IVCVAug 4, 2025

REFLECT: Rectified Flows for Efficient Brain Anomaly Correction Transport

arXiv:2508.02889v13 citationsh-index: 50Has CodeMICCAI
Originality Highly original
AI Analysis

This work addresses the problem of efficient and precise anomaly detection in brain imaging for medical applications, representing an incremental advance by improving upon existing diffusion-based models.

The paper tackles the challenge of accurately localizing anomalies in brain imaging without labeled data by introducing REFLECT, a framework that uses rectified flows to correct abnormal MR images in a single step, achieving significant performance improvements over state-of-the-art methods on popular benchmarks.

Unsupervised anomaly detection (UAD) in brain imaging is crucial for identifying pathologies without the need for labeled data. However, accurately localizing anomalies remains challenging due to the intricate structure of brain anatomy and the scarcity of abnormal examples. In this work, we introduce REFLECT, a novel framework that leverages rectified flows to establish a direct, linear trajectory for correcting abnormal MR images toward a normal distribution. By learning a straight, one-step correction transport map, our method efficiently corrects brain anomalies and can precisely localize anomalies by detecting discrepancies between anomalous input and corrected counterpart. In contrast to the diffusion-based UAD models, which require iterative stochastic sampling, rectified flows provide a direct transport map, enabling single-step inference. Extensive experiments on popular UAD brain segmentation benchmarks demonstrate that REFLECT significantly outperforms state-of-the-art unsupervised anomaly detection methods. The code is available at https://github.com/farzad-bz/REFLECT.

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