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Updated: May 13, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
COVID-19 PNEUMONIA CHEST X-RAY PATTERN SYNTHESIS BY STABLE DIFFUSION
Zhaohui Liang1, Zhiyun Xue1, Sivaramakrishnan Rajaraman1
1Computational Health Research Branch, National Library of Medicine, NIH.
This study fine-tuned a stable diffusion model to generate high-resolution chest X-ray images of COVID-19 pneumonia with lung edema. The prior preservation technique significantly improved synthetic image quality and classification accuracy.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- COVID-19 pneumonia frequently causes bilateral lung edema, a critical finding in chest X-rays.
- Synthesizing realistic medical images is crucial for augmenting datasets and training AI models.
Purpose of the Study:
- To fine-tune a stable diffusion model for generating high-resolution (512x512) chest X-ray images depicting bilateral lung edema.
- To evaluate the effectiveness of a class-specific prior preservation strategy in image synthesis.
- To compare the performance of the proposed method against conventional techniques like WGAN and DDIM.
Main Methods:
- Fine-tuning a stable diffusion model using a class-specific prior preservation strategy.
- Utilizing 300 positive and 400 negative chest X-ray images from the MIDRC dataset.
- Synthesizing images with bilateral lung edema indicative of COVID-19 pneumonia.
- Comparing synthetic image quality using Frechet Inception Distance (FID) and Kernel Inception Distance (KID).
- Evaluating classification performance using a trained Vision Transformer (ViT).
Main Results:
- The fine-tuned stable diffusion model achieved superior image synthesis quality, evidenced by FID of 9.2158 and KID of 0.0818.
- The synthetic images demonstrated significantly better performance compared to those generated by WGAN and DDIM.
- A Vision Transformer (ViT) achieved high classification accuracy (0.9975), precision (1.0), and recall (0.9950) using the synthetic images.
Conclusions:
- Stable diffusion models, when fine-tuned with prior preservation, can effectively synthesize high-quality, high-resolution chest X-ray images.
- This technique requires a limited number of real images and text prompts for guidance.
- The synthesized images are suitable for training AI models, improving diagnostic capabilities for conditions like COVID-19 pneumonia.
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