MediCLIP: Adapting CLIP for Few-shot Medical Image Anomaly Detection

In the field of medical decision-making, precise anomaly detection in medical imaging plays a pivotal role in aiding clinicians. However, previous work is reliant on large-scale datasets for training anomaly detection models, which increases the development cost. This paper first focuses on the task of medical image anomaly detection in the few-shot setting, which is critically significant for the medical field where data collection and annotation are both very expensive. We propose an innovative approach, MediCLIP, which adapts the CLIP model to few-shot medical image anomaly detection through self-supervised fine-tuning. Although CLIP, as a vision-language model, demonstrates outstanding zero-/fewshot performance on various downstream tasks, it still falls short in the anomaly detection of medical images. To address this, we design a series of medical image anomaly synthesis tasks to simulate common disease patterns in medical imaging, transferring the powerful generalization capabilities of CLIP to the task of medical image anomaly detection. When only few-shot normal medical images are provided, MediCLIP achieves state-of-the-art performance in anomaly detection and location compared to other methods. Extensive experiments on three distinct medical anomaly detection tasks have demonstrated the superiority of our approach. The code is available at https://github.com/cnulab/MediCLIP.

Weakly Supervised Anomaly Detection for Chest X-Ray Image

Chest X-Ray (CXR) examination is a common method for assessing thoracic diseases in clinical applications. While recent advances in deep learning have enhanced the significance of visual analysis for CXR anomaly detection, current methods often miss key cues in anomaly images crucial for identifying disease regions, as they predominantly rely on unsupervised training with normal images. This letter focuses on a more practical setup in which few-shot anomaly images with only image-level labels are available during training. For this purpose, we propose WSCXR, a weakly supervised anomaly detection framework for CXR. WSCXR firstly constructs sets of normal and anomaly image features respectively. It then refines the anomaly image features by eliminating normal region features through anomaly feature mining, thus fully leveraging the scarce yet crucial features of diseased areas. Additionally, WSCXR employs a linear mixing strategy to augment the anomaly features, facilitating the training of anomaly detector with few-shot anomaly images. Experiments on two CXR datasets demonstrate the effectiveness of our approach.