<![CDATA[Brain tumor segmentation is the most important way to separate tumor areas from healthy brain tissue in medical imaging. This is necessary for making an accurate diagnosis and planning treatment. But building strong deep learning models is often hard because there isn't much labeled medical data available, and strict privacy rules stop data from being shared in one place. Federated Learning (FL) helps keep patient data private by keeping it local, but its performance often drops when data from different hospitals have big differences in quality, imaging protocols, and distribution. Our research seeks to create a privacy-preserving federated learning framework that adeptly manages significant data heterogeneity while ensuring high segmentation accuracy across various institutions. We propose a new two-stage FL framework that allows multiple institutions to work together while keeping their privacy and effectively dealing with complicated non-IID data distributions. To start, we use a Federated Masked Autoencoder (MAE) for self-supervised pre-training. This lets the model learn strong anatomical features from unlabeled MRI scans. Second, the model is carefully fine-tuned using an Attention ResUNet3D architecture to get very accurate tumor segmentation. We use the SCAFFOLD optimization algorithm to keep training stable across all clients, even when the scanner varies from site to site, thereby directly addressing client drift. We also use strategic foreground-biased sampling and Test-Time Augmentation (TTA) techniques to greatly improve segmentation accuracy in difficult, uneven tumor sub-regions. We ran extensive experiments on the BraTS 2024 dataset in simulated federated settings with 10, 50, and 100 different clients. The Dice coefficients we got were 0.826, 0.824, and 0.818, which demonstrate strong performance. In the end, these strong results show that the suggested method works well on a larger scale and can be used in a clinical setting.]]>
