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Related Experiment Video

Updated: May 13, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
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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.

Proceedings. IEEE Southwest Symposium on Image Analysis and Interpretation
|April 15, 2025
PubMed
Summary

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.

Keywords:
chest x-rayimage synthesislatent diffusion modelprior preservationstable diffusion

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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.