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Image synthesis with class-aware semantic diffusion models for surgical scene segmentation
Yihang Zhou1, Rebecca Towning2, Zaid Awad1,2
1Hamlyn Centre for Robotic Surgery, Department of Surgery and Cancer Imperial College London London UK.
Healthcare Technology Letters
|February 3, 2025
Summary
This study introduces a class-aware semantic diffusion model (CASDM) to improve surgical scene segmentation by generating diverse, high-quality images. CASDM effectively addresses data scarcity and imbalance, enhancing the training of crucial surgical segmentation models.
Area of Science:
- Computer Vision
- Medical Imaging
- Artificial Intelligence
Background:
- Surgical scene segmentation is vital for precision but hindered by limited and imbalanced data.
- Existing generative models often produce non-diverse images and miss critical, small tissue classes.
Purpose of the Study:
- To develop a novel class-aware semantic diffusion model (CASDM) for synthesizing realistic surgical images.
- To address data scarcity and imbalance in surgical datasets.
- To improve the quality and relevance of synthesized surgical images, particularly for critical tissue classes.
Main Methods:
- Proposed a class-aware semantic diffusion model (CASDM) using segmentation maps as synthesis conditions.
- Introduced novel class-aware mean squared error and class-aware self-perceptual loss functions to prioritize less visible classes.
- Pioneered the generation of multi-class segmentation maps from text prompts for conditional image synthesis.
Main Results:
- CASDM effectively generates realistic surgical scene images and corresponding segmentation maps.
- The model demonstrates strong effectiveness and generalizability across diverse datasets.
- Synthesized data significantly enhances the training and validation of surgical segmentation models.
Conclusions:
- CASDM offers a powerful solution for data augmentation in surgical scene segmentation.
- The approach improves image quality and prioritizes critical anatomical structures.
- This work advances the field by enabling more robust and precise surgical segmentation.

