Abstract
Anomaly detection has been widely explored by training an out-of-distribution detector with only normal data for medical images. However, detecting local and subtle irregularities without prior knowledge of anomaly types brings challenges for lung CT-scan image anomaly detection. In this paper, we propose a self-supervised framework for learning representations of lung CT-scan images via both multi-scale cropping and simple masked attentive predicting, which is capable of constructing a powerful out-of-distribution detector. Firstly, we propose CropMixPaste, a self-supervised augmentation task for generating density shadow-like anomalies that encourage the model to detect local irregularities of lung CT-scan images. Then, we propose a self-supervised reconstruction block, named simple masked attentive predicting block (SMAPB), to better refine local features by predicting masked context information. Finally, the learned representations by self-supervised tasks are used to build an out-of-distribution detector. The results on real lung CT-scan datasets demonstrate the effectiveness and superiority of our proposed method compared with state-of-the-art methods.