Zhichao Sun

Zhichao Sun, Yuliang Gu, Yepeng Liu et al.

Anomaly detection in chest X-rays is a critical task. Most methods mainly model the distribution of normal images, and then regard significant deviation from normal distribution as anomaly. Recently, CLIP-based methods, pre-trained on a large number of medical images, have shown impressive performance on zero/few-shot downstream tasks. In this paper, we aim to explore the potential of CLIP-based methods for anomaly detection in chest X-rays. Considering the discrepancy between the CLIP pre-training data and the task-specific data, we propose a position-guided prompt learning method. Specifically, inspired by the fact that experts diagnose chest X-rays by carefully examining distinct lung regions, we propose learnable position-guided text and image prompts to adapt the task data to the frozen pre-trained CLIP-based model. To enhance the model's discriminative capability, we propose a novel structure-preserving anomaly synthesis method within chest x-rays during the training process. Extensive experiments on three datasets demonstrate that our proposed method outperforms some state-of-the-art methods. The code of our implementation is available at https://github.com/sunzc-sunny/PPAD.

Zerui Zhang, Zhichao Sun, Zelong Liu et al.

Medical anomaly detection is a critical research area aimed at recognizing abnormal images to aid in diagnosis.Most existing methods adopt synthetic anomalies and image restoration on normal samples to detect anomaly. The unlabeled data consisting of both normal and abnormal data is not well explored. We introduce a novel Spatial-aware Attention Generative Adversarial Network (SAGAN) for one-class semi-supervised generation of health images.Our core insight is the utilization of position encoding and attention to accurately focus on restoring abnormal regions and preserving normal regions. To fully utilize the unlabelled data, SAGAN relaxes the cyclic consistency requirement of the existing unpaired image-to-image conversion methods, and generates high-quality health images corresponding to unlabeled data, guided by the reconstruction of normal images and restoration of pseudo-anomaly images.Subsequently, the discrepancy between the generated healthy image and the original image is utilized as an anomaly score.Extensive experiments on three medical datasets demonstrate that the proposed SAGAN outperforms the state-of-the-art methods.