Training-Free Zero-Shot Anomaly Detection in 3D Brain MRI with 2D Foundation Models

Fuente: arXiv
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Auteurs principaux: Le-Gia, Tai, Ahn, Jaehyun
Format: Preprint
Publié: 2026
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author Le-Gia, Tai
Ahn, Jaehyun
author_facet Le-Gia, Tai
Ahn, Jaehyun
contents Zero-shot anomaly detection (ZSAD) has gained increasing attention in medical imaging as a way to identify abnormalities without task-specific supervision, but most advances remain limited to 2D datasets. Extending ZSAD to 3D medical images has proven challenging, with existing methods relying on slice-wise features and vision-language models, which fail to capture volumetric structure. In this paper, we introduce a fully training-free framework for ZSAD in 3D brain MRI that constructs localized volumetric tokens by aggregating multi-axis slices processed by 2D foundation models. These 3D patch tokens restore cubic spatial context and integrate directly with distance-based, batch-level anomaly detection pipelines. The framework provides compact 3D representations that are practical to compute on standard GPUs and require no fine-tuning, prompts, or supervision. Our results show that training-free, batch-based ZSAD can be effectively extended from 2D encoders to full 3D MRI volumes, offering a simple and robust approach for volumetric anomaly detection.
format Preprint
id arxiv_https___arxiv_org_abs_2602_15315
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Training-Free Zero-Shot Anomaly Detection in 3D Brain MRI with 2D Foundation Models
Le-Gia, Tai
Ahn, Jaehyun
Computer Vision and Pattern Recognition
Machine Learning
Zero-shot anomaly detection (ZSAD) has gained increasing attention in medical imaging as a way to identify abnormalities without task-specific supervision, but most advances remain limited to 2D datasets. Extending ZSAD to 3D medical images has proven challenging, with existing methods relying on slice-wise features and vision-language models, which fail to capture volumetric structure. In this paper, we introduce a fully training-free framework for ZSAD in 3D brain MRI that constructs localized volumetric tokens by aggregating multi-axis slices processed by 2D foundation models. These 3D patch tokens restore cubic spatial context and integrate directly with distance-based, batch-level anomaly detection pipelines. The framework provides compact 3D representations that are practical to compute on standard GPUs and require no fine-tuning, prompts, or supervision. Our results show that training-free, batch-based ZSAD can be effectively extended from 2D encoders to full 3D MRI volumes, offering a simple and robust approach for volumetric anomaly detection.
title Training-Free Zero-Shot Anomaly Detection in 3D Brain MRI with 2D Foundation Models
topic Computer Vision and Pattern Recognition
Machine Learning
url https://arxiv.org/abs/2602.15315