Improved Anomaly Detection in Medical Images via Mean Shift Density Enhancement

Anomaly detection in medical imaging is essential for identifying rare pathological conditions, particularly when annotated abnormal samples are limited. We propose a hybrid anomaly detection framework that integrates self-supervised representation learning with manifold-based density estimation, a combination that remains largely unexplored in this domain. Medical images are first embedded into a latent feature space using pretrained, potentially domain-specific, backbones. These representations are then refined via Mean Shift Density Enhancement (MSDE), an iterative manifold-shifting procedure that moves samples toward regions of higher likelihood. Anomaly scores are subsequently computed using Gaussian density estimation in a PCA-reduced latent space, where Mahalanobis distance measures deviation from the learned normal distribution. The framework follows a one-class learning paradigm and requires only normal samples for training. Extensive experiments on seven medical imaging datasets demonstrate state-of-the-art performance. MSDE achieves the highest AUC on four datasets and the highest Average Precision on five datasets, including near-perfect performance on brain tumor detection (0.981 AUC/AP). These results underscore the potential of the proposed framework as a scalable clinical decision-support tool for early disease detection, screening in low-label settings, and robust deployment across diverse imaging modalities.

Anomaly Detection via Mean Shift Density Enhancement

Unsupervised anomaly detection stands as an important problem in machine learning, with applications in financial fraud prevention, network security and medical diagnostics. Existing unsupervised anomaly detection algorithms rarely perform well across different anomaly types, often excelling only under specific structural assumptions. This lack of robustness also becomes particularly evident under noisy settings. We propose Mean Shift Density Enhancement (MSDE), a fully unsupervised framework that detects anomalies through their geometric response to density-driven manifold evolution. MSDE is based on the principle that normal samples, being well supported by local density, remain stable under iterative density enhancement, whereas anomalous samples undergo large cumulative displacements as they are attracted toward nearby density modes. To operationalize this idea, MSDE employs a weighted mean-shift procedure with adaptive, sample-specific density weights derived from a UMAP-based fuzzy neighborhood graph. Anomaly scores are defined by the total displacement accumulated across a small number of mean-shift iterations. We evaluate MSDE on the ADBench benchmark, comprising forty six real-world tabular datasets, four realistic anomaly generation mechanisms, and six noise levels. Compared to 13 established unsupervised baselines, MSDE achieves consistently strong, balanced and robust performance for AUC-ROC, AUC-PR, and Precision@n, at several noise levels and on average over several types of anomalies. These results demonstrate that displacement-based scoring provides a robust alternative to the existing state-of-the-art for unsupervised anomaly detection.