A traditional site runs coax from a radio unit up to a passive antenna, losing power in the cable and limiting what beamforming can do. An active antenna unit puts the transceivers behind the array itself — one radio chain per element or sub-array — so beamforming is done where the antenna is, with no feeder loss.
That integration is what makes massive MIMO practical. With dozens of elements each driven by its own chain, the unit forms narrow beams and sends independent streams to several users on the same time and frequency — the capacity gain of MU-MIMO. The digital front end (CFR and DPD) sits in the same unit, keeping the many amplifiers efficient and within the spectral mask.
It connects to the baseband not by coax but by an O-RAN 7.2x eCPRI fronthaul over fibre, which is what lets the radio and the DU come from different vendors and sit in different places.