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Lung-DDPM+: Efficient thoracic CT image synthesis using diffusion probabilistic model.

Yifan Jiang1, Ahmad Shariftabrizi2, Venkata S K Manem1

  • 1Centre de recherche du CHU de Québec-Université Laval, 2260 boul. Henri-Bourassa, Québec, G1J 0J9, QC, Canada; Department of Molecular Biology, Medical Biochemistry and Pathology, Université Laval, Ferdinand Vandry Pavillon, 1050 Rue de la Médecine, Québec, G1V 0A6, QC, Canada; Cancer Research Center, Université Laval, 9 Rue McMahon, Québec, G1R 3S3, QC, Canada; Big Data Research Center, Université Laval, Adrien Pouliot Pavilion, 1065 Av. de la Médecine, Québec, G1V 0A6, QC, Canada.

Computers in Biology and Medicine
|November 21, 2025
PubMed
Summary
This summary is machine-generated.

Lung-DDPM+ enhances generative AI for lung cancer diagnosis by improving efficiency and anatomical precision in synthetic CT data generation. This advanced model offers faster sampling and reduced computational costs while maintaining high-quality results.

Keywords:
Computed tomographyDenoising diffusion probabilistic modelsImage synthesisLung cancerLung nodule segmentation

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Computational Pathology

Background:

  • Generative AI is crucial for synthetic data generation in medical diagnostics, particularly for lung cancer detection using CT scans.
  • Current generative models for lung cancer diagnosis exhibit limitations in efficiency and anatomical accuracy, hindering clinical adoption.

Purpose of the Study:

  • To introduce Lung-DDPM+, an optimized generative model for thoracic CT images with lung nodules.
  • To address the efficiency and anatomical precision issues of previous generative models.

Main Methods:

  • Lung-DDPM+ utilizes a denoising diffusion probabilistic model (DDPM) guided by nodule semantic layouts.
  • The model incorporates a pulmonary DPM-solver for accelerated sampling and improved focus on lesion areas.

Main Results:

  • Lung-DDPM+ demonstrates significant improvements: 8x fewer FLOPs, 6.8x lower GPU memory usage, and 14x faster sampling than Lung-DDPM.
  • The model achieves comparable sample quality to existing SOTA models in segmentation tasks and is validated by radiologist assessment.
  • Generated synthetic CT images with lung nodules exhibit high quality and fidelity.

Conclusions:

  • Lung-DDPM+ effectively generates high-quality synthetic thoracic CT images with lung nodules.
  • The model shows potential for broader applications in medical imaging, including general tumor and lesion synthesis.
  • The improved efficiency and quality of Lung-DDPM+ enhance its clinical applicability in lung cancer diagnosis.