Anatomy-Aware Unsupervised Detection and Localization of Retinal Abnormalities in Optical Coherence Tomography

Reliable automated analysis of Optical Coherence Tomography (OCT) imaging is crucial for diagnosing retinal disorders but faces a critical barrier: the need for expensive, labor-intensive expert annotations. Supervised deep learning models struggle to generalize across diverse pathologies, imaging devices, and patient populations due to their restricted vocabulary of annotated abnormalities. We propose an unsupervised anomaly detection framework that learns the normative distribution of healthy retinal anatomy without lesion annotations, directly addressing annotation efficiency challenges in clinical deployment. Our approach leverages a discrete latent model trained on normal B-scans to capture OCT-specific structural patterns. To enhance clinical robustness, we incorporate retinal layer-aware supervision and structured triplet learning to separate healthy from pathological representations, improving model reliability across varied imaging conditions. During inference, anomalies are detected and localized via reconstruction discrepancies, enabling both image and pixel-level identification without requiring disease-specific labels. On the Kermany dataset (AUROC: 0.799), our method substantially outperforms VAE, VQVAE, VQGAN, and f-AnoGAN baselines. Critically, cross-dataset evaluation on Srinivasan achieves AUROC 0.884 with superior generalization, demonstrating robust domain adaptation. On the external RETOUCH benchmark, unsupervised anomaly segmentation achieves competitive Dice (0.200) and mIoU (0.117) scores, validating reproducibility across institutions.

FedSIR: Spectral Client Identification and Relabeling for Federated Learning with Noisy Labels

Federated learning (FL) enables collaborative model training without sharing raw data; however, the presence of noisy labels across distributed clients can severely degrade the learning performance. In this paper, we propose FedSIR, a multi-stage framework for robust FL under noisy labels. Different from existing approaches that mainly rely on designing noise-tolerant loss functions or exploiting loss dynamics during training, our method leverages the spectral structure of client feature representations to identify and mitigate label noise. Our framework consists of three key components. First, we identify clean and noisy clients by analyzing the spectral consistency of class-wise feature subspaces with minimal communication overhead. Second, clean clients provide spectral references that enable noisy clients to relabel potentially corrupted samples using both dominant class directions and residual subspaces. Third, we employ a noise-aware training strategy that integrates logit-adjusted loss, knowledge distillation, and distance-aware aggregation to further stabilize federated optimization. Extensive experiments on standard FL benchmarks demonstrate that FedSIR consistently outperforms state-of-the-art methods for FL with noisy labels. The code is available at https://github.com/sinagh72/FedSIR.