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Margin-aware intraclass novelty identification for medical images
Xiaoyuan Guo1, Judy W Gichoya2, Saptarshi Purkayastha3
1Emory University, Department of Computer Science, Atlanta, Georgia, United States.
Journal of Medical Imaging (Bellingham, Wash.)
|February 7, 2022
Summary
This study introduces a novel anomaly detection method, TEND, to identify rare medical conditions within images, even when they resemble known diseases. TEND effectively detects intraclass variations in medical images using unsupervised learning.
Area of Science:
- Medical Imaging Analysis
- Artificial Intelligence in Healthcare
- Computer Vision
Background:
- Existing anomaly detection methods struggle with intraclass variations in medical images, limiting their ability to identify rare diseases.
- Medical image novelty detection is challenged by subtle differences within the same class and a lack of diverse training data.
Purpose of the Study:
- To develop a robust anomaly detection model capable of identifying novel or rare medical conditions within images, specifically addressing intraclass variations.
- To propose a hybrid approach combining AutoEncoder-based and classifier-based methods for enhanced novelty detection in medical imaging.
Main Methods:
- Introduced TEND (Transformation-based Embedding Learning for Novelty Detection), a two-stage hybrid model.
- Stage 1: Unsupervised learning of in-distribution embeddings using an AutoEncoder.
- Stage 2: Training a discriminative classifier with a margin-aware objective to differentiate normal and transformed data, generating an anomaly score.
Main Results:
- TEND demonstrated competitive performance against state-of-the-art methods on three public medical imaging datasets.
- Experiments included one-vs-rest and rest-vs-one setups, validating TEND's effectiveness on intraclass out-of-distribution data.
- Qualitative examples confirmed TEND's capability in identifying challenging medical image anomalies.
Conclusions:
- The proposed TEND model effectively identifies intraclass out-of-distribution medical images in an unsupervised manner.
- TEND can discover previously unseen medical image classes and assist in abnormal data screening for downstream tasks.
- The study provides open-source code for the TEND model to facilitate further research and application.

