AnoFPDM: Anomaly Segmentation with Forward Process of Diffusion Models for Brain MRI

Weakly-supervised diffusion models (DM) in anomaly segmentation, leveraging image-level labels, have attracted significant attention for their superior performance compared to unsupervised methods. It eliminates the need for pixel-level labels in training, offering a more cost-effective alternative to supervised methods. However, existing methods are not fully weakly-supervised because they heavily rely on costly pixel-level labels for hyperparameter tuning in inference. To tackle this challenge, we introduce Anomaly Segmentation with Forward Process of Diffusion Models (AnoFPDM), a fully weakly-supervised framework that operates without the need for pixel-level labels. Leveraging the unguided forward process as a reference, we identify suitable hyperparameters, i.e., noise scale and threshold, for each input image. We aggregate anomaly maps from each step in the forward process, enhancing the signal strength of anomalous regions. Remarkably, our proposed method outperforms recent state-of-the-art weakly-supervised approaches, even without utilizing pixel-level labels.