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Peer-reviewedCC BYFrontiers in medicine

Near-duplicate contamination inflates brain MRI benchmark performance: a size-matched, multi-seed MedNeXt-B study.

  1. 1The First Clinical Medical College, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
  2. 2Department of Interventional Radiology, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.

Abstract

Background

Pre-partitioned brain tumor MRI collections may place exact or near-duplicate slices on both sides of a benchmark split, but the magnitude and uncertainty of the resulting performance difference are rarely measured.Methods

A unified MedNeXt-B 2D model produced a four-class label and a tumor mask from a shared encoder. For each near-duplicate-screened fold, we constructed a replacement-based contaminated condition of identical size and tumor-class-by-plane composition; this condition was not the original unscreened training pool. Validation folds and the frozen 995-slice test set were identical. Constituent source-dataset matching was not possible because BRISC2025 provides no per-image source provenance. Both conditions were trained with seeds 42, 1,337, 2,024, 3,407, and 5,090. Primary uncertainty summaries used a 10,000-resample hierarchical bootstrap over seeds and inferred pseudo-patient clusters.Results

Across five seeds, screened accuracy was 0.9652 ± 0.0023 and mean class Dice was 0.7894 ± 0.0031 (mean ± sample SD). Accuracy was higher in the replacement-based contaminated condition by a mean difference of 0.0261 ± 0.0031 (range 0.0211-0.0281; hierarchical 95% CI, 0.0207-0.0318); corresponding mean differences were 0.0315 ± 0.0049 for mean class Dice (range, 0.0252-0.0375; hierarchical 95% CI, 0.0238-0.0394) and 0.0746 ± 0.0055 for meningioma recall (range, 0.0660-0.0792; hierarchical 95% CI, 0.0590-0.0911). The screening surrogate recovers only 5.8% of known same-patient slice pairs in an independent calibration dataset, so the screened condition may retain undetected related slices, and the intervals do not establish patient-level independence.Conclusion

Retaining detected test-linked near-duplicates was associated with higher slice-level benchmark performance in this replacement-matched exploratory analysis.

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BibTeX
@article{huang2026nearduplicate,
  title = {{Near-duplicate contamination inflates brain MRI benchmark performance: a size-matched, multi-seed MedNeXt-B study.}},
  author = {Yuhan Huang and Zhipeng Sun and Jinghui Chen and Tao Yang and Lianxin Xie and Xinchen Lin},
  journal = {Frontiers in medicine},
  year = {2026},
  month = oct,
  doi = {10.3389/fmed.2026.1955863},
  url = {https://europepmc.org/article/MED/42923803},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Near-duplicate contamination inflates brain MRI benchmark performance: a size-matched, multi-seed MedNeXt-B study.
AU  - Yuhan Huang
AU  - Zhipeng Sun
AU  - Jinghui Chen
AU  - Tao Yang
AU  - Lianxin Xie
AU  - Xinchen Lin
PY  - 2026
DA  - 2026/10/08
JO  - Frontiers in medicine
DO  - 10.3389/fmed.2026.1955863
UR  - https://europepmc.org/article/MED/42923803
AB  - Background  Pre-partitioned brain tumor MRI collections may place exact or near-duplicate slices on both sides of a benchmark split, but the magnitude and uncertainty of the resulting performance difference are rarely measured.Methods  A unified MedNeXt-B 2D model produced a four-class label and a tumor mask from a shared encoder. For each near-duplicate-screened fold, we constructed a replacement-based contaminated condition of identical size and tumor-class-by-plane composition; this condition was not the original unscreened training pool. Validation folds and the frozen 995-slice test set were identical. Constituent source-dataset matching was not possible because BRISC2025 provides no per-image source provenance. Both conditions were trained with seeds 42, 1,337, 2,024, 3,407, and 5,090. Primary uncertainty summaries used a 10,000-resample hierarchical bootstrap over seeds and inferred pseudo-patient clusters.Results  Across five seeds, screened accuracy was 0.9652 ± 0.0023 and mean class Dice was 0.7894 ± 0.0031 (mean ± sample SD). Accuracy was higher in the replacement-based contaminated condition by a mean difference of 0.0261 ± 0.0031 (range 0.0211-0.0281; hierarchical 95% CI, 0.0207-0.0318); corresponding mean differences were 0.0315 ± 0.0049 for mean class Dice (range, 0.0252-0.0375; hierarchical 95% CI, 0.0238-0.0394) and 0.0746 ± 0.0055 for meningioma recall (range, 0.0660-0.0792; hierarchical 95% CI, 0.0590-0.0911). The screening surrogate recovers only 5.8% of known same-patient slice pairs in an independent calibration dataset, so the screened condition may retain undetected related slices, and the intervals do not establish patient-level independence.Conclusion  Retaining detected test-linked near-duplicates was associated with higher slice-level benchmark performance in this replacement-matched exploratory analysis.
SN  - 2296-858X
ER  -