Structure-Adaptive Sparse Diffusion in Voxel Space for 3D Medical Image Enhancement

📅 2026-04-19
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🤖 AI Summary
This work addresses the substantial computational burden of applying diffusion models to high-resolution 3D medical image enhancement tasks—such as denoising and super-resolution—stemming from the immense voxel space. To overcome this limitation, the authors propose a sparse voxel diffusion framework that significantly reduces both training and inference costs through a sparsely scheduled time-step strategy. The method further incorporates a Structure-aware Trajectory Modulation (STM) module to adaptively preserve anatomical details. By integrating velocity-space supervision and temporal embedding recalibration, the approach achieves state-of-the-art performance across four large-scale medical imaging datasets encompassing CT, PET, and MRI modalities, while accelerating training by up to 10× without compromising image fidelity.

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📝 Abstract
Three-dimensional (3D) medical image enhancement, including denoising and super-resolution, is critical for clinical diagnosis in CT, PET, and MRI. Although diffusion models have shown remarkable success in 2D medical imaging, scaling them to high-resolution 3D volumes remains computationally prohibitive due to lengthy diffusion trajectories over high-dimensional volumetric data. We observe that in conditional enhancement, strong anatomical priors in the degraded input render dense noise schedules largely redundant. Leveraging this insight, we propose a sparse voxel-space diffusion framework that trains and samples on a compact set of uniformly subsampled timesteps. The network predicts clean data directly on the data manifold, supervised in velocity space for stable gradient scaling. A lightweight Structure-aware Trajectory Modulation (STM) module recalibrates time embeddings at each network block based on local anatomical content, enabling structure-adaptive denoising over the shared sparse schedule. Operating directly in voxel space, our framework preserves fine anatomical detail without lossy compression while achieving up to $10\times$ training acceleration. Experiments on four datasets spanning CT, PET, and MRI demonstrate state-of-the-art performance on both denoising and super-resolution tasks. Our code is publicly available at: https://github.com/mirthAI/sparse-3d-diffusion.
Problem

Research questions and friction points this paper is trying to address.

3D medical image enhancement
diffusion models
voxel space
computational efficiency
anatomical detail preservation
Innovation

Methods, ideas, or system contributions that make the work stand out.

sparse diffusion
structure-adaptive
voxel-space
3D medical image enhancement
trajectory modulation
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