked with diagnoses and reports. After diagnostic training, consensus-driven response clustering is used to construct reliability supervision, enabling BrainVLM to associate each diagnosis with a confidence score and to provide a second candidate for review when the leading prediction is uncertain.

BrainVLM progressive training, consensus response clustering, and reliability training
Supplementary Figure 5. Progressive 2D–3D training, reliability dataset construction, and confidence-guided inference.

Data preprocessing

Structured repositories, web-derived MRI–text pairs, and institutional cohorts differ in format, annotation, and quality-control requirements. Separate processing routes standardize these heterogeneous sources into a common patient-level representation linking MRI with available diagnoses, metadata, and reports.

Pipelines for processing structured datasets, web resources, and private medical institutions
Supplementary Figure 1. Processing pipelines for structured repositories, unstructured web resources, and medical institutions.