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Updated: Jan 20, 2026

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Denoising Diffusion Wavelet Models for Zero-shot Medical Image Translation.

Yunxiang Li1, Xianghao Kong2, Jiacheng Xie1

  • 1Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, 75390, USA.

Knowledge-Based Systems
|January 19, 2026
PubMed
Summary
This summary is machine-generated.

A new denoising diffusion wavelet model (DDWM) achieves high-quality medical image translation from cone-beam CT to CT. This method preserves anatomical details and outperforms existing techniques, even on out-of-distribution data.

Keywords:
Diffusion modelMedical image translationWavelet transform

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Image Processing

Background:

  • Diffusion models show promise for image generation but struggle with medical image translation, particularly CBCT to CT, due to anatomical detail loss.
  • Conventional methods like GANs and VAEs face challenges in bidirectional distribution mapping and robustness to out-of-distribution data.
  • Accurate CBCT to CT translation is crucial for radiation therapy planning and diagnosis.

Purpose of the Study:

  • To develop a novel diffusion model for high-fidelity CBCT to CT image translation.
  • To enhance anatomical structure preservation during the translation process.
  • To achieve robust performance on both in-distribution and out-of-distribution datasets.

Main Methods:

  • Proposed a denoising diffusion wavelet model (DDWM) that learns only the CT data distribution.
  • Implemented a similarity-bridge-controlled reverse diffusion process to fuse domain-invariant information from CBCT.
  • Utilized wavelet transform to decompose images and identify similar frequency bands for preserving anatomical structures.

Main Results:

  • DDWM demonstrated superior performance across multiple metrics (FID, PSNR, MAE, DICE scores) compared to state-of-the-art methods.
  • The model achieved high-quality translation and preserved intricate anatomical details from the source CBCT images.
  • Excellent results were observed on both in-distribution and out-of-distribution CBCT-to-CT translation datasets.

Conclusions:

  • The proposed DDWM effectively addresses the limitations of existing methods for CBCT to CT translation.
  • DDWM offers a robust and structure-faithful approach for medical image translation, outperforming conventional techniques.
  • This method holds significant potential for improving diagnostic accuracy and treatment planning in medical imaging.