I Detect What I Don't Know: Incremental Anomaly Learning with Stochastic Weight Averaging-Gaussian for Oracle-Free Medical Imaging

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Hauptverfasser: Yadav, Nand Kumar, Rizk, Rodrigue, Chen, William CW, Santosh, KC
Format: Preprint
Veröffentlicht: 2025
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author Yadav, Nand Kumar
Rizk, Rodrigue
Chen, William CW
Santosh, KC
author_facet Yadav, Nand Kumar
Rizk, Rodrigue
Chen, William CW
Santosh, KC
contents Unknown anomaly detection in medical imaging remains a fundamental challenge due to the scarcity of labeled anomalies and the high cost of expert supervision. We introduce an unsupervised, oracle-free framework that incrementally expands a trusted set of normal samples without any anomaly labels. Starting from a small, verified seed of normal images, our method alternates between lightweight adapter updates and uncertainty-gated sample admission. A frozen pretrained vision backbone is augmented with tiny convolutional adapters, ensuring rapid domain adaptation with negligible computational overhead. Extracted embeddings are stored in a compact coreset enabling efficient k-nearest neighbor anomaly (k-NN) scoring. Safety during incremental expansion is enforced by dual probabilistic gates, a sample is admitted into the normal memory only if its distance to the existing coreset lies within a calibrated z-score threshold, and its SWAG-based epistemic uncertainty remains below a seed-calibrated bound. This mechanism prevents drift and false inclusions without relying on generative reconstruction or replay buffers. Empirically, our system steadily refines the notion of normality as unlabeled data arrive, producing substantial gains over baselines. On COVID-CXR, ROC-AUC improves from 0.9489 to 0.9982 (F1: 0.8048 to 0.9746); on Pneumonia CXR, ROC-AUC rises from 0.6834 to 0.8968; and on Brain MRI ND-5, ROC-AUC increases from 0.6041 to 0.7269 and PR-AUC from 0.7539 to 0.8211. These results highlight the effectiveness and efficiency of the proposed framework for real-world, label-scarce medical imaging applications.
format Preprint
id arxiv_https___arxiv_org_abs_2511_03912
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle I Detect What I Don't Know: Incremental Anomaly Learning with Stochastic Weight Averaging-Gaussian for Oracle-Free Medical Imaging
Yadav, Nand Kumar
Rizk, Rodrigue
Chen, William CW
Santosh, KC
Computer Vision and Pattern Recognition
Artificial Intelligence
Unknown anomaly detection in medical imaging remains a fundamental challenge due to the scarcity of labeled anomalies and the high cost of expert supervision. We introduce an unsupervised, oracle-free framework that incrementally expands a trusted set of normal samples without any anomaly labels. Starting from a small, verified seed of normal images, our method alternates between lightweight adapter updates and uncertainty-gated sample admission. A frozen pretrained vision backbone is augmented with tiny convolutional adapters, ensuring rapid domain adaptation with negligible computational overhead. Extracted embeddings are stored in a compact coreset enabling efficient k-nearest neighbor anomaly (k-NN) scoring. Safety during incremental expansion is enforced by dual probabilistic gates, a sample is admitted into the normal memory only if its distance to the existing coreset lies within a calibrated z-score threshold, and its SWAG-based epistemic uncertainty remains below a seed-calibrated bound. This mechanism prevents drift and false inclusions without relying on generative reconstruction or replay buffers. Empirically, our system steadily refines the notion of normality as unlabeled data arrive, producing substantial gains over baselines. On COVID-CXR, ROC-AUC improves from 0.9489 to 0.9982 (F1: 0.8048 to 0.9746); on Pneumonia CXR, ROC-AUC rises from 0.6834 to 0.8968; and on Brain MRI ND-5, ROC-AUC increases from 0.6041 to 0.7269 and PR-AUC from 0.7539 to 0.8211. These results highlight the effectiveness and efficiency of the proposed framework for real-world, label-scarce medical imaging applications.
title I Detect What I Don't Know: Incremental Anomaly Learning with Stochastic Weight Averaging-Gaussian for Oracle-Free Medical Imaging
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2511.03912