Scale-Aware Contrastive Reverse Distillation for Unsupervised Medical Anomaly Detection
This work addresses the challenge of detecting anomalies in medical imaging where labeled data is scarce, representing an incremental improvement over existing reverse distillation methods.
The paper tackles the problem of insufficient feature discriminability and inability to handle anomaly scale variations in unsupervised medical anomaly detection using reverse distillation, achieving state-of-the-art performance on benchmark datasets.
Unsupervised anomaly detection using deep learning has garnered significant research attention due to its broad applicability, particularly in medical imaging where labeled anomalous data are scarce. While earlier approaches leverage generative models like autoencoders and generative adversarial networks (GANs), they often fall short due to overgeneralization. Recent methods explore various strategies, including memory banks, normalizing flows, self-supervised learning, and knowledge distillation, to enhance discrimination. Among these, knowledge distillation, particularly reverse distillation, has shown promise. Following this paradigm, we propose a novel scale-aware contrastive reverse distillation model that addresses two key limitations of existing reverse distillation methods: insufficient feature discriminability and inability to handle anomaly scale variations. Specifically, we introduce a contrastive student-teacher learning approach to derive more discriminative representations by generating and exploring out-of-normal distributions. Further, we design a scale adaptation mechanism to softly weight contrastive distillation losses at different scales to account for the scale variation issue. Extensive experiments on benchmark datasets demonstrate state-of-the-art performance, validating the efficacy of the proposed method. Code is available at https://github.com/MedAITech/SCRD4AD.