Generation of Chest CT pulmonary Nodule Images by Latent Diffusion Models using the LIDC-IDRI Dataset

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Hauptverfasser: Urata, Kaito, Nagao, Maiko, Teramoto, Atsushi, Imaizumi, Kazuyoshi, Kondo, Masashi, Fujita, Hiroshi
Format: Preprint
Veröffentlicht: 2026
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author Urata, Kaito
Nagao, Maiko
Teramoto, Atsushi
Imaizumi, Kazuyoshi
Kondo, Masashi
Fujita, Hiroshi
author_facet Urata, Kaito
Nagao, Maiko
Teramoto, Atsushi
Imaizumi, Kazuyoshi
Kondo, Masashi
Fujita, Hiroshi
contents Recently, computer-aided diagnosis systems have been developed to support diagnosis, but their performance depends heavily on the quality and quantity of training data. However, in clinical practice, it is difficult to collect the large amount of CT images for specific cases, such as small cell carcinoma with low epidemiological incidence or benign tumors that are difficult to distinguish from malignant ones. This leads to the challenge of data imbalance. In this study, to address this issue, we proposed a method to automatically generate chest CT nodule images that capture target features using latent diffusion models (LDM) and verified its effectiveness. Using the LIDC-IDRI dataset, we created pairs of nodule images and finding-based text prompts based on physician evaluations. For the image generation models, we used Stable Diffusion version 1.5 (SDv1) and 2.0 (SDv2), which are types of LDM. Each model was fine-tuned using the created dataset. During the generation process, we adjusted the guidance scale (GS), which indicates the fidelity to the input text. Both quantitative and subjective evaluations showed that SDv2 (GS = 5) achieved the best performance in terms of image quality, diversity, and text consistency. In the subjective evaluation, no statistically significant differences were observed between the generated images and real images, confirming that the quality was equivalent to real clinical images. We proposed a method for generating chest CT nodule images based on input text using LDM. Evaluation results demonstrated that the proposed method could generate high-quality images that successfully capture specific medical features.
format Preprint
id arxiv_https___arxiv_org_abs_2601_11085
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Generation of Chest CT pulmonary Nodule Images by Latent Diffusion Models using the LIDC-IDRI Dataset
Urata, Kaito
Nagao, Maiko
Teramoto, Atsushi
Imaizumi, Kazuyoshi
Kondo, Masashi
Fujita, Hiroshi
Image and Video Processing
Computer Vision and Pattern Recognition
Medical Physics
Recently, computer-aided diagnosis systems have been developed to support diagnosis, but their performance depends heavily on the quality and quantity of training data. However, in clinical practice, it is difficult to collect the large amount of CT images for specific cases, such as small cell carcinoma with low epidemiological incidence or benign tumors that are difficult to distinguish from malignant ones. This leads to the challenge of data imbalance. In this study, to address this issue, we proposed a method to automatically generate chest CT nodule images that capture target features using latent diffusion models (LDM) and verified its effectiveness. Using the LIDC-IDRI dataset, we created pairs of nodule images and finding-based text prompts based on physician evaluations. For the image generation models, we used Stable Diffusion version 1.5 (SDv1) and 2.0 (SDv2), which are types of LDM. Each model was fine-tuned using the created dataset. During the generation process, we adjusted the guidance scale (GS), which indicates the fidelity to the input text. Both quantitative and subjective evaluations showed that SDv2 (GS = 5) achieved the best performance in terms of image quality, diversity, and text consistency. In the subjective evaluation, no statistically significant differences were observed between the generated images and real images, confirming that the quality was equivalent to real clinical images. We proposed a method for generating chest CT nodule images based on input text using LDM. Evaluation results demonstrated that the proposed method could generate high-quality images that successfully capture specific medical features.
title Generation of Chest CT pulmonary Nodule Images by Latent Diffusion Models using the LIDC-IDRI Dataset
topic Image and Video Processing
Computer Vision and Pattern Recognition
Medical Physics
url https://arxiv.org/abs/2601.11085