Anomaly Detection in Medical Imaging -- A Mini Review
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Abstract (arXiv)
The increasing digitization of medical imaging enables machine learning based improvements in detecting, visualizing and segmenting lesions, easing the workload for medical experts. However, supervised machine learning requires reliable labelled data, which is is often difficult or impossible to collect or at least time consuming and thereby costly. Therefore methods requiring only partly labeled data (semi-supervised) or no labeling at all (unsupervised methods) have been applied more regularly. Anomaly detection is one possible methodology that is able to leverage semi-supervised and unsupervised methods to handle medical imaging tasks like classification and segmentation. This paper uses a semi-exhaustive literature review of relevant anomaly detection papers in medical imaging to cluster into applications, highlight important results, establish lessons learned and give further advice on how to approach anomaly detection in medical imaging. The qualitative analysis is based on google scholar and 4 different search terms, resulting in 120 different analysed papers. The main results showed that the current research is mostly motivated by reducing the need for labelled data. Also, the successful and substantial amount of research in the brain MRI domain shows the potential for applications in further domains like OCT and chest X-ray.
Key facts. Cited by 44 papers in the map (data through 7 Oct 2026). Builds on 16 of its 54 references that are in the map. First posted on arXiv 25 Aug 2021.
Builds on
16 of 54 references.
References · 16
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,604
- 2017Unsupervised Anomaly Detection with Generative Adversarial Networks to Guide Marker Discoverycited by 566
- 2019Memorizing Normality to Detect Anomaly: Memory-augmented Deep Autoencoder for Unsupervised Anomaly Detectioncited by 560
- 2018Deep Autoencoding Models for Unsupervised Anomaly Segmentation in Brain MR Imagescited by 146
- 2020Autoencoders for Unsupervised Anomaly Segmentation in Brain MR Images: A Comparative Studycited by 146
- 2019Unsupervised Anomaly Localization using Variational Auto-Encoderscited by 73
- 2020Unsupervised Lesion Detection via Image Restoration with a Normative Priorcited by 65
- 2020MADGAN: unsupervised Medical Anomaly Detection GAN using multiple adjacent brain MRI slice reconstructioncited by 50
- 2019Unsupervised Medical Image Translation Using Cycle-MedGANcited by 44
- 2019Exploiting Epistemic Uncertainty of Anatomy Segmentation for Anomaly Detection in Retinal OCTcited by 41
- 2018Unsupervised brain lesion segmentation from MRI using a convolutional autoencodercited by 17
- 2020DeScarGAN: Disease-Specific Anomaly Detection with Weak Supervisioncited by 13
4 more
- 2021Distributional Gaussian Process Layers for Outlier Detection in Image Segmentationcited by 4
- 2015PCA leverage: outlier detection for high-dimensional functional magnetic resonance imaging datacited by 3
- 2021Image Synthesis as a Pretext for Unsupervised Histopathological Diagnosiscited by 3
- 2019Detecting abnormalities in resting-state dynamics: An unsupervised learning approachcited by 1
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Citing papers per year: 2022: 7; 2023: 11; 2024: 13; 2025: 8; 2026: 5.
44 papers.
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- 2022Diffusion Models for Medical Image Analysis: A Comprehensive Surveycited by 269
- 2022Transformers in Medical Imaging: A Surveycited by 245
- 2022Deep Learning for Unsupervised Anomaly Localization in Industrial Images: A Surveycited by 67
- 2023CLIP in Medical Imaging: A Surveycited by 40
- 2024Out-of-distribution Detection in Medical Image Analysis: A surveycited by 22
- 2024Fr'echet Radiomic Distance (FRD): A Versatile Metric for Comparing Medical Imaging Datasetscited by 19
- 2023A Coarse-to-Fine Pseudo-Labeling (C2FPL) Framework for Unsupervised Video Anomaly Detectioncited by 13
- 2024Exploiting Structural Consistency of Chest Anatomy for Unsupervised Anomaly Detection in Radiography Imagescited by 13
- 2025PatchGuard: Adversarially Robust Anomaly Detection and Localization through Vision Transformers and Pseudo Anomaliescited by 8
- 2025Applications of Large Models in Medicinecited by 6
- 2025Is Hyperbolic Space All You Need for Medical Anomaly Detection?cited by 5
- 2023Confidence-Aware and Self-Supervised Image Anomaly Localisationcited by 4
32 more
- 2023ISSTAD: Incremental Self-Supervised Learning Based on Transformer for Anomaly Detection and Localizationcited by 4
- 2023A Two-Stage Generative Model with CycleGAN and Joint Diffusion for MRI-based Brain Tumor Detectioncited by 3
- 2025NERO: Explainable Out-of-Distribution Detection with Neuron-level Relevancecited by 3
- 2025DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classificationcited by 3
- 2022Identification of Rare Cortical Folding Patterns using Unsupervised Deep Learningcited by 2
- 2024MCDDPM: Multichannel Conditional Denoising Diffusion Model for Unsupervised Anomaly Detection in Brain MRIcited by 2
- 2024Exploring Zero-Shot Anomaly Detection with CLIP in Medical Imaging: Are We There Yet?cited by 2
- 2024MEATRD: Multimodal Anomalous Tissue Region Detection Enhanced with Spatial Transcriptomicscited by 2
- 2022LEAN-DMKDE: Quantum Latent Density Estimation for Anomaly Detectioncited by 1
- 2023Multiple Instance Ensembling For Paranasal Anomaly Classification In The Maxillary Sinuscited by 1
- 2023AnoOnly: Semi-Supervised Anomaly Detection with the Only Loss on Anomaliescited by 1
- 2023Targeted collapse regularized autoencoder for anomaly detection: black hole at the centercited by 1
- 2023Topological Data Analysis in smart manufacturing: State of the art and futuredirectionscited by 1
- 2024Introducing 'Inside' Out of Distributioncited by 1
- 2024Competency-Aware Planning for Probabilistically Safe Navigation Under Perception Uncertaintycited by 1
- 2024PaRCE: Probabilistic and Reconstruction-based Competency Estimation for CNN-based Image Classificationcited by 1
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Reviewcited by 1
- 2022'A net for everyone': fully personalized and unsupervised neural networks trained with longitudinal data from a single patientcited by 0
- 2022A Novel Center-based Deep Contrastive Metric Learning Method for the Detection of Polymicrogyria in Pediatric Brain MRIcited by 0
- 2023A Mini Review on the utilization of Reinforcement Learning with OPC UAcited by 0
- 2023ADFA: Attention-augmented Differentiable top-k Feature Adaptation for Unsupervised Medical Anomaly Detectioncited by 0
- 2024Harnessing Intra-group Variations Via a Population-Level Context for Pathology Detectioncited by 0
- 2024Latent Anomaly Detection Through Density Matricescited by 0
- 2024Statistical testing on generative AI anomaly detection tools in Alzheimer's Disease diagnosiscited by 0
- 2024Self-Supervised Masked Mesh Learning for Unsupervised Anomaly Detection on 3D Cortical Surfacescited by 0
- 2025Tensor-to-Tensor Models with Fast Iterated Sum Featurescited by 0
- 2025Outlier Detection in Plantar Pressure: Human-Centered Comparison of Statistical Parametric Mapping and Explainable Machine Learningcited by 0
- 2026Needle in a Haystack: One-Class Representation Learning for Detecting Rare Malignant Cells in Computational Cytologycited by 0
- 2026Anatomy-Aware Unsupervised Detection and Localization of Retinal Abnormalities in Optical Coherence Tomographycited by 0
- 2026When Confidence Lacks Concepts: Interpretable OOD Detection via Representation Perturbationscited by 0
- 2026CFR-Net:Collaborative Feature Refinement Network for Medical Image Anomaly Detectioncited by 0
- 2026Unsupervised Anomaly Detection for Image Dataset Quality Assurance in Multi-Center Breast MRIcited by 0
- 2026Unsupervised Anomaly Detection for Image Dataset Quality Assurance in Multi-Center Breast MRI17 Aug 2026
- 2026CFR-Net:Collaborative Feature Refinement Network for Medical Image Anomaly Detection13 Jul 2026
- 2026When Confidence Lacks Concepts: Interpretable OOD Detection via Representation Perturbations15 Jun 2026
- 2026Anatomy-Aware Unsupervised Detection and Localization of Retinal Abnormalities in Optical Coherence Tomography24 Apr 2026
- 2026Needle in a Haystack: One-Class Representation Learning for Detecting Rare Malignant Cells in Computational Cytology9 Apr 2026
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Review16 Oct 2025
- 2025Outlier Detection in Plantar Pressure: Human-Centered Comparison of Statistical Parametric Mapping and Explainable Machine Learning26 Sep 2025
- 2025DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classification15 Sep 2025
- 2025NERO: Explainable Out-of-Distribution Detection with Neuron-level Relevance18 Jun 2025
- 2025PatchGuard: Adversarially Robust Anomaly Detection and Localization through Vision Transformers and Pseudo Anomalies10 Jun 2025
- 2025Tensor-to-Tensor Models with Fast Iterated Sum Features6 Jun 2025
- 2025Is Hyperbolic Space All You Need for Medical Anomaly Detection?27 May 2025
32 more
- 2025Applications of Large Models in Medicine24 Feb 2025
- 2024MEATRD: Multimodal Anomalous Tissue Region Detection Enhanced with Spatial Transcriptomics14 Dec 2024
- 2024Self-Supervised Masked Mesh Learning for Unsupervised Anomaly Detection on 3D Cortical Surfaces7 Dec 2024
- 2024Fr'echet Radiomic Distance (FRD): A Versatile Metric for Comparing Medical Imaging Datasets2 Dec 2024
- 2024PaRCE: Probabilistic and Reconstruction-based Competency Estimation for CNN-based Image Classification22 Nov 2024
- 2024Exploring Zero-Shot Anomaly Detection with CLIP in Medical Imaging: Are We There Yet?14 Nov 2024
- 2024Statistical testing on generative AI anomaly detection tools in Alzheimer's Disease diagnosis17 Oct 2024
- 2024MCDDPM: Multichannel Conditional Denoising Diffusion Model for Unsupervised Anomaly Detection in Brain MRI29 Sep 2024
- 2024Competency-Aware Planning for Probabilistically Safe Navigation Under Perception Uncertainty9 Sep 2024
- 2024Latent Anomaly Detection Through Density Matrices14 Aug 2024
- 2024Introducing 'Inside' Out of Distribution5 Jul 2024
- 2024Out-of-distribution Detection in Medical Image Analysis: A survey28 Apr 2024
- 2024Exploiting Structural Consistency of Chest Anatomy for Unsupervised Anomaly Detection in Radiography Images13 Mar 2024
- 2024Harnessing Intra-group Variations Via a Population-Level Context for Pathology Detection4 Mar 2024
- 2023CLIP in Medical Imaging: A Survey12 Dec 2023
- 2023A Two-Stage Generative Model with CycleGAN and Joint Diffusion for MRI-based Brain Tumor Detection6 Nov 2023
- 2023A Coarse-to-Fine Pseudo-Labeling (C2FPL) Framework for Unsupervised Video Anomaly Detection26 Oct 2023
- 2023Topological Data Analysis in smart manufacturing: State of the art and futuredirections13 Oct 2023
- 2023ADFA: Attention-augmented Differentiable top-k Feature Adaptation for Unsupervised Medical Anomaly Detection29 Aug 2023
- 2023Targeted collapse regularized autoencoder for anomaly detection: black hole at the center22 Jun 2023
- 2023AnoOnly: Semi-Supervised Anomaly Detection with the Only Loss on Anomalies30 May 2023
- 2023A Mini Review on the utilization of Reinforcement Learning with OPC UA24 May 2023
- 2023Multiple Instance Ensembling For Paranasal Anomaly Classification In The Maxillary Sinus31 Mar 2023
- 2023ISSTAD: Incremental Self-Supervised Learning Based on Transformer for Anomaly Detection and Localization30 Mar 2023
- 2023Confidence-Aware and Self-Supervised Image Anomaly Localisation23 Mar 2023
- 2022Identification of Rare Cortical Folding Patterns using Unsupervised Deep Learning29 Nov 2022
- 2022A Novel Center-based Deep Contrastive Metric Learning Method for the Detection of Polymicrogyria in Pediatric Brain MRI22 Nov 2022
- 2022LEAN-DMKDE: Quantum Latent Density Estimation for Anomaly Detection15 Nov 2022
- 2022Diffusion Models for Medical Image Analysis: A Comprehensive Survey14 Nov 2022
- 2022'A net for everyone': fully personalized and unsupervised neural networks trained with longitudinal data from a single patient25 Oct 2022
- 2022Deep Learning for Unsupervised Anomaly Localization in Industrial Images: A Survey21 Jul 2022
- 2022Transformers in Medical Imaging: A Survey24 Jan 2022
- 2022Transformers in Medical Imaging: A Surveycited by 245
- 2022Deep Learning for Unsupervised Anomaly Localization in Industrial Images: A Surveycited by 67
- 2023CLIP in Medical Imaging: A Surveycited by 40
- 2024Out-of-distribution Detection in Medical Image Analysis: A surveycited by 22
- 2024Fr'echet Radiomic Distance (FRD): A Versatile Metric for Comparing Medical Imaging Datasetscited by 19
- 2023A Coarse-to-Fine Pseudo-Labeling (C2FPL) Framework for Unsupervised Video Anomaly Detectioncited by 13
- 2024Exploiting Structural Consistency of Chest Anatomy for Unsupervised Anomaly Detection in Radiography Imagescited by 13
- 2025PatchGuard: Adversarially Robust Anomaly Detection and Localization through Vision Transformers and Pseudo Anomaliescited by 8
- 2025Applications of Large Models in Medicinecited by 6
- 2025Is Hyperbolic Space All You Need for Medical Anomaly Detection?cited by 5
- 2023Confidence-Aware and Self-Supervised Image Anomaly Localisationcited by 4
- 2023ISSTAD: Incremental Self-Supervised Learning Based on Transformer for Anomaly Detection and Localizationcited by 4
12 most cited of 42 All 42 (JSON)
- 2026Unsupervised Anomaly Detection for Image Dataset Quality Assurance in Multi-Center Breast MRI17 Aug 2026
- 2026CFR-Net:Collaborative Feature Refinement Network for Medical Image Anomaly Detection13 Jul 2026
- 2026When Confidence Lacks Concepts: Interpretable OOD Detection via Representation Perturbations15 Jun 2026
- 2026Anatomy-Aware Unsupervised Detection and Localization of Retinal Abnormalities in Optical Coherence Tomography24 Apr 2026
- 2026Needle in a Haystack: One-Class Representation Learning for Detecting Rare Malignant Cells in Computational Cytology9 Apr 2026
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Review16 Oct 2025
- 2025Outlier Detection in Plantar Pressure: Human-Centered Comparison of Statistical Parametric Mapping and Explainable Machine Learning26 Sep 2025
- 2025DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classification15 Sep 2025
- 2025NERO: Explainable Out-of-Distribution Detection with Neuron-level Relevance18 Jun 2025
- 2025PatchGuard: Adversarially Robust Anomaly Detection and Localization through Vision Transformers and Pseudo Anomalies10 Jun 2025
- 2025Tensor-to-Tensor Models with Fast Iterated Sum Features6 Jun 2025
- 2025Is Hyperbolic Space All You Need for Medical Anomaly Detection?27 May 2025
12 newest of 42 All 42 (JSON)