Deep Learning–Based Convolutional Neural Networks for Brain Tumor Detection on CT scans: A Systematic Review

Sara Ali, Meaad Elbashir, Almohannad Hamzi, Imad Akour, Anwar Sheikhain, Raed Al-Shahri, Turkey Refaee, Ali Abdelrazig, Awatif M. Omer

 

For citation: Ali S, Elbashir M, Hamzi A, Akour I, Sheikhain A, Al-Shahri R, Refaee T, Abdelrazig A, Omer AM. Deep Learning– Based Convolutional Neural Networks for Brain Tumor Detection on CT scans: A Systematic Review. International Journal of Biomedicine. 2026;16(3):306-313. doi:10.21103/Article16(3)_RA2

Originally published September 5, 2026

Abstract: 

This systematic review evaluates the efficacy and diagnostic performance of deep learning algorithms for detecting brain tumors from computed tomography (CT) data. To assess the diagnostic performance of convolutional neural network (CNN)-based models, a descriptive analysis of metrics such as accuracy, specificity, and precision was conducted. Results from nine recent studies demonstrated high diagnostic performance for deep learning methods. Most models achieved accuracy, precision, and specificity exceeding 95% in the differential diagnosis of neoplastic versus non-neoplastic lesions on imaging. These findings highlight the potential of CNNs to facilitate the early diagnosis of brain tumors, particularly in emergency settings where CT serves as the first-line imaging modality.

The analyzed studies employed a wide range of CNN architectures—from pre-trained models to custom-designed networks—yielding consistent and reliable results. However, several limitations were identified, including small sample sizes, reliance on retrospective data, insufficient external validation, and variations in approaches to interpreting results. Despite these limitations, the consistency of findings across independent studies confirms the reliability and practical potential of CNN-based methods for brain tumor detection in CT imaging. Future research should focus on prospective study designs, larger multicenter datasets, standardized reporting, and enhanced model interpretability to ensure safe and effective integration into clinical practice.

Keywords: 
deep learning, convolutional neural network, brain tumour, computed tomography
References: 
  1. Kumar A, Pandey SK, Varshney N, Singh KU, Singh T, Shah MA. Distinctive approach in brain tumor detection and feature extraction using biologically inspired DWT method and SVM. Sci Rep. 2023 Dec 20;13(1):22735. doi: 10.1038/s41598-023-50073-9. PMID: 38123666; PMCID: PMC10733354.
  2. Dorfner FJ, Patel JB, Kalpathy-Cramer J, Gerstner ER, Bridge CP. A review of deep learning for brain tumor analysis in MRI. NPJ Precis Oncol. 2025 Jan 3;9(1):2. doi: 10.1038/s41698-024-00789-2. PMID: 39753730; PMCID: PMC11698745.
  3. Kawauchi D, Ohno M, Miyakita Y, Takahashi M, Yanagisawa S, Omura T, Yoshida A, Kubo Y, Igaki H, Ichimura K, Narita Y. Early Diagnosis and Surgical Intervention Within 3 Weeks From Symptom Onset Are Associated With Prolonged Survival of Patients With Glioblastoma. Neurosurgery. 2022 Nov 1;91(5):741-748. doi: 10.1227/neu.0000000000002096. Epub 2022 Aug 15. Erratum in: Neurosurgery. 2023 Feb 01;92(2):e44. doi: 10.1227/neu.0000000000002281. PMID: 35951724; PMCID: PMC9531976.
  4. Mesfin FB, Karsonovich T, Al-Dhahir MA. Gliomas. 2024 Aug 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 28722904.
  5. Behin A, Hoang-Xuan K, Carpentier AF, Delattre JY. Primary brain tumours in adults. Lancet. 2003 Jan 25;361(9354):323-31. doi: 10.1016/S0140-6736(03)12328-8. PMID: 12559880.
  6. Bruzzone MG, D’Incerti L, Farina LL, Cuccarini V, Finocchiaro G. CT and MRI of brain tumors. Q J Nucl Med Mol Imaging. 2012 Apr;56(2):112-37. PMID: 22617235.
  7. Aberle D, El-Saden S, Abbona P, Gomez A, Motamedi K, Ragavendra N et al. A primer on imaging anatomy and physiology. In Medical imaging informatics. Boston, MA: Springer US, 2009:15-90.‏
  8. Mienye ID, Swart TG, Obaido G, Jordan M, Ilono P. Deep Convolutional Neural Networks in Medical Image Analysis: A Review. Information. 2025; 16(3):195. doi: 10.3390/info16030195
  9. Khalighi S, Reddy K, Midya A, Pandav KB, Madabhushi A, Abedalthagafi M. Artificial intelligence in neuro-oncology: advances and challenges in brain tumor diagnosis, prognosis, and precision treatment. NPJ Precis Oncol. 2024 Mar 29;8(1):80. doi: 10.1038/s41698-024-00575-0. PMID: 38553633; PMCID: PMC10980741.
  10. Zhou SK, Greenspan H, Davatzikos C, Duncan JS, van Ginneken B, Madabhushi A, Prince JL, Rueckert D, Summers RM. A review of deep learning in medical imaging: Imaging traits, technology trends, case studies with progress highlights, and future promises. Proc IEEE Inst Electr Electron Eng. 2021 May;109(5):820-838. doi: 10.1109/JPROC.2021.3054390.
  11. Appasami G, Savarimuthu N. Cross-dataset performance evaluation and secure federated learning with weighted model aggregation for MRI brain tumor image classification. J Supercomput. 2025;81:1555.
  12. Appasami G, Savarimuthu N. Federated learning for secure medical MRI brain tumor image classification. Eur Phys J Spec Top. 2025;234:4813–4827. doi:10.1140/epjs/s11734-025-01516-z
  13. Appasami G, Savarimuthu N. A novel lightweight CNN design for MRI brain tumor image classification with performance-driven optimization. Discov Computing. 2025;28:206. doi:10.1007/s10791-025-09603-4
  14. Al-Rahbi A, Al-Habsi T, Al-Suli A, et al. Artificial intelligence use in diagnosis, grading, and segmentation of neuro-oncology: a narrative review. Egypt J Neurol Psychiatry Neurosurg.2025;61:54. doi:10.1186/s41983-025-00980-7
  15. Patil V, Madgi M, Kiran A. Early prediction of Alzheimer’s disease using convolutional neural network: a review. Egypt J Neurol Psychiatry Neurosurg. 2022;58:130. doi.org/10.1186/s41983-022-00571-w
  16. Illimoottil M, Ginat D. Recent Advances in Deep Learning and Medical Imaging for Head and Neck Cancer Treatment: MRI, CT, and PET Scans. Cancers (Basel). 2023 Jun 21;15(13):3267. doi: 10.3390/cancers15133267. PMID: 37444376; PMCID: PMC10339989.
  17. Woźniak M, Siłka J, Wieczorek M. Deep neural network correlation learning mechanism for CT brain tumor detection. Neural Comput & Applic.2023;35:14611–14626 (2023). doiDoi:10.1007/s00521-021-05841
  18. Negm N, Aldehim G, Nafie FM, Marzouk R, Assiri M, Alsaid MI, et al. Intracranial haemorrhage diagnosis using willow catkin optimization with voting ensemble deep learning on CT brain imaging. IEEE Access. 2023;11:75474-75483.‏ doi:10.1109/ACCESS.2023.3297281
  19. Mahmud MI, Mamun M, Abdelgawad A. A Deep Analysis of Brain Tumor Detection from MR Images Using Deep Learning Networks. Algorithms. 2023; 16(4):176. doi:10.3390/a16040176
  20. Anjum S, Hussain L, Ali M, Alkinani MH, Aziz W, Gheller S, et al. Detecting brain tumors using deep learning convolutional neural network with transfer learning approach. International Journal of Imaging Systems and Technology. 2022;32(1), 307-323.‏ doi:10.1002/ima.22641 12
  21. Chang K, Balachandar N, Lam C, Yi D, Brown J, Beers A, Rosen B, Rubin DL, Kalpathy-Cramer J. Distributed deep learning networks among institutions for medical imaging. J Am Med Inform Assoc. 2018 Aug 1;25(8):945-954. doi: 10.1093/jamia/ocy017. PMID: 29617797; PMCID: PMC6077811.
  22. Hossain T, Shishir FS, Ashraf M, Nasim MA, Muhammad Shah F. Brain Tumor Detection Using Convolutional Neural Network. 2019 1st International Conference on Advances in Science, Engineering and Robotics Technology (ICASERT), 2019:1-6.
  23. Ramspek CL, Jager KJ, Dekker FW, Zoccali C, van Diepen M. External validation of prognostic models: what, why, how, when and where? Clin Kidney J. 2020 Nov 24;14(1):49-58. doi: 10.1093/ckj/sfaa188. PMID: 33564405; PMCID: PMC7857818.
  24. Rao SKV, Lingappa B. Image Analysis for MRI Based Brain Tumour Detection Using Hybrid Segmentation and Deep Learning Classification Technique. International Journal of Intelligent Engineering & Systems. 2019;12(5).‏ doi: 10.22266/ijies2019.1031.06
  25. Mehrotra R, Ansari MA, Agrawal R, Anand RS. A transfer learning approach for AI-based classification of brain tumors. Machine Learning with Applications.2020;2:100003.‏ doi:10.1016/j.mlwa.2020.100003
  26. Anderson AW, Marinovich ML, Houssami N, Lowry KP, Elmore JG, Buist DSM, Hofvind S, Lee CI. Independent External Validation of Artificial Intelligence Algorithms for Automated Interpretation of Screening Mammography: A Systematic Review. J Am Coll Radiol. 2022 Feb;19(2 Pt A):259-273. doi: 10.1016/j.jacr.2021.11.008.
  27. Kaifi R. A Review of Recent Advances in Brain Tumor Diagnosis Based on AI-Based Classification. Diagnostics (Basel). 2023 Sep 20;13(18):3007. doi: 10.3390/diagnostics13183007. PMID: 37761373; PMCID: PMC10527911.
  28. Mäenpää SM, Korja M. Diagnostic test accuracy of externally validated convolutional neural network (CNN) artificial intelligence (AI) models for emergency head CT scans - A systematic review. Int J Med Inform. 2024 Sep;189:105523. 
  29. Takao H, Amemiya S, Kato S, Yamashita H, Sakamoto N, Abe O. Deep-learning single-shot detector for automatic detection of brain metastases with the combined use of contrast-enhanced and non-enhanced computed tomography images. Eur J Radiol. 2021 Nov;144:110015. doi: 10.1016/j.ejrad.2021.110015. Epub 2021 Nov 1. PMID: 34742108.
  30. Moe YM, Groendahl AR, Mulstad M, Tomic O, Indahl U, Dale E, et al. Deep learning for automatic tumour segmentation in PET/CT images of patients with head and neck cancers. arXiv preprint arXiv:1908.00841.‏ doi:10.48550/arXiv.1908.00841
  31. ARI A, HANBAY D. Deep learning based brain tumor classification and detection system. Turk J Elec Eng & Comp Sci (2018) 26: 2275 – 2286. doi:10.3906/elk-1801-8
  32. Almadhoun HR, Abu-Naser SS. Detection of Brain Tumor Using Deep Learning. Int J Acad Eng Res (IJAER). 2022;6(3):29–47.

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Received April 21, 2026.
Accepted June 11, 2026.
© 2026 The Author(s). International Journal of Biomedicine is published by IMRDC. This is an open access article under the CC BY-NC-ND 4.0 license.