We examined unsupervised methods of segmentation of MR images of the b
rain for measuring tumor volume in response to treatment. Two clusteri
ng methods were used: fuzzy c-means and a nonfuzzy clustering algorith
m, Results were compared with volume segmentations by two supervised m
ethods, k-nearest neighbors and region growing, and all results were c
ompared with manual labelings, Results of individual segmentations are
presented as well as comparisons on the application of the different
methods with 10 data sets of patients with brain tumors. Unsupervised
segmentation is preferred for measuring tumor volumes in response to t
reatment, as it eliminates operator dependency and may be adequate for
delineation of the target volume in radiation therapy. Some obstacles
need to be overcome, in particular regarding the detection of anatomi
cally relevant tissue classes. This study shows that these improvement
s are possible.