TY - JOUR AU - Pacal, Ishak PY - 2026 DA - 2026/09/09 TI - Modern Vision Transformer Models for Accurate and Explainable Brain Tumor MRI Classification JO - OBM Neurobiology SP - 352 VL - 10 IS - 03 AB - Accurate brain tumor classification from magnetic resonance imaging (MRI) remains difficult because glioma, meningioma, and pituitary tumors may exhibit overlapping enhancement, morphology, and slice-dependent appearance. This study presents a controlled comparison of Vision Transformer, Data-efficient Image Transformer (DeiT), Swin Transformer, BEiT, and EVA-02 under a common image-level protocol. The public Epic and CSCR Hospital Dataset record describes 12,064 preprocessed T1-weighted contrast-enhanced MRI images and was evaluated according to its published partitioning scheme. The original test set was reserved for final evaluation, and a validation subset was drawn solely from the original training set. BEiT-Base produced the highest observed accuracy (0.9921; Wilson 95% confidence interval, 0.9877-0.9950), a macro F1-score of 0.9924, and a macro area under the receiver operating characteristic curve of 0.9995, at a profiled cost of 33.70 giga floating-point operations per image, equal to that of Vision Transformer-Base and DeiT-Base. Accuracy intervals overlapped across models, and the differences were interpreted descriptively. Gradient-weighted Class Activation Mapping showed activation near the visually apparent lesion in many cases, but peripheral and non-lesion responses were also observed. Because patient and examination identifiers are unavailable, the findings represent image-level benchmark performance and do not establish patient-level generalization. SN - 2573-4407 UR - https://doi.org/10.21926/obm.neurobiol.2603352 DO - 10.21926/obm.neurobiol.2603352 ID - Pacal2026 ER -