Fueled by the diversity of datasets, semantic segmentation is a popular
subfield in medical image analysis with a vast number of new methods being
proposed each year. This ever-growing jungle of methodologies, however, becomes
increasingly impenetrable. At the same time, many proposed methods fail to
generalize beyond the experiments they were demonstrated on, thus hampering the
process of developing a segmentation algorithm on a new dataset. Here we
present nnU-Net ('no-new-Net'), a framework that automatically adapts itself to
any given new dataset. While this process was completely human-driven so far,
we make a first attempt to automate necessary adaptations such as
preprocessing, the exact patch size, batch size, and inference settings based
on the properties of a given dataset. Remarkably, nnU-Net strips away the
architectural bells and whistles that are typically proposed in the literature
and relies on just a simple U-Net architecture embedded in a robust training
scheme. Out of the box, nnU-Net achieves state of the art performance on six
well-established segmentation challenges. Source code is available at
https://github.com/MIC-DKFZ/nnunet.