# Anomaly-Driven Approach for Enhanced Prostate Cancer Segmentation

arXiv: https://arxiv.org/abs/2504.21789 · HTML: https://mlsanity.com/paper/2504.21789/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 4 of its 9 references that are in the map.
- First posted on arXiv 30 Apr 2025.

## Builds on (most cited first, 4 of 4)

- [Diffusion Models for Medical Anomaly Detection](https://mlsanity.com/paper/2203.04306/) (2022)
- [Autoencoders for Unsupervised Anomaly Segmentation in Brain MR Images: A Comparative Study](https://mlsanity.com/paper/2004.03271/) (2020)
- [Learning Fixed Points in Generative Adversarial Networks: From Image-to-Image Translation to Disease Detection and Localization](https://mlsanity.com/paper/1908.06965/) (2019)
- [Deep learning in magnetic resonance prostate segmentation: A review and a new perspective](https://mlsanity.com/paper/2011.07795/) (2020)

## Abstract (arXiv)

Magnetic Resonance Imaging (MRI) plays an important role in identifying clinically significant prostate cancer (csPCa), yet automated methods face challenges such as data imbalance, variable tumor sizes, and a lack of annotated data. This study introduces Anomaly-Driven U-Net (adU-Net), which incorporates anomaly maps derived from biparametric MRI sequences into a deep learning-based segmentation framework to improve csPCa identification. We conduct a comparative analysis of anomaly detection methods and evaluate the integration of anomaly maps into the segmentation pipeline. Anomaly maps, generated using Fixed-Point GAN reconstruction, highlight deviations from normal prostate tissue, guiding the segmentation model to potential cancerous regions. We compare the performance by using the average score, computed as the mean of the AUROC and Average Precision (AP). On the external test set, adU-Net achieves the best average score of 0.618, outperforming the baseline nnU-Net model (0.605). The results demonstrate that incorporating anomaly detection into segmentation improves generalization and performance, particularly with ADC-based anomaly maps, offering a promising direction for automated csPCa identification.