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Noise-Consistent Siamese-Diffusion for Medical Image Synthesis and Segmentation

CVPR 2025 · Image generation › Fast diffusion sampling · approach: Diffusion models as perception tools · 16 citations (OpenAlex)

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Proposes Siamese-Diffusion, which trains a ControlNet-based Stable Diffusion under mask-only and mask-image prior controls with a Noise Consistency Loss to make mask-only sampling produce higher-fidelity medical image-mask pairs for segmentation augmentation.

Problem

Medical image segmentation is limited by scarce annotated data, and diffusion models used to synthesize image-mask pairs also suffer from data scarcity, so mask-only generators yield low morphological fidelity while mask-image generators lose diversity.

Approach

A Siamese training scheme shares one diffusion model under mask-only (Mask-Diffusion) and mask-image (Image-Diffusion) conditions; a stop-gradient Noise Consistency Loss pulls Mask-Diffusion's predicted noise toward Image-Diffusion's, and only the mask-only branch is used at sampling, keeping diversity while improving fidelity.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
augment SANet training with Siamese-Diffusion polyp imagesSANet · Polyps, overallmDice: 79.4 -> 83.0Helped
augment UNet training with Siamese-Diffusion images made using transformed masksUNet · ISIC2018mDice: 82.19 -> 83.71Helped
add Dense Hint Input (ablation)Siamese-Diffusion · PolypsFID: 70.630 -> 70.479Helped
add Online-Augmentation (ablation)Siamese-Diffusion · PolypsFID: 70.479 -> 65.927Helped
add Noise Consistency Loss (ablation)Siamese-Diffusion · PolypsSANet mDice: 80.5 -> 81.8Helped
set Noise Consistency Loss weight wc to 0.5 (ablation)Siamese-Diffusion · PolypsSANet mDice: 80.5 -> 82.0Helped
set Noise Consistency Loss weight wc to 1.0 (ablation)Siamese-Diffusion · PolypsSANet mDice: 80.5 -> 83.0Helped
set Noise Consistency Loss weight wc to 1.5 (ablation)Siamese-Diffusion · PolypsSANet mDice: 80.5 -> 82.4Helped
set Noise Consistency Loss weight wc to 2.0 (ablation)Siamese-Diffusion · PolypsSANet mDice: 80.5 -> 81.4Helped
use transformed masks rather than real masks for synthetic ISIC2018 training images (ablation)UNet · ISIC2018mDice: 82.81 -> 83.71Helped
increase synthetic Polyps training data from threefold to fourfold (ablation)SegFormer · PolypsmDiceHurt

Surprising findings

Limitations

Experimental setup

Datasets: Kvasir CVC-ClinicDB ISIC2016 ISIC2018 EndoScene ETIS ColonDB Stain (internal) Faeces (internal)

Benchmarks: EndoScene ClinicDB Kvasir ColonDB ETIS ISIC2016 ISIC2018 Stain Faeces

Metrics: FID KID CLIP-I LPIPS CMMD MOS mDice mIoU

Baselines: SinGAN-Seg T2I-Adapter ArSDM ControlNet Copy-Paste DFMGAN AnomalyDiffusion

Builds on: ControlNet Stable Diffusion DDIM ArSDM

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