# IQE-CLIP: Instance-aware Query Embedding for Zero-/Few-shot Anomaly Detection in Medical Domain

arXiv: https://arxiv.org/abs/2506.10730 · HTML: https://mlsanity.com/paper/2506.10730/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Chart understanding and anomaly detection, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 52 of its 79 references that are in the map.
- First posted on arXiv 12 Jun 2025.

## Placed in

- Multimodal LLMs / vision-language models / [Chart understanding and anomaly detection](https://mlsanity.com/mllm/chart-understanding-and-anomaly-detection/)

## Builds on (most cited first, 30 of 52)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Grounding DINO: Marrying DINO with Grounded Pre-Training for Open-Set Object Detection](https://mlsanity.com/paper/2303.05499/) (2023)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Learning to Prompt for Vision-Language Models](https://mlsanity.com/paper/2109.01134/) (2021)
- [Conditional Prompt Learning for Vision-Language Models](https://mlsanity.com/paper/2203.05557/) (2022)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases](https://mlsanity.com/paper/1705.02315/) (2017)
- [Towards Total Recall in Industrial Anomaly Detection](https://mlsanity.com/paper/2106.08265/) (2021)
- [MaPLe: Multi-modal Prompt Learning](https://mlsanity.com/paper/2210.03117/) (2022)
- [MedCLIP: Contrastive Learning from Unpaired Medical Images and Text](https://mlsanity.com/paper/2210.10163/) (2022)
- [Memorizing Normality to Detect Anomaly: Memory-augmented Deep Autoencoder for Unsupervised Anomaly Detection](https://mlsanity.com/paper/1904.02639/) (2019)
- [CutPaste: Self-Supervised Learning for Anomaly Detection and Localization](https://mlsanity.com/paper/2104.04015/) (2021)
- [The RSNA-ASNR-MICCAI BraTS 2021 Benchmark on Brain Tumor Segmentation and Radiogenomic Classification](https://mlsanity.com/paper/2107.02314/) (2021)
- [The Liver Tumor Segmentation Benchmark (LiTS)](https://mlsanity.com/paper/1901.04056/) (2019)
- [Anomaly Detection via Reverse Distillation from One-Class Embedding](https://mlsanity.com/paper/2201.10703/) (2022)
- [CFLOW-AD: Real-Time Unsupervised Anomaly Detection with Localization via Conditional Normalizing Flows](https://mlsanity.com/paper/2107.12571/) (2021)
- [WinCLIP: Zero-/Few-Shot Anomaly Classification and Segmentation](https://mlsanity.com/paper/2303.14814/) (2023)
- [Recognize Anything: A Strong Image Tagging Model](https://mlsanity.com/paper/2306.03514/) (2023)
- [Multiresolution Knowledge Distillation for Anomaly Detection](https://mlsanity.com/paper/2011.11108/) (2020)
- [AnomalyCLIP: Object-agnostic Prompt Learning for Zero-shot Anomaly Detection](https://mlsanity.com/paper/2310.18961/) (2023)
- [AnomalyGPT: Detecting Industrial Anomalies Using Large Vision-Language Models](https://mlsanity.com/paper/2308.15366/) (2023)
- [Real-IAD: A Real-World Multi-View Dataset for Benchmarking Versatile Industrial Anomaly Detection](https://mlsanity.com/paper/2403.12580/) (2024)
- [Registration based Few-Shot Anomaly Detection](https://mlsanity.com/paper/2207.07361/) (2022)
- [APRIL-GAN: A Zero-/Few-Shot Anomaly Classification and Segmentation Method for CVPR 2023 VAND Workshop Challenge Tracks 1&2: 1st Place on Zero-shot AD and 4th Place on Few-shot AD](https://mlsanity.com/paper/2305.17382/) (2023)
- [Deep Learning for Medical Anomaly Detection -- A Survey](https://mlsanity.com/paper/2012.02364/) (2020)
- [AdaCLIP: Adapting CLIP with Hybrid Learnable Prompts for Zero-Shot Anomaly Detection](https://mlsanity.com/paper/2407.15795/) (2024)
- [Catching Both Gray and Black Swans: Open-set Supervised Anomaly Detection](https://mlsanity.com/paper/2203.14506/) (2022)

## Built on by (most cited first, 1 of 1)

- [Beyond Static Anchors: Bounded Prototype Conditioning for Language-Free Medical Anomaly Detection](https://mlsanity.com/paper/2608.00442/) (2026)

## Abstract (arXiv)

Recently, the rapid advancements of vision-language models, such as CLIP, leads to significant progress in zero-/few-shot anomaly detection (ZFSAD) tasks. However, most existing CLIP-based ZFSAD methods commonly assume prior knowledge of categories and rely on carefully crafted prompts tailored to specific scenarios. While such meticulously designed text prompts effectively capture semantic information in the textual space, they fall short of distinguishing normal and anomalous instances within the joint embedding space. Moreover, these ZFSAD methods are predominantly explored in industrial scenarios, with few efforts conducted to medical tasks. To this end, we propose an innovative framework for ZFSAD tasks in medical domain, denoted as IQE-CLIP. We reveal that query embeddings, which incorporate both textual and instance-aware visual information, are better indicators for abnormalities. Specifically, we first introduce class-based prompting tokens and learnable prompting tokens for better adaptation of CLIP to the medical domain. Then, we design an instance-aware query module (IQM) to extract region-level contextual information from both text prompts and visual features, enabling the generation of query embeddings that are more sensitive to anomalies. Extensive experiments conducted on six medical datasets demonstrate that IQE-CLIP achieves state-of-the-art performance on both zero-shot and few-shot tasks. We release our code and data at https://github.com/hongh0/IQE-CLIP/.