Latent Drifting in Diffusion Models for Counterfactual Medical Image Synthesis
Journal:
arXiv
Published Date:
Dec 30, 2024
Abstract
Scaling by training on large datasets has been shown to enhance the quality
and fidelity of image generation and manipulation with diffusion models;
however, such large datasets are not always accessible in medical imaging due
to cost and privacy issues, which contradicts one of the main applications of
such models to produce synthetic samples where real data is scarce. Also,
fine-tuning pre-trained general models has been a challenge due to the
distribution shift between the medical domain and the pre-trained models. Here,
we propose Latent Drift (LD) for diffusion models that can be adopted for any
fine-tuning method to mitigate the issues faced by the distribution shift or
employed in inference time as a condition. Latent Drifting enables diffusion
models to be conditioned for medical images fitted for the complex task of
counterfactual image generation, which is crucial to investigate how parameters
such as gender, age, and adding or removing diseases in a patient would alter
the medical images. We evaluate our method on three public longitudinal
benchmark datasets of brain MRI and chest X-rays for counterfactual image
generation. Our results demonstrate significant performance gains in various
scenarios when combined with different fine-tuning schemes.