Transformer based Models for Unsupervised Anomaly Segmentation in Brain MR Images
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Abstract (arXiv)
The quality of patient care associated with diagnostic radiology is proportionate to a physician workload. Segmentation is a fundamental limiting precursor to both diagnostic and therapeutic procedures. Advances in machine learning (ML) aim to increase diagnostic efficiency by replacing a single application with generalized algorithms. The goal of unsupervised anomaly detection (UAD) is to identify potential anomalous regions unseen during training, where convolutional neural network (CNN) based autoencoders (AEs) and variational autoencoders (VAEs) are considered a de facto approach for reconstruction based-anomaly segmentation. The restricted receptive field in CNNs limits the CNN to model the global context. Hence, if the anomalous regions cover large parts of the image, the CNN-based AEs are not capable of bringing a semantic understanding of the image. Meanwhile, vision transformers (ViTs) have emerged as a competitive alternative to CNNs. It relies on the self-attention mechanism that can relate image patches to each other. We investigate in this paper Transformer capabilities in building AEs for the reconstruction-based UAD task to reconstruct a coherent and more realistic image. We focus on anomaly segmentation for brain magnetic resonance imaging (MRI) and present five Transformer-based models while enabling segmentation performance comparable to or superior to state-of-the-art (SOTA) models. The source code is made publicly available on GitHub: https://github.com/ahmedgh970/Transformers_Unsupervised_Anomaly_Segmentation.git.
Key facts. Cited by 7 papers in the map (data through 7 Oct 2026). Builds on 33 of its 48 references that are in the map. First posted on arXiv 5 Jul 2022.
Builds on
33 of 48 references.
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21 more
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Built on by
Citing papers per year: 2023: 3; 2024: 1; 2025: 3.
7 papers.
- 2023Unsupervised Pathology Detection: A Deep Dive Into the State of the Artcited by 24
- 2024AutoRG-Brain: Grounded Report Generation for Brain MRIcited by 23
- 2023Cheap Lunch for Medical Image Segmentation by Fine-tuning SAM on Few Exemplarscited by 21
- 2023Unsupervised Brain Tumor Segmentation with Image-based Promptscited by 1
- 2025Quantitative Benchmarking of Anomaly Detection Methods in Digital Pathologycited by 1
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Reviewcited by 1
- 2025Latent Anomaly Detection: Masked VQ-GAN for Unsupervised Segmentation in Medical CBCTcited by 0
- 2025Unsupervised Deep Generative Models for Anomaly Detection in Neuroimaging: A Systematic Scoping Review16 Oct 2025
- 2025Quantitative Benchmarking of Anomaly Detection Methods in Digital Pathology24 Jun 2025
- 2025Latent Anomaly Detection: Masked VQ-GAN for Unsupervised Segmentation in Medical CBCT17 Jun 2025
- 2024AutoRG-Brain: Grounded Report Generation for Brain MRI23 Jul 2024
- 2023Cheap Lunch for Medical Image Segmentation by Fine-tuning SAM on Few Exemplars27 Aug 2023
- 2023Unsupervised Brain Tumor Segmentation with Image-based Prompts4 Apr 2023
- 2023Unsupervised Pathology Detection: A Deep Dive Into the State of the Art1 Mar 2023