  Automatic brain tumor segmentation plays an important role for diagnosis,
surgical planning and treatment assessment of brain tumors. Deep convolutional
neural networks (CNNs) have been widely used for this task. Due to the
relatively small data set for training, data augmentation at training time has
been commonly used for better performance of CNNs. Recent works also
demonstrated the usefulness of using augmentation at test time, in addition to
training time, for achieving more robust predictions. We investigate how
test-time augmentation can improve CNNs' performance for brain tumor
segmentation. We used different underpinning network structures and augmented
the image by 3D rotation, flipping, scaling and adding random noise at both
training and test time. Experiments with BraTS 2018 training and validation set
show that test-time augmentation helps to improve the brain tumor segmentation
accuracy and obtain uncertainty estimation of the segmentation results.
