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Medical Diffusion: Denoising Diffusion Probabilistic Models for 3D Medical Image Generation (2211.03364v7)

Published 7 Nov 2022 in eess.IV, cs.CV, and cs.LG

Abstract: Recent advances in computer vision have shown promising results in image generation. Diffusion probabilistic models in particular have generated realistic images from textual input, as demonstrated by DALL-E 2, Imagen and Stable Diffusion. However, their use in medicine, where image data typically comprises three-dimensional volumes, has not been systematically evaluated. Synthetic images may play a crucial role in privacy preserving artificial intelligence and can also be used to augment small datasets. Here we show that diffusion probabilistic models can synthesize high quality medical imaging data, which we show for Magnetic Resonance Images (MRI) and Computed Tomography (CT) images. We provide quantitative measurements of their performance through a reader study with two medical experts who rated the quality of the synthesized images in three categories: Realistic image appearance, anatomical correctness and consistency between slices. Furthermore, we demonstrate that synthetic images can be used in a self-supervised pre-training and improve the performance of breast segmentation models when data is scarce (dice score 0.91 vs. 0.95 without vs. with synthetic data). The code is publicly available on GitHub: https://github.com/FirasGit/medicaldiffusion.

Overview of "Medical Diffusion: Denoising Diffusion Probabilistic Models for 3D Medical Image Generation"

The paper "Medical Diffusion: Denoising Diffusion Probabilistic Models for 3D Medical Image Generation" presents a novel application of diffusion probabilistic models for the generation of three-dimensional (3D) medical images such as Magnetic Resonance Images (MRI) and Computed Tomography (CT) scans. The authors aim to address the limitations of existing techniques like Generative Adversarial Networks (GANs) by employing diffusion models that offer improved diversity and quality in the synthesis of medical data.

Key Contributions

The research focuses on the implementation and evaluation of latent-space diffusion models specifically tailored for 3D medical imaging. The authors propose a two-step modeling approach, whereby images are first encoded into a low-dimensional latent space using a Vector Quantized-Generative Adversarial Network (VQ-GAN). Then, a diffusion probabilistic model is trained on this latent representation. This architecture is validated across four distinct anatomical regions using publicly available MRI and CT datasets.

Methodological Insights

  • Latent Space Encoding: The paper leverages VQ-GANs for encoding images into a quantized latent space, enabling diffusion models to operate efficiently with reduced computational resources.
  • Diffusion Model Architecture: Enhanced 3D U-Net architectures, adapted with 3D convolutions and attention mechanisms, are deployed to model the noise and reconstruct the image data accurately.
  • Data Preprocessing and Training: MRI and CT data are preprocessed with specific attention to voxel spacing and image resolution. The models are trained with different compression factors for latent space, achieving convergence even on datasets with limited sample sizes.

Results and Findings

  • Image Quality and Consistency: A reader paper involving medical experts rated the synthesized images highly in terms of anatomical correctness and inter-slice consistency, demonstrating the model's robustness in generating realistic 3D data.
  • Comparison to GANs: The diffusion models outperform traditional GANs by producing more diverse images, as evidenced by lower multi-scale structural similarity (MS-SSIM) scores—indicative of better image variations that capture the underlying distribution of real-world medical data.
  • Application in Medical Training: The research illustrates the utility of synthetic images in improving data-scarce scenarios, such as breast MRI segmentation tasks, where pre-training on synthetic data resulted in notable performance enhancements (dice score improvement from 0.91 to 0.95).

Implications and Future Directions

The authors provide strong empirical evidence supporting the use of latent diffusion models for medical imaging applications, potentially transforming privacy-preserving data sharing and enhancement of small datasets. The results indicate significant potential for these models to facilitate collaborations between institutions where direct data sharing may not be feasible.

Prospective Research Areas

  • Scaling and Generalization: Future research could explore the scaling of these models to handle larger datasets and higher resolutions, enhancing the applicability of diffusion models in clinical setups.
  • Extended Medical Applications: Extending these methods to other medical imaging modalities and tasks such as disease progression prediction and therapy response assessment is of significant interest.
  • Federated Learning Opportunities: Considerations around federated learning paradigms could allow distributed training across numerous healthcare institutions, thus strengthening model efficacy and generalization.

In summary, this paper demonstrates diffusion probabilistic models as a viable pathway for generating high-quality 3D medical images, offering a substantial contribution to the computational techniques available in medical imaging research.

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Authors (15)
  1. Firas Khader (17 papers)
  2. Gustav Mueller-Franzes (5 papers)
  3. Soroosh Tayebi Arasteh (23 papers)
  4. Tianyu Han (20 papers)
  5. Christoph Haarburger (9 papers)
  6. Maximilian Schulze-Hagen (3 papers)
  7. Philipp Schad (1 paper)
  8. Sandy Engelhardt (34 papers)
  9. Bettina Baessler (12 papers)
  10. Sebastian Foersch (7 papers)
  11. Johannes Stegmaier (43 papers)
  12. Christiane Kuhl (22 papers)
  13. Sven Nebelung (23 papers)
  14. Jakob Nikolas Kather (34 papers)
  15. Daniel Truhn (51 papers)
Citations (54)
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