CVAD: A generic medical anomaly detector based on Cascade VAE
This work addresses the challenge of anomaly detection in medical images for improved diagnosis, though it appears incremental as it builds on existing VAE and discriminator methods.
The paper tackled the problem of detecting out-of-distribution samples in medical imaging, particularly focusing on intra-class anomalies, and proposed CVAD, a cascade VAE-based detector that achieved effectiveness and generalizability across various medical and natural datasets.
Detecting out-of-distribution (OOD) samples in medical imaging plays an important role for downstream medical diagnosis. However, existing OOD detectors are demonstrated on natural images composed of inter-classes and have difficulty generalizing to medical images. The key issue is the granularity of OOD data in the medical domain, where intra-class OOD samples are predominant. We focus on the generalizability of OOD detection for medical images and propose a self-supervised Cascade Variational autoencoder-based Anomaly Detector (CVAD). We use a variational autoencoders' cascade architecture, which combines latent representation at multiple scales, before being fed to a discriminator to distinguish the OOD data from the in-distribution (ID) data. Finally, both the reconstruction error and the OOD probability predicted by the binary discriminator are used to determine the anomalies. We compare the performance with the state-of-the-art deep learning models to demonstrate our model's efficacy on various open-access medical imaging datasets for both intra- and inter-class OOD. Further extensive results on datasets including common natural datasets show our model's effectiveness and generalizability. The code is available at https://github.com/XiaoyuanGuo/CVAD.