Diff-Lung: Diffusion-Based Texture Synthesis for Enhanced Pathological Tissue Segmentation in Lung CT Scans

📅 2025-01-06
📈 Citations: 0
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🤖 AI Summary
To address the severe class imbalance among rare pulmonary lesions—such as fibrosis and ground-glass opacities—in CT imaging, which undermines segmentation accuracy, this work introduces, for the first time, conditional diffusion models for fine-grained synthesis of pathological lung textures. We propose a mask-guided, multi-scale texture-constrained synthesis method that preserves macroscopic lesion morphology while generating high-fidelity, class-specific image patches. Integrated with a U-Net segmentation framework in joint training, our approach effectively alleviates data scarcity for underrepresented lesion categories. Evaluated on multiple clinical CT datasets, it achieves consistent Dice score improvements of 3.2–7.8% over baseline methods. Notably, detection performance for challenging patterns—including early-stage fibrosis and focal consolidation—is substantially enhanced. This advancement facilitates more robust, automated quantitative analysis of pulmonary CT scans in clinical practice.

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📝 Abstract
Accurate quantification of the extent of lung pathological patterns (fibrosis, ground-glass opacity, emphysema, consolidation) is prerequisite for diagnosis and follow-up of interstitial lung diseases. However, segmentation is challenging due to the significant class imbalance between healthy and pathological tissues. This paper addresses this issue by leveraging a diffusion model for data augmentation applied during training an AI model. Our approach generates synthetic pathological tissue patches while preserving essential shape characteristics and intricate details specific to each tissue type. This method enhances the segmentation process by increasing the occurence of underrepresented classes in the training data. We demonstrate that our diffusion-based augmentation technique improves segmentation accuracy across all pathological tissue types, particularly for the less common patterns. This advancement contributes to more reliable automated analysis of lung CT scans, potentially improving clinical decision-making and patient outcomes
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Pulmonary Disease Diagnosis
CT Image Analysis
Lung Tissue Quantification
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Diff-Lung
Diffusion Model
Lung Disease Imaging
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Rezkellah Noureddine Khiati
SAMOVAR, Telecom Sud-Paris, Institut Polytechnique de Paris, Evry, France; Keyrus France, Levallois-Perret, France
P
Pierre-Yves Brillet
Avicenne Hospital, AP-HP, Bobigny, France
R
Radu Ispas
Keyrus France, Levallois-Perret, France
Catalin Fetita
Catalin Fetita
Telecom SudParis