Sergio Naval Marimont

Sergio Naval Marimont, Vasilis Siomos, Matthew Baugh et al.

Unsupervised Anomaly Detection (UAD) methods aim to identify anomalies in test samples comparing them with a normative distribution learned from a dataset known to be anomaly-free. Approaches based on generative models offer interpretability by generating anomaly-free versions of test images, but are typically unable to identify subtle anomalies. Alternatively, approaches using feature modelling or self-supervised methods, such as the ones relying on synthetically generated anomalies, do not provide out-of-the-box interpretability. In this work, we present a novel method that combines the strengths of both strategies: a generative cold-diffusion pipeline (i.e., a diffusion-like pipeline which uses corruptions not based on noise) that is trained with the objective of turning synthetically-corrupted images back to their normal, original appearance. To support our pipeline we introduce a novel synthetic anomaly generation procedure, called DAG, and a novel anomaly score which ensembles restorations conditioned with different degrees of abnormality. Our method surpasses the prior state-of-the art for unsupervised anomaly detection in three different Brain MRI datasets.

Sergio Naval Marimont, Matthew Baugh, Vasilis Siomos et al.

Unsupervised Anomaly Detection (UAD) techniques aim to identify and localize anomalies without relying on annotations, only leveraging a model trained on a dataset known to be free of anomalies. Diffusion models learn to modify inputs $x$ to increase the probability of it belonging to a desired distribution, i.e., they model the score function $\nabla_x \log p(x)$. Such a score function is potentially relevant for UAD, since $\nabla_x \log p(x)$ is itself a pixel-wise anomaly score. However, diffusion models are trained to invert a corruption process based on Gaussian noise and the learned score function is unlikely to generalize to medical anomalies. This work addresses the problem of how to learn a score function relevant for UAD and proposes DISYRE: Diffusion-Inspired SYnthetic REstoration. We retain the diffusion-like pipeline but replace the Gaussian noise corruption with a gradual, synthetic anomaly corruption so the learned score function generalizes to medical, naturally occurring anomalies. We evaluate DISYRE on three common Brain MRI UAD benchmarks and substantially outperform other methods in two out of the three tasks.

Sergio Naval Marimont, Giacomo Tarroni

The detection and localization of anomalies is one important medical image analysis task. Most commonly, Computer Vision anomaly detection approaches rely on manual annotations that are both time consuming and expensive to obtain. Unsupervised anomaly detection, or Out-of-Distribution detection, aims at identifying anomalous samples relying only on unannotated samples considered normal. In this study we present a new unsupervised anomaly detection method. Our method builds upon the self-supervised strategy consisting on training a segmentation network to identify local synthetic anomalies. Our contributions improve the synthetic anomaly generation process, making synthetic anomalies more heterogeneous and challenging by 1) using complex random shapes and 2) smoothing the edges of synthetic anomalies so networks cannot rely on the high gradient between image and synthetic anomalies. In our implementation we adopted standard practices in 3D medical image segmentation, including 3D U-Net architecture, patch-wise training and model ensembling. Our method was evaluated using a validation set with different types of synthetic anomalies. Our experiments show that our method improved substantially the baseline method performance. Additionally, we evaluated our method by participating in the Medical Out-of-Distribution (MOOD) Challenge held at MICCAI in 2022 and achieved first position in both sample-wise and pixel-wise tasks. Our experiments and results in the latest MOOD challenge show that our simple yet effective approach can substantially improve the performance of Out-of-Distribution detection techniques which rely on synthetic anomalies.

Sergio Naval Marimont, Giacomo Tarroni

U-Net has been the go-to architecture for medical image segmentation tasks, however computational challenges arise when extending the U-Net architecture to 3D images. We propose the Implicit U-Net architecture that adapts the efficient Implicit Representation paradigm to supervised image segmentation tasks. By combining a convolutional feature extractor with an implicit localization network, our implicit U-Net has 40% less parameters than the equivalent U-Net. Moreover, we propose training and inference procedures to capitalize sparse predictions. When comparing to an equivalent fully convolutional U-Net, Implicit U-Net reduces by approximately 30% inference and training time as well as training memory footprint while achieving comparable results in our experiments with two different abdominal CT scan datasets.

Sergio Naval Marimont, Vasilis Siomos, Giacomo Tarroni

Unsupervised Out-of-Distribution (OOD) detection consists in identifying anomalous regions in images leveraging only models trained on images of healthy anatomy. An established approach is to tokenize images and model the distribution of tokens with Auto-Regressive (AR) models. AR models are used to 1) identify anomalous tokens and 2) in-paint anomalous representations with in-distribution tokens. However, AR models are slow at inference time and prone to error accumulation issues which negatively affect OOD detection performance. Our novel method, MIM-OOD, overcomes both speed and error accumulation issues by replacing the AR model with two task-specific networks: 1) a transformer optimized to identify anomalous tokens and 2) a transformer optimized to in-paint anomalous tokens using masked image modelling (MIM). Our experiments with brain MRI anomalies show that MIM-OOD substantially outperforms AR models (DICE 0.458 vs 0.301) while achieving a nearly 25x speedup (9.5s vs 244s).

Sergio Naval Marimont, Giacomo Tarroni

We propose a novel unsupervised out-of-distribution detection method for medical images based on implicit fields image representations. In our approach, an auto-decoder feed-forward neural network learns the distribution of healthy images in the form of a mapping between spatial coordinates and probabilities over a proxy for tissue types. At inference time, the learnt distribution is used to retrieve, from a given test image, a restoration, i.e. an image maximally consistent with the input one but belonging to the healthy distribution. Anomalies are localized using the voxel-wise probability predicted by our model for the restored image. We tested our approach in the task of unsupervised localization of gliomas on brain MR images and compared it to several other VAE-based anomaly detection methods. Results show that the proposed technique substantially outperforms them (average DICE 0.640 vs 0.518 for the best performing VAE-based alternative) while also requiring considerably less computing time.

Sergio Naval Marimont, Giacomo Tarroni

We propose an out-of-distribution detection method that combines density and restoration-based approaches using Vector-Quantized Variational Auto-Encoders (VQ-VAEs). The VQ-VAE model learns to encode images in a categorical latent space. The prior distribution of latent codes is then modelled using an Auto-Regressive (AR) model. We found that the prior probability estimated by the AR model can be useful for unsupervised anomaly detection and enables the estimation of both sample and pixel-wise anomaly scores. The sample-wise score is defined as the negative log-likelihood of the latent variables above a threshold selecting highly unlikely codes. Additionally, out-of-distribution images are restored into in-distribution images by replacing unlikely latent codes with samples from the prior model and decoding to pixel space. The average L1 distance between generated restorations and original image is used as pixel-wise anomaly score. We tested our approach on the MOOD challenge datasets, and report higher accuracies compared to a standard reconstruction-based approach with VAEs.