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Combining images from multi-modalities is beneficial for exploring various information in computer vision, especially in the medical domain. As an essential part of clinical diagnosis, multi-modal brain tumor segmentation presents a set of distinct challenges for accurately delineating both the normal anatomy and the pathologic deviations caused by the tumor. In this paper, we aim to fuse information on different imaging modalities with the medical domain knowledge to segment tumors. We present MASM, a novel Modality Aware and Shift Mixer that integrates intra-modality and inter-modality dependencies of multi-modal images for effective and robust brain tumor segmentation. Specifically, we introduce a Modality-Aware (MA) module according to neuroimaging studies for modeling the specific modality pair relationships at low levels, and a Modality-Shift (MS) module with specific mosaic patterns is developed to explore the complex relationships that are not addressed by the MA module across modalities efficiently. Experimentally, we outperform previous state-of-the-art approaches on the public Brain Tumor Segmentation dataset. Further qualitative experiments demonstrate the effectiveness and robustness of MASM.
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