Is Hyperbolic Space All You Need for Medical Anomaly Detection?
Alvaro Gonzalez-Jimenez, Simone Lionetti, Ludovic Amruthalingam, Philippe Gottfrois, Fabian Gröger, Marc Pouly, Alexander A. Navarini
TL;DR
Is Hyperbolic Space All You Need for Medical Anomaly Detection? investigates whether hyperbolic geometry can better capture hierarchical relationships in medical image representations for anomaly detection and localization. The authors propose a framework that synthesizes anomalies, extracts multi layer features from a frozen backbone, maps Euclidean features to hyperbolic space with the Lorentz model, and classifies via a hyperplane in hyperbolic space using a confidence weighted aggregation. Empirical results on BMAD benchmarks show consistent gains in image level AUROC over Euclidean baselines, with strong few shot performance and robustness to parameter variations. The work suggests hyperbolic embeddings offer a data efficient and scalable alternative for clinical anomaly detection and localization, with potential for deployment in resource constrained settings.
Abstract
Medical anomaly detection has emerged as a promising solution to challenges in data availability and labeling constraints. Traditional methods extract features from different layers of pre-trained networks in Euclidean space; however, Euclidean representations fail to effectively capture the hierarchical relationships within these features, leading to suboptimal anomaly detection performance. We propose a novel yet simple approach that projects feature representations into hyperbolic space, aggregates them based on confidence levels, and classifies samples as healthy or anomalous. Our experiments demonstrate that hyperbolic space consistently outperforms Euclidean-based frameworks, achieving higher AUROC scores at both image and pixel levels across multiple medical benchmark datasets. Additionally, we show that hyperbolic space exhibits resilience to parameter variations and excels in few-shot scenarios, where healthy images are scarce. These findings underscore the potential of hyperbolic space as a powerful alternative for medical anomaly detection. The project website can be found at https://hyperbolic-anomalies.github.io
