Unsupervised Anomaly Localization using Variational Auto-Encoders
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Abstract (arXiv)
An assumption-free automatic check of medical images for potentially overseen anomalies would be a valuable assistance for a radiologist. Deep learning and especially Variational Auto-Encoders (VAEs) have shown great potential in the unsupervised learning of data distributions. In principle, this allows for such a check and even the localization of parts in the image that are most suspicious. Currently, however, the reconstruction-based localization by design requires adjusting the model architecture to the specific problem looked at during evaluation. This contradicts the principle of building assumption-free models. We propose complementing the localization part with a term derived from the Kullback-Leibler (KL)-divergence. For validation, we perform a series of experiments on FashionMNIST as well as on a medical task including >1000 healthy and >250 brain tumor patients. Results show that the proposed formalism outperforms the state of the art VAE-based localization of anomalies across many hyperparameter settings and also shows a competitive max performance.
Key facts. Cited by 73 papers in the map (data through 7 Oct 2026). First posted on arXiv 4 Jul 2019.
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Citing papers per year: 2021: 9; 2022: 14; 2023: 16; 2024: 16; 2025: 12; 2026: 6.
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- 2021Natural Synthetic Anomalies for Self-Supervised Anomaly Detection and Localizationcited by 116
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2022What is Healthy? Generative Counterfactual Diffusion for Lesion Localizationcited by 52
- 2023Mask, Stitch, and Re-Sample: Enhancing Robustness and Generalizability in Anomaly Detection through Automatic Diffusion Modelscited by 48
- 2021Anomaly Detection in Medical Imaging -- A Mini Reviewcited by 44
- 2024Diffusion Models with Implicit Guidance for Medical Anomaly Detectioncited by 26
- 2024MedIAnomaly: A comparative study of anomaly detection in medical imagescited by 25
- 2023Unsupervised Pathology Detection: A Deep Dive Into the State of the Artcited by 24
- 2023The role of noise in denoising models for anomaly detection in medical imagescited by 23
- 2022Unsupervised Anomaly Localization with Structural Feature-Autoencoderscited by 22
- 2021Proxy-bridged Image Reconstruction Network for Anomaly Detection in Medical Imagescited by 18
- 2023Reversing the Abnormal: Pseudo-Healthy Generative Networks for Anomaly Detectioncited by 18
38 more
- 2023Guided Reconstruction with Conditioned Diffusion Models for Unsupervised Anomaly Detection in Brain MRIscited by 18
- 2021Implicit field learning for unsupervised anomaly detection in medical imagescited by 17
- 2023Modality Cycles with Masked Conditional Diffusion for Unsupervised Anomaly Segmentation in MRIcited by 12
- 2025NOVA: A Benchmark for Anomaly Localization and Clinical Reasoning in Brain MRIcited by 12
- 2022On the Pitfalls of Using the Residual Error as Anomaly Scorecited by 11
- 2021Unsupervised Anomaly Segmentation using Image-Semantic Cycle Translationcited by 10
- 2024Evaluation of pseudo-healthy image reconstruction for anomaly detection with deep generative models: Application to brain FDG PETcited by 10
- 2024Dual-Modeling Decouple Distillation for Unsupervised Anomaly Detectioncited by 10
- 2025MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detectioncited by 10
- 2023REB: Reducing Biases in Representation for Industrial Anomaly Detectioncited by 9
- 2023A Survey of Emerging Applications of Diffusion Probabilistic Models in MRIcited by 9
- 2024IterMask2: Iterative Unsupervised Anomaly Segmentation via Spatial and Frequency Masking for Brain Lesions in MRIcited by 9
- 2022Transformer based Models for Unsupervised Anomaly Segmentation in Brain MR Imagescited by 7
- 2024Binary Noise for Binary Tasks: Masked Bernoulli Diffusion for Unsupervised Anomaly Detectioncited by 7
- 2022StRegA: Unsupervised Anomaly Detection in Brain MRIs using a Compact Context-encoding Variational Autoencodercited by 6
- 2022What do we learn? Debunking the Myth of Unsupervised Outlier Detectioncited by 6
- 2024Towards Universal Unsupervised Anomaly Detection in Medical Imagingcited by 6
- 2024Blind Localization and Clustering of Anomalies in Texturescited by 5
- 2025REFLECT: Rectified Flows for Efficient Brain Anomaly Correction Transportcited by 5
- 2025Anomaly Detection by Clustering DINO Embeddings using a Dirichlet Process Mixturecited by 5
- 2022Unsupervised Anomaly Detection in 3D Brain MRI using Deep Learning with Multi-Task Brain Age Predictioncited by 4
- 2023Bias in Unsupervised Anomaly Detection in Brain MRIcited by 4
- 2024Enhancing Reconstruction-Based Out-of-Distribution Detection in Brain MRI with Model and Metric Ensemblescited by 4
- 2021Anomaly Detection for Solder Joints Using β-VAEcited by 3
- 2022Self-Supervised Training with Autoencoders for Visual Anomaly Detectioncited by 3
- 2022Boosting Automatic COVID-19 Detection Performance with Self-Supervised Learning and Batch Knowledge Ensemblingcited by 3
- 2023CRADL: Contrastive Representations for Unsupervised Anomaly Detection and Localizationcited by 3
- 2023AutoPaint: A Self-Inpainting Method for Unsupervised Anomaly Detectioncited by 3
- 2024Language Models Meet Anomaly Detection for Better Interpretability and Generalizabilitycited by 3
- 2024Diffusion Models for Unsupervised Anomaly Detection in Fetal Brain Ultrasoundcited by 3
- 2024Denoising Diffusion Models for Anomaly Localization in Medical Imagescited by 3
- 2025Constitution or Collapse? Exploring Constitutional AI with Llama 3-8Bcited by 3
- 2022Harmonizing Pathological and Normal Pixels for Pseudo-healthy Synthesiscited by 2
- 2022Anomaly Detection using Generative Models and Sum-Product Networks in Mammography Scanscited by 2
- 2024AnoFPDM: Anomaly Segmentation with Forward Process of Diffusion Models for Brain MRIcited by 2
- 2025Deep Unsupervised Anomaly Detection in Brain Imaging: Large-Scale Benchmarking and Bias Analysiscited by 2
- 2022AutoSeg -- Steering the Inductive Biases for Automatic Pathology Segmentationcited by 1
- 2023Unsupervised out-of-distribution detection for safer robotically guided retinal microsurgerycited by 1
50 most cited of 73 All 73 (JSON)
- 2026BrainNorm: A Foundation Model that knows Normal via Semantic Atlas Pretraining18 Aug 2026
- 2026MTL-MAD: Multi-Task Learners are Effective Medical Anomaly Detectors7 May 2026
- 2026Towards Modality-Agnostic Medical Image Anomaly Detection: A Training-Free Manifold Refinement Approach21 Apr 2026
- 2026HUydra: Full-Range Lung CT Synthesis via Multiple HU Interval Generative Modelling24 Mar 2026
- 2026Spatial Autoregressive Modeling of DINOv3 Embeddings for Unsupervised Anomaly Detection3 Mar 2026
- 2026Toward Faithful Explanations in Acoustic Anomaly Detection19 Jan 2026
- 2025Unsupervised Anomaly Detection in Brain MRI via Disentangled Anatomy Learning26 Dec 2025
- 2025Deep Unsupervised Anomaly Detection in Brain Imaging: Large-Scale Benchmarking and Bias Analysis1 Dec 2025
- 2025ART-ASyn: Anatomy-aware Realistic Texture-based Anomaly Synthesis Framework for Chest X-Rays29 Nov 2025
- 2025Noise & pattern: identity-anchored Tikhonov regularization for robust structural anomaly detection10 Nov 2025
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Review16 Oct 2025
- 2025Anomaly Detection by Clustering DINO Embeddings using a Dirichlet Process Mixture24 Sep 2025
38 more
- 2025AutoDetect: Designing an Autoencoder-based Detection Method for Poisoning Attacks on Object Detection Applications in the Military Domain3 Sep 2025
- 2025REFLECT: Rectified Flows for Efficient Brain Anomaly Correction Transport4 Aug 2025
- 2025OCSVM-Guided Representation Learning for Unsupervised Anomaly Detection25 Jul 2025
- 2025NOVA: A Benchmark for Anomaly Localization and Clinical Reasoning in Brain MRI20 May 2025
- 2025Constitution or Collapse? Exploring Constitutional AI with Llama 3-8B7 Apr 2025
- 2025MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detection24 Feb 2025
- 2024Enhancing Reconstruction-Based Out-of-Distribution Detection in Brain MRI with Model and Metric Ensembles23 Dec 2024
- 2024Denoising Diffusion Models for Anomaly Localization in Medical Images31 Oct 2024
- 2024Selective Test-Time Adaptation for Unsupervised Anomaly Detection using Neural Implicit Representations4 Oct 2024
- 2024Dual-Modeling Decouple Distillation for Unsupervised Anomaly Detection7 Aug 2024
- 2024Diffusion Models for Unsupervised Anomaly Detection in Fetal Brain Ultrasound21 Jul 2024
- 2024Unsupervised Analysis of Alzheimer's Disease Signatures using 3D Deformable Autoencoders4 Jul 2024
- 2024IterMask2: Iterative Unsupervised Anomaly Segmentation via Spatial and Frequency Masking for Brain Lesions in MRI4 Jun 2024
- 2024Quantum Patch-Based Autoencoder for Anomaly Segmentation26 Apr 2024
- 2024AnoFPDM: Anomaly Segmentation with Forward Process of Diffusion Models for Brain MRI24 Apr 2024
- 2024Blind Localization and Clustering of Anomalies in Textures18 Apr 2024
- 2024Language Models Meet Anomaly Detection for Better Interpretability and Generalizability11 Apr 2024
- 2024MedIAnomaly: A comparative study of anomaly detection in medical images6 Apr 2024
- 2024Binary Noise for Binary Tasks: Masked Bernoulli Diffusion for Unsupervised Anomaly Detection18 Mar 2024
- 2024Diffusion Models with Implicit Guidance for Medical Anomaly Detection13 Mar 2024
- 2024Evaluation of pseudo-healthy image reconstruction for anomaly detection with deep generative models: Application to brain FDG PET29 Jan 2024
- 2024Towards Universal Unsupervised Anomaly Detection in Medical Imaging19 Jan 2024
- 2023Guided Reconstruction with Conditioned Diffusion Models for Unsupervised Anomaly Detection in Brain MRIs7 Dec 2023
- 2023How Low Can You Go? Surfacing Prototypical In-Distribution Samples for Unsupervised Anomaly Detection6 Dec 2023
- 2023A Survey of Emerging Applications of Diffusion Probabilistic Models in MRI19 Nov 2023
- 2023Modality Cycles with Masked Conditional Diffusion for Unsupervised Anomaly Segmentation in MRI30 Aug 2023
- 2023Bias in Unsupervised Anomaly Detection in Brain MRI26 Aug 2023
- 2023REB: Reducing Biases in Representation for Industrial Anomaly Detection24 Aug 2023
- 2023MIM-OOD: Generative Masked Image Modelling for Out-of-Distribution Detection in Medical Images27 Jul 2023
- 2023Mask, Stitch, and Re-Sample: Enhancing Robustness and Generalizability in Anomaly Detection through Automatic Diffusion Models31 May 2023
- 2023AutoPaint: A Self-Inpainting Method for Unsupervised Anomaly Detection21 May 2023
- 2023Technical outlier detection via convolutional variational autoencoder for the ADMANI breast mammogram dataset20 May 2023
- 2023Unsupervised out-of-distribution detection for safer robotically guided retinal microsurgery11 Apr 2023
- 2023Reversing the Abnormal: Pseudo-Healthy Generative Networks for Anomaly Detection15 Mar 2023
- 2023Unsupervised Pathology Detection: A Deep Dive Into the State of the Art1 Mar 2023
- 2023Towards Meaningful Anomaly Detection: The Effect of Counterfactual Explanations on the Investigation of Anomalies in Multivariate Time Series7 Feb 2023
- 2023The role of noise in denoising models for anomaly detection in medical images19 Jan 2023
- 2023CRADL: Contrastive Representations for Unsupervised Anomaly Detection and Localization5 Jan 2023
50 newest of 73 All 73 (JSON)
- 2023Mask, Stitch, and Re-Sample: Enhancing Robustness and Generalizability in Anomaly Detection through Automatic Diffusion Modelscited by 48
- 2024Diffusion Models with Implicit Guidance for Medical Anomaly Detectioncited by 26
- 2023The role of noise in denoising models for anomaly detection in medical imagescited by 23
- 2023Guided Reconstruction with Conditioned Diffusion Models for Unsupervised Anomaly Detection in Brain MRIscited by 18
- 2023Modality Cycles with Masked Conditional Diffusion for Unsupervised Anomaly Segmentation in MRIcited by 12
- 2025MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detectioncited by 10
- 2023A Survey of Emerging Applications of Diffusion Probabilistic Models in MRIcited by 9
- 2024Binary Noise for Binary Tasks: Masked Bernoulli Diffusion for Unsupervised Anomaly Detectioncited by 7
- 2025REFLECT: Rectified Flows for Efficient Brain Anomaly Correction Transportcited by 5
- 2024Diffusion Models for Unsupervised Anomaly Detection in Fetal Brain Ultrasoundcited by 3
- 2024Denoising Diffusion Models for Anomaly Localization in Medical Imagescited by 3
- 2024AnoFPDM: Anomaly Segmentation with Forward Process of Diffusion Models for Brain MRIcited by 2
- 2025REFLECT: Rectified Flows for Efficient Brain Anomaly Correction Transport4 Aug 2025
- 2025MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detection24 Feb 2025
- 2024Denoising Diffusion Models for Anomaly Localization in Medical Images31 Oct 2024
- 2024Diffusion Models for Unsupervised Anomaly Detection in Fetal Brain Ultrasound21 Jul 2024
- 2024AnoFPDM: Anomaly Segmentation with Forward Process of Diffusion Models for Brain MRI24 Apr 2024
- 2024Binary Noise for Binary Tasks: Masked Bernoulli Diffusion for Unsupervised Anomaly Detection18 Mar 2024
- 2024Diffusion Models with Implicit Guidance for Medical Anomaly Detection13 Mar 2024
- 2023Guided Reconstruction with Conditioned Diffusion Models for Unsupervised Anomaly Detection in Brain MRIs7 Dec 2023
- 2023A Survey of Emerging Applications of Diffusion Probabilistic Models in MRI19 Nov 2023
- 2023Modality Cycles with Masked Conditional Diffusion for Unsupervised Anomaly Segmentation in MRI30 Aug 2023
- 2023Mask, Stitch, and Re-Sample: Enhancing Robustness and Generalizability in Anomaly Detection through Automatic Diffusion Models31 May 2023
- 2023The role of noise in denoising models for anomaly detection in medical images19 Jan 2023
- 2021Natural Synthetic Anomalies for Self-Supervised Anomaly Detection and Localizationcited by 116
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2022What is Healthy? Generative Counterfactual Diffusion for Lesion Localizationcited by 52
- 2021Anomaly Detection in Medical Imaging -- A Mini Reviewcited by 44
- 2024MedIAnomaly: A comparative study of anomaly detection in medical imagescited by 25
- 2023Unsupervised Pathology Detection: A Deep Dive Into the State of the Artcited by 24
- 2022Unsupervised Anomaly Localization with Structural Feature-Autoencoderscited by 22
- 2021Proxy-bridged Image Reconstruction Network for Anomaly Detection in Medical Imagescited by 18
- 2023Reversing the Abnormal: Pseudo-Healthy Generative Networks for Anomaly Detectioncited by 18
- 2021Implicit field learning for unsupervised anomaly detection in medical imagescited by 17
- 2022On the Pitfalls of Using the Residual Error as Anomaly Scorecited by 11
- 2021Unsupervised Anomaly Segmentation using Image-Semantic Cycle Translationcited by 10
12 most cited of 59 All 59 (JSON)
- 2026BrainNorm: A Foundation Model that knows Normal via Semantic Atlas Pretraining18 Aug 2026
- 2026Towards Modality-Agnostic Medical Image Anomaly Detection: A Training-Free Manifold Refinement Approach21 Apr 2026
- 2026HUydra: Full-Range Lung CT Synthesis via Multiple HU Interval Generative Modelling24 Mar 2026
- 2026Spatial Autoregressive Modeling of DINOv3 Embeddings for Unsupervised Anomaly Detection3 Mar 2026
- 2026Toward Faithful Explanations in Acoustic Anomaly Detection19 Jan 2026
- 2025Unsupervised Anomaly Detection in Brain MRI via Disentangled Anatomy Learning26 Dec 2025
- 2025Deep Unsupervised Anomaly Detection in Brain Imaging: Large-Scale Benchmarking and Bias Analysis1 Dec 2025
- 2025ART-ASyn: Anatomy-aware Realistic Texture-based Anomaly Synthesis Framework for Chest X-Rays29 Nov 2025
- 2025Noise & pattern: identity-anchored Tikhonov regularization for robust structural anomaly detection10 Nov 2025
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Review16 Oct 2025
- 2025Anomaly Detection by Clustering DINO Embeddings using a Dirichlet Process Mixture24 Sep 2025
- 2025AutoDetect: Designing an Autoencoder-based Detection Method for Poisoning Attacks on Object Detection Applications in the Military Domain3 Sep 2025
12 newest of 59 All 59 (JSON)