Evidence map›Paper›PMID 39948337›Full record

ArticleNature communications2025

Evaluating normative representation learning in generative AI for robust anomaly detection in brain imaging.

Cosmin I Bercea, Benedikt Wiestler, Daniel Rueckert, Julia A Schnabel

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Cosmin I BerceaChair of Computational Imaging and AI in Medicine, Technical University of Munich (TUM), Munich, Germany. cosmin.bercea@tum.de.ORCID http://orcid.org/0000-0003-2628-2766
Benedikt WiestlerChair of AI for Image-Guided Diagnosis and Therapy, TUM School of Medicine and Health, Munich, Germany.ORCID http://orcid.org/0000-0002-2963-7772
Daniel RueckertMunich Center for Machine Learning (MCML), Munich, Germany.
Julia A SchnabelChair of Computational Imaging and AI in Medicine, Technical University of Munich (TUM), Munich, Germany.ORCID http://orcid.org/0000-0001-6107-3009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Normative representation learning focuses on understanding the typical anatomical distributions from large datasets of medical scans from healthy individuals. Generative Artificial Intelligence (AI) leverages this attribute to synthesize images that accurately reflect these normative patterns. This capability enables the AI allowing them to effectively detect and correct anomalies in new, unseen pathological data without the need for expert labeling. Traditional anomaly detection methods often evaluate the anomaly detection performance, overlooking the crucial role of normative learning. In our analysis, we introduce novel metrics, specifically designed to evaluate this facet in AI models. We apply these metrics across various generative AI frameworks, including advanced diffusion models, and rigorously test them against complex and diverse brain pathologies. In addition, we conduct a large multi-reader study to compare these metrics to experts' evaluations. Our analysis demonstrates that models proficient in normative learning exhibit exceptional versatility, adeptly detecting a wide range of unseen medical conditions. Our code is available at https://github.com/compai-lab/2024-ncomms-bercea.git .

Indexed as

Artificial IntelligenceBrainImage Processing, Computer-AssistedNeuroimagingAlgorithmsHumansMagnetic Resonance Imaging

Identifiers

PMID39948337
PMCPMC11825664

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.