CADD: Context aware disease deviations via restoration of brain images using normative conditional diffusion models

Fuente: arXiv
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Main Authors: Aguila, Ana Lawry, Ijishakin, Ayodeji, Iglesias, Juan Eugenio, Takenaga, Tomomi, Nomura, Yukihiro, Yoshikawa, Takeharu, Abe, Osamu, Hanaoka, Shouhei
Format: Preprint
Published: 2025
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author Aguila, Ana Lawry
Ijishakin, Ayodeji
Iglesias, Juan Eugenio
Takenaga, Tomomi
Nomura, Yukihiro
Yoshikawa, Takeharu
Abe, Osamu
Hanaoka, Shouhei
author_facet Aguila, Ana Lawry
Ijishakin, Ayodeji
Iglesias, Juan Eugenio
Takenaga, Tomomi
Nomura, Yukihiro
Yoshikawa, Takeharu
Abe, Osamu
Hanaoka, Shouhei
contents Applying machine learning to real-world medical data, e.g. from hospital archives, has the potential to revolutionize disease detection in brain images. However, detecting pathology in such heterogeneous cohorts is a difficult challenge. Normative modeling, a form of unsupervised anomaly detection, offers a promising approach to studying such cohorts where the ``normal'' behavior is modeled and can be used at subject level to detect deviations relating to disease pathology. Diffusion models have emerged as powerful tools for anomaly detection due to their ability to capture complex data distributions and generate high-quality images. Their performance relies on image restoration; differences between the original and restored images highlight potential abnormalities. However, unlike normative models, these diffusion model approaches do not incorporate clinical information which provides important context to guide the disease detection process. Furthermore, standard approaches often poorly restore healthy regions, resulting in poor reconstructions and suboptimal detection performance. We present CADD, the first conditional diffusion model for normative modeling in 3D images. To guide the healthy restoration process, we propose a novel inference inpainting strategy which balances anomaly removal with retention of subject-specific features. Evaluated on three challenging datasets, including clinical scans, which may have lower contrast, thicker slices, and motion artifacts, CADD achieves state-of-the-art performance in detecting neurological abnormalities in heterogeneous cohorts.
format Preprint
id arxiv_https___arxiv_org_abs_2508_03594
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle CADD: Context aware disease deviations via restoration of brain images using normative conditional diffusion models
Aguila, Ana Lawry
Ijishakin, Ayodeji
Iglesias, Juan Eugenio
Takenaga, Tomomi
Nomura, Yukihiro
Yoshikawa, Takeharu
Abe, Osamu
Hanaoka, Shouhei
Image and Video Processing
Computer Vision and Pattern Recognition
Applying machine learning to real-world medical data, e.g. from hospital archives, has the potential to revolutionize disease detection in brain images. However, detecting pathology in such heterogeneous cohorts is a difficult challenge. Normative modeling, a form of unsupervised anomaly detection, offers a promising approach to studying such cohorts where the ``normal'' behavior is modeled and can be used at subject level to detect deviations relating to disease pathology. Diffusion models have emerged as powerful tools for anomaly detection due to their ability to capture complex data distributions and generate high-quality images. Their performance relies on image restoration; differences between the original and restored images highlight potential abnormalities. However, unlike normative models, these diffusion model approaches do not incorporate clinical information which provides important context to guide the disease detection process. Furthermore, standard approaches often poorly restore healthy regions, resulting in poor reconstructions and suboptimal detection performance. We present CADD, the first conditional diffusion model for normative modeling in 3D images. To guide the healthy restoration process, we propose a novel inference inpainting strategy which balances anomaly removal with retention of subject-specific features. Evaluated on three challenging datasets, including clinical scans, which may have lower contrast, thicker slices, and motion artifacts, CADD achieves state-of-the-art performance in detecting neurological abnormalities in heterogeneous cohorts.
title CADD: Context aware disease deviations via restoration of brain images using normative conditional diffusion models
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2508.03594