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nnU-Net: a self-configuring method for deep learning-based biomedical image segmentation


Biomedical imaging is a driver of scientific discovery and a core component of medical care and is being stimulated by the field of deep learning. While semantic segmentation algorithms enable image analysis and quantification in many applications, the design of respective specialized solutions is non-trivial and highly dependent on dataset properties and hardware conditions. We developed nnU-Net, a deep learning-based segmentation method that automatically configures itself, including preprocessing, network architecture, training and post-processing for any new task. The key design choices in this process are modeled as a set of fixed parameters, interdependent rules and empirical decisions. Without manual intervention, nnU-Net surpasses most existing approaches, including highly specialized solutions on 23 public datasets used in international biomedical segmentation competitions. We make nnU-Net publicly available as an out-of-the-box tool, rendering state-of-the-art segmentation accessible to a broad audience by requiring neither expert knowledge nor computing resources beyond standard network training.

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Fig. 1: nnU-Net handles a broad variety of datasets and target image properties.
Fig. 2: Proposed automated method configuration for deep learning-based biomedical image segmentation.
Fig. 3: nnU-Net outperforms most specialized deep learning pipelines.
Fig. 4: Pipeline fingerprints from KiTS 2019 leaderboard entries.
Fig. 5: Data fingerprints across different challenge datasets.
Fig. 6: Evaluation of design decisions across multiple tasks.

Data availability

All 23 datasets used in this study are publicly available and can be accessed via their respective challenge websites as follows. D1–D10 Medical Segmentation Decathlon,; D11 Beyond the Cranial Vault (BCV)-Abdomen,!Synapse:syn3193805/wiki/; D12 PROMISE12,; D13 ACDC,; D14 LiTS,; D15 MSLes,; D16 CHAOS,; D17 KiTS,; D18 SegTHOR,; D19 CREMI,; D20–D23 Cell Tracking Challenge,

Code availability

The nnU-Net repository is available as Supplementary Software. Updated versions can be found at Pretrained models for all datasets used in this study are available for download at


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This work was co-funded by the National Center for Tumor Diseases (NCT) in Heidelberg and the Helmholtz Imaging Platform (HIP). We thank our colleagues at DKFZ who were involved in the various challenge contributions, especially A. Klein, D. Zimmerer, J. Wasserthal, G. Koehler, T. Norajitra and S. Wirkert, who contributed to the Decathlon submission. We also thank the MITK team, which supported us in producing all medical dataset visualizations. We are also thankful to all the challenge organizers, who provided an important basis for our work. We want to especially mention N. Heller, who enabled the collection of all the details from the KiTS challenge through excellent challenge design, E. Kavur from the CHAOS team, who generated comprehensive leaderboard information for us, C. Petitjean, who provided detailed leaderboard information of the SegTHOR entries from ISBI 2019 and M. Maška, who patiently supported us during our Cell Tracking Challenge submission. We thank M. Wiesenfarth for his helpful advice concerning the ranking of methods and the visualization of rankings. We further thank C. Pape and T. Wollman for their crucial introductions to the CREMI and Cell Tracking Challenges, respectively. Last but not least, we thank O. Ronneberger and L. Maier-Hein for their important feedback on this manuscript.

Author information




F.I. and P.F.J. conceptualized the method and planned the experiments with the help of S.A.A.K., J.P. and K.H.M.-H. F.I. implemented and configured nnU-Net and conducted the experiments on the 23 selected datasets. F.I. and P.F.J. analyzed the results and performed the KiTS analysis. P.F.J., S.A.A.K. and K.H.M.-H. conceived the communication and presentation of the method. P.F.J. designed and created the figures. P.F.J., F.I. and K.H.M.-H. wrote the paper with contributions from J.P. and S.A.A.K. K.H.M.-H. managed and coordinated the overall project. S.A.A.K. started work on this research as a PhD student at the German Cancer Research Center.

Corresponding author

Correspondence to Klaus H. Maier-Hein.

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The authors declare no competing interests.

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Peer review information Rita Strack was the primary editor on this article and managed its editorial process and peer review in collaboration with the rest of the editorial team.

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Supplementary Information

Supplementary Notes 1–9

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Isensee, F., Jaeger, P.F., Kohl, S.A.A. et al. nnU-Net: a self-configuring method for deep learning-based biomedical image segmentation. Nat Methods 18, 203–211 (2021).

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