MedIAnomaly: A comparative study of anomaly detection in medical images

Anomaly detection (AD) aims at detecting abnormal samples that deviate from the expected normal patterns. Generally, it can be trained on merely normal data without the requirement for abnormal samples, and thereby plays an important role in the recognition of rare diseases and health screening in the medical domain. Despite numerous related studies, we observe a lack of a fair and comprehensive evaluation, which causes some ambiguous conclusions and hinders the development of this field. This paper focuses on building a benchmark with unified implementation and comparison to address this problem. In particular, seven medical datasets with five image modalities, including chest X-rays, brain MRIs, retinal fundus images, dermatoscopic images, and histopathology whole slide images are organized for extensive evaluation. Twenty-seven typical AD methods, including reconstruction and self-supervised learning-based methods, are involved in comparison of image-level anomaly classification and pixel-level anomaly segmentation. Furthermore, we for the first time formally explore the effect of key components in existing methods, clearly revealing unresolved challenges and potential future directions. The datasets and code are available at \url{https://github.com/caiyu6666/MedIAnomaly}.