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  4. A review of deep learning-based unsupervised anomaly detection in brain MRI
 
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A review of deep learning-based unsupervised anomaly detection in brain MRI

Citation Link: https://doi.org/10.15480/882.17040
Publikationstyp
Review Article
Date Issued
2026-07-01
Sprache
English
Author(s)
Behrendt, Finn  
Medizintechnische und Intelligente Systeme E-1  
Bhattacharya, Debayan  
Medizintechnische und Intelligente Systeme E-1  
Maack, Lennart  
Medizintechnische und Intelligente Systeme E-1  
Krüger, Julia  
Opfer, Roland  
Schlaefer, Alexander  
Medizintechnische und Intelligente Systeme E-1  
TORE-DOI
10.15480/882.17040
TORE-URI
https://hdl.handle.net/11420/62900
Journal
Medical image analysis  
Volume
112
Article Number
104076
Citation
Medical Image Analysis 112: 104076 (2026)
Publisher DOI
10.1016/j.media.2026.104076
Scopus ID
2-s2.0-105036289878
Publisher
Elsevier
The manual assessment of brain Magnetic Resonance Imaging (MRI) scans can be labor-intensive and time-consuming for radiologists. Deep Learning methods have demonstrated the potential to aid this process. However, their effectiveness relies on the availability of large, annotated data sets. Unsupervised Anomaly Detection (UAD) presents a promising alternative, offering the potential to identify and localize anomalies without per-pixel annotations. Instead, a normative distribution is learned using healthy data, enabling the identification of abnormalities as deviations. This allows UAD methods to detect abnormalities that were unseen during training. This appealing feature has led to numerous studies proposing innovations and novel approaches. In this work, we provide a review of the literature and systematically collect and compare the proposed approaches. We observe that UAD has made significant advancements in brain MRI analysis. However, individual approaches are often evaluated in different contexts, i.e., changes in acquisition parameters, pre- and post-processing, and anomaly scoring. This variability makes it challenging to assess which models perform best, underscoring the need for comprehensive comparative studies concerning the specific context of MRI scans. Our collection, featuring public data sets, research studies, and open implementations, is available at our GitHub repository https://github.com/FinnBehrendt/Unsupervised-Anomaly-Detection-in-Brain-MRI .
Subjects
Brain MRI
Deep learning
Generative models
Survey
Unsupervised Anomaly Detection
DDC Class
616.07: Pathology
006.31: Machine Learning
Funding(s)
Vollautomatische, strukturierte Befundung von Röntgen-Thorax-Aufnahmen für die Routineanwendung in der Patientenversorgung  
Projekt DEAL  
Lizenz
https://creativecommons.org/licenses/by/4.0/
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publishedVersion
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