CVLGJun 18, 2025

NERO: Explainable Out-of-Distribution Detection with Neuron-level Relevance

arXiv:2506.15404v23 citationsh-index: 21MICCAI
Originality Incremental advance
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This addresses reliability issues in deep learning for medical imaging, where detecting OOD samples can help flag anomalies, though it appears incremental as it builds on existing OOD detection approaches.

The paper tackled the problem of out-of-distribution (OOD) detection in medical imaging by proposing NERO, a method that uses neuron-level relevance to improve separability, achieving improvements over state-of-the-art methods on gastrointestinal imaging benchmarks like Kvasir and GastroVision.

Ensuring reliability is paramount in deep learning, particularly within the domain of medical imaging, where diagnostic decisions often hinge on model outputs. The capacity to separate out-of-distribution (OOD) samples has proven to be a valuable indicator of a model's reliability in research. In medical imaging, this is especially critical, as identifying OOD inputs can help flag potential anomalies that might otherwise go undetected. While many OOD detection methods rely on feature or logit space representations, recent works suggest these approaches may not fully capture OOD diversity. To address this, we propose a novel OOD scoring mechanism, called NERO, that leverages neuron-level relevance at the feature layer. Specifically, we cluster neuron-level relevance for each in-distribution (ID) class to form representative centroids and introduce a relevance distance metric to quantify a new sample's deviation from these centroids, enhancing OOD separability. Additionally, we refine performance by incorporating scaled relevance in the bias term and combining feature norms. Our framework also enables explainable OOD detection. We validate its effectiveness across multiple deep learning architectures on the gastrointestinal imaging benchmarks Kvasir and GastroVision, achieving improvements over state-of-the-art OOD detection methods.

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