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Lung nodule synthesis guided by customized multi-confidence masks.
Huashan Chen1, Yongxu Liu2, Chen Liu3
1Key Laboratory of Advanced Medical Imaging and Intelligent Computing of Guizhou Province, Guizhou University, Guiyang, Guizhou China.
Biomedical Engineering Letters
|September 8, 2025
Summary
This study introduces a novel unified model combining Generative Adversarial Networks (GANs) and Denoising Diffusion Probabilistic Models (DDPMs) to generate customized lung nodule images for improved lung cancer diagnosis.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computational Pathology
Background:
- Accurate lung nodule generation is crucial for developing AI-assisted lung cancer diagnosis systems.
- Existing Generative Adversarial Networks (GANs) and Denoising Diffusion Probabilistic Models (DDPMs) have limitations in generating realistic and controllable lung nodules, particularly irregular shapes.
- GANs can produce artifacts and unnatural boundaries, while DDPMs lack precise control for segmentation tasks.
Purpose of the Study:
- To develop a unified generative model that overcomes the limitations of existing GANs and DDPMs for synthesizing controllable lung nodule images.
- To enable the generation of customized lung nodule images with specific shapes, sizes, and details guided by multi-confidence masks.
- To improve the quality and controllability of synthetic lung nodule data for medical imaging applications.
Main Methods:
- A unified model combining GAN and DDPM is proposed, comprising a Rough Lung Nodule Generator (GAN-based) and a Lung Nodule Optimizer (DDPM-based).
- The GAN component synthesizes rough lung nodules based on multi-confidence masks, allowing control over initial shape and size.
- The DDPM component refines these rough nodules to achieve more authentic boundaries and realistic details.
Main Results:
- The unified model achieved the best Fréchet Inception Distance (FID) score compared to existing methods.
- Generated synthetic lung nodules exhibit high quality and controllable features, addressing limitations of prior models.
- The synthetic data proved effective as a valuable supplement for training segmentation tasks.
Conclusions:
- The proposed unified GAN-DDPM model successfully generates high-quality, customized lung nodule images.
- This approach enhances the controllability and realism of synthetic medical data, addressing key limitations in current generative models.
- The model offers a promising solution for augmenting datasets in AI-driven lung cancer diagnosis and segmentation.

