AI-Driven Cytomorphology Image Synthesis for Medical Diagnostics

Abstract: Biomedical datasets often contain a large sample imbalance and are subject to strict privacy constraints, which together hinder the development of accurate machine learning models. One potential solution is to generate synthetic images, as this can improve data availability while preserving patient privacy. However, it remains difficult to generate synthetic images of sufficient quality for training robust classifiers. In this work, we focus on the classification of single white blood cells, a key component in the diagnosis of hematological diseases such as acute myeloid leukemia (AML), a severe blood cancer. We demonstrate how synthetic images generated with a fine-tuned stable diffusion model using LoRA weights when guided by real few-shot samples of the target white blood cell classes, can enhance classifier performance for limited data. When training a ResNet classifier, accuracy increased from 27.3\% to 78.4\% (+51.1\%) by adding 5000 synthetic images per class to a small and highly imbalanced real dataset. For a CLIP-based classifier, the accuracy improved from 61.8\% to 76.8\% (+15.0\%). The synthetic images are highly similar to real images, and they can help overcome dataset limitations, enhancing model generalization. Our results establish synthetic images as a tool in biomedical research, improving machine learning models, and facilitating medical diagnosis and research.