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FEU-Diff: A Diffusion Model With Fuzzy Evidence-Driven Dynamic Uncertainty Fusion for Medical Image Segmentation.

Sheng Geng, Shu Jiang, Tao Hou

    IEEE Transactions on Neural Networks and Learning Systems
    |September 16, 2025
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    Summary
    This summary is machine-generated.

    FEU-Diff enhances medical image segmentation using diffusion models by integrating fuzzy evidence and uncertainty fusion. This approach improves accuracy and detail preservation in segmentation results.

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    Area of Science:

    • Artificial Intelligence
    • Medical Imaging
    • Computer Vision

    Background:

    • Diffusion models are emerging generative frameworks for medical image segmentation.
    • Current methods struggle with adaptive fusion of conditional priors and denoised features.
    • Existing approaches lack explicit modeling of pixel-level uncertainty, leading to detail loss.

    Purpose of the Study:

    • To introduce FEU-Diff, a novel diffusion-based segmentation framework.
    • To address limitations in adaptive fusion and uncertainty modeling in diffusion models.
    • To improve accuracy and structural detail preservation in medical image segmentation.

    Main Methods:

    • FEU-Diff integrates fuzzy evidence modeling and uncertainty fusion (UF).
    • A fuzzy semantic enhancement (FSE) module models pixel-level uncertainty using Gaussian membership functions and fuzzy logic.
    • An evidence dynamic fusion (EDF) module uses Dirichlet distribution for adaptive feature fusion and UF quantifies prediction discrepancies.

    Main Results:

    • FEU-Diff outperforms state-of-the-art methods on four public datasets.
    • Achieved average improvements: 1.42% Dice Similarity Coefficient (DSC), 1.47% Intersection over Union (IoU).
    • Reduced 95th percentile Hausdorff distance (HD95) by 2.26 mm and generated interpretable uncertainty maps.

    Conclusions:

    • FEU-Diff effectively improves medical image segmentation accuracy and completeness.
    • The framework's fuzzy evidence and uncertainty fusion mechanisms enhance boundary delineation and detail preservation.
    • FEU-Diff offers enhanced clinical interpretability through generated uncertainty maps.