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Semantic and Visual Crop-Guided Diffusion Models for Heterogeneous Tissue Synthesis in Histopathology

NeurIPS 2025 · Image generation › Fast diffusion sampling · approach: Diffusion models as perception tools · 1 citations (OpenAlex)

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Proposes HeteroTissue-Diffuse, a latent diffusion model conditioned on semantic maps plus raw tissue crops for heterogeneous histopathology synthesis, and extends it to unannotated TCGA via foundation-model clustering into 100 pseudo-tissue types.

Problem

Synthetic histopathology generation struggles to preserve tissue heterogeneity, fine morphology, and scale to unannotated WSI collections; existing methods rely on text prompts, class labels, or abstract embeddings.

Approach

Condition a latent diffusion model on concatenated per-class binary semantic masks and raw RGB tissue crops placed inside the corresponding masked regions, and generate pseudo-semantic maps for TCGA by clustering UNI patch embeddings into 100 tissue types.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Use visual prompts instead of no promptingHeteroTissue-Diffuse on Camelyon16 · Camelyon16FD (RN50-BT): 430.1 -> 72.0Helped
Use visual prompts instead of no promptingHeteroTissue-Diffuse on PANDA · PANDAFD (RN50-BT): 150.0 -> 22.8Helped
Use visual prompts instead of no promptingHeteroTissue-Diffuse on TCGA · TCGAFD (RN50-BT): 157.7 -> 142.9Helped
Train DeepLabv3+ on prompt-conditioned synthetic data instead of NoPrompt synthetic dataDeepLabv3+ on Camelyon16 · Camelyon16 testIoU: 0.63 -> 0.71Helped
Train DeepLabv3+ on prompt-conditioned synthetic data instead of NoPrompt synthetic dataDeepLabv3+ on PANDA · PANDA testIoU: 0.86 -> 0.95Helped
Add visual crops to semantic-map conditioning (ablation)HeteroTissue-Diffuse on TCGA · TCGAFID (GigaPath): 360.4 to 346.1Helped
Add visual crops to semantic-map conditioning (ablation)HeteroTissue-Diffuse on PANDA · PANDAFID (RN50-BT): 150.0 to 22.8Helped
Replace crop embeddings with direct visual crops (ablation)HeteroTissue-Diffuse on Camelyon16 · Camelyon16FD (RN50-BT): 183.0 -> 72.0Helped
Add visual prompts rather than use no prompt conditioning (ablation)HeteroTissue-Diffuse on Camelyon16 · Camelyon16FD (DINOv2): 122.0 -> 52.7Helped
Add visual crops to semantic-map conditioning (ablation)HeteroTissue-Diffuse on TCGA · TCGAPrecision (GigaPath): 0.754 to 0.840Helped
Add visual crops to semantic-map conditioning (ablation)HeteroTissue-Diffuse on TCGA · TCGARecall (GigaPath): 0.018 to 0.008Hurt
Add visual crops to semantic-map conditioning (ablation)HeteroTissue-Diffuse on PANDA · PANDAF1-Score (GigaPath): 0.007 to 0.438Helped

Surprising findings

Limitations

Experimental setup

Datasets: Camelyon16 PANDA TCGA

Benchmarks: Camelyon16 PANDA TCGA

Metrics: Fréchet Distance FID precision recall F1-score IoU pathologist Likert ratings

Baselines: NASDM URCDM DiffInfinite Embedding prompt conditioning Non-prompt (semantic map only) conditioning

Builds on: Latent Diffusion Models NASDM URCDM DiffInfinite

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