Reversing the Abnormal: Pseudo-Healthy Generative Networks for Anomaly Detection

Cosmin I. Bercea, Benedikt Wiestler, Daniel Rueckert, Julia A. Schnabel

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Scopus citations

Abstract

Early and accurate disease detection is crucial for patient management and successful treatment outcomes. However, the automatic identification of anomalies in medical images can be challenging. Conventional methods rely on large labeled datasets which are difficult to obtain. To overcome these limitations, we introduce a novel unsupervised approach, called PHANES (Pseudo Healthy generative networks for ANomaly Segmentation). Our method has the capability of reversing anomalies, i.e., preserving healthy tissue and replacing anomalous regions with pseudo-healthy (PH) reconstructions. Unlike recent diffusion models, our method does not rely on a learned noise distribution nor does it introduce random alterations to the entire image. Instead, we use latent generative networks to create masks around possible anomalies, which are refined using inpainting generative networks. We demonstrate the effectiveness of PHANES in detecting stroke lesions in T1w brain MRI datasets and show significant improvements over state-of-the-art (SOTA) methods. We believe that our proposed framework will open new avenues for interpretable, fast, and accurate anomaly segmentation with the potential to support various clinical-oriented downstream tasks. Code: https://github.com/ci-ber/PHANES

Original languageEnglish
Title of host publicationMedical Image Computing and Computer Assisted Intervention – MICCAI 2023 - 26th International Conference, Proceedings
EditorsHayit Greenspan, Hayit Greenspan, Anant Madabhushi, Parvin Mousavi, Septimiu Salcudean, James Duncan, Tanveer Syeda-Mahmood, Russell Taylor
PublisherSpringer Science and Business Media Deutschland GmbH
Pages293-303
Number of pages11
ISBN (Print)9783031439032
DOIs
StatePublished - 2023
Event26th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2023 - Vancouver, Canada
Duration: 8 Oct 202312 Oct 2023

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume14224 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference26th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2023
Country/TerritoryCanada
CityVancouver
Period8/10/2312/10/23

Keywords

  • Generative Networks
  • Unsupervised Anomaly Detection

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