MCDDPM: Multichannel Conditional Denoising Diffusion Model for Unsupervised Anomaly Detection in Brain MRI

Detecting anomalies in brain MRI scans using supervised deep learning methods presents challenges due to anatomical diversity and labor-intensive requirement of pixel-level annotations. Generative models like Denoising Diffusion Probabilistic Model (DDPM) [1] and their variants like Patch-based DDPM (pDDPM) [2], Masked DDPM (mDDPM) [3], Conditional DDPM (cDDPM) [4] have recently emerged to be powerful alternatives to perform unsupervised anomaly detection in brain MRI scans. These methods leverage frame-level labels of healthy brains to generate healthy tissues in brain MRI scans. During inference, when an anomalous (or unhealthy) scan image is presented as an input, these models generate a healthy scan image corresponding to the input anomalous scan, and the difference map between the generated healthy scan image and the original anomalous scan image provide the necessary pixel level identification of abnormal tissues. The generated healthy images from the DDPM, pDDPM and mDDPM models however suffer from fidelity issues and contain artifacts that do not have medical significance. While cDDPM achieves slightly better fidelity and artifact suppression, it requires huge memory footprint and is computationally expensive than the other DDPM based models. In this work, we propose an improved version of DDPM called Multichannel Conditional Denoising Diffusion Probabilistic Model (MCDDPM) for unsupervised anomaly detection in brain MRI scans. Our proposed model achieves high fidelity by making use of additional information from the healthy images during the training process, enriching the representation power of DDPM models, with a computational cost and memory requirements on par with DDPM, pDDPM and mDDPM models. Experimental results on multiple datasets (e.g. BraTS20, BraTS21) demonstrate promising performance of the proposed method. The code is available at https://github.com/vivekkumartri/MCDDPM.