DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classification

Fuente: arXiv
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Autori principali: Rafsani, Fazle, Shah, Jay, Chong, Catherine D., Schwedt, Todd J., Wu, Teresa
Natura: Preprint
Pubblicazione: 2025
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author Rafsani, Fazle
Shah, Jay
Chong, Catherine D.
Schwedt, Todd J.
Wu, Teresa
author_facet Rafsani, Fazle
Shah, Jay
Chong, Catherine D.
Schwedt, Todd J.
Wu, Teresa
contents Anomaly detection and classification in medical imaging are critical for early diagnosis but remain challenging due to limited annotated data, class imbalance, and the high cost of expert labeling. Emerging vision foundation models such as DINOv2, pretrained on extensive, unlabeled datasets, offer generalized representations that can potentially alleviate these limitations. In this study, we propose an attention-based global aggregation framework tailored specifically for 3D medical image anomaly classification. Leveraging the self-supervised DINOv2 model as a pretrained feature extractor, our method processes individual 2D axial slices of brain MRIs, assigning adaptive slice-level importance weights through a soft attention mechanism. To further address data scarcity, we employ a composite loss function combining supervised contrastive learning with class-variance regularization, enhancing inter-class separability and intra-class consistency. We validate our framework on the ADNI dataset and an institutional multi-class headache cohort, demonstrating strong anomaly classification performance despite limited data availability and significant class imbalance. Our results highlight the efficacy of utilizing pretrained 2D foundation models combined with attention-based slice aggregation for robust volumetric anomaly detection in medical imaging. Our implementation is publicly available at https://github.com/Rafsani/DinoAtten3D.git.
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id arxiv_https___arxiv_org_abs_2509_12512
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classification
Rafsani, Fazle
Shah, Jay
Chong, Catherine D.
Schwedt, Todd J.
Wu, Teresa
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Anomaly detection and classification in medical imaging are critical for early diagnosis but remain challenging due to limited annotated data, class imbalance, and the high cost of expert labeling. Emerging vision foundation models such as DINOv2, pretrained on extensive, unlabeled datasets, offer generalized representations that can potentially alleviate these limitations. In this study, we propose an attention-based global aggregation framework tailored specifically for 3D medical image anomaly classification. Leveraging the self-supervised DINOv2 model as a pretrained feature extractor, our method processes individual 2D axial slices of brain MRIs, assigning adaptive slice-level importance weights through a soft attention mechanism. To further address data scarcity, we employ a composite loss function combining supervised contrastive learning with class-variance regularization, enhancing inter-class separability and intra-class consistency. We validate our framework on the ADNI dataset and an institutional multi-class headache cohort, demonstrating strong anomaly classification performance despite limited data availability and significant class imbalance. Our results highlight the efficacy of utilizing pretrained 2D foundation models combined with attention-based slice aggregation for robust volumetric anomaly detection in medical imaging. Our implementation is publicly available at https://github.com/Rafsani/DinoAtten3D.git.
title DinoAtten3D: Slice-Level Attention Aggregation of DinoV2 for 3D Brain MRI Anomaly Classification
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.12512