A Multi-Modal Fusion Framework for Brain Tumor Segmentation Based on 3D Spatial-Language-Vision Integration and Bidirectional Interactive Attention Mechanism

Abstract: This study aims to develop a novel multi-modal fusion framework for brain tumor segmentation that integrates spatial-language-vision information through bidirectional interactive attention mechanisms to improve segmentation accuracy and boundary delineation. Methods: We propose two core components: Multi-modal Semantic Fusion Adapter (MSFA) integrating 3D MRI data with clinical text descriptions through hierarchical semantic decoupling, and Bidirectional Interactive Visual-semantic Attention (BIVA) enabling iterative information exchange between modalities. The framework was evaluated on BraTS 2020 dataset comprising 369 multi-institutional MRI scans. Results: The proposed method achieved average Dice coefficient of 0.8505 and 95% Hausdorff distance of 2.8256mm across enhancing tumor, tumor core, and whole tumor regions, outperforming state-of-the-art methods including SCAU-Net, CA-Net, and 3D U-Net. Ablation studies confirmed critical contributions of semantic and spatial modules to boundary precision. Conclusion: Multi-modal semantic fusion combined with bidirectional interactive attention significantly enhances brain tumor segmentation performance, establishing new paradigms for integrating clinical knowledge into medical image analysis.