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Auteurs principaux: Xu, Qiwen, Rügamer, David, Wenz, Holger, Fontana, Johann, Meggyeshazi, Nora, Bender, Andreas, Maros, Máté E.
Format: Preprint
Publié: 2026
Sujets:
Accès en ligne:https://arxiv.org/abs/2602.11703
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author Xu, Qiwen
Rügamer, David
Wenz, Holger
Fontana, Johann
Meggyeshazi, Nora
Bender, Andreas
Maros, Máté E.
author_facet Xu, Qiwen
Rügamer, David
Wenz, Holger
Fontana, Johann
Meggyeshazi, Nora
Bender, Andreas
Maros, Máté E.
contents Digital subtraction angiography (DSA) plays a central role in the diagnosis and treatment of cerebrovascular disease, yet its invasive nature and high acquisition cost severely limit large-scale data collection and public data sharing. Therefore, we developed a semantically conditioned latent diffusion model (LDM) that synthesizes arterial-phase cerebral DSA frames under explicit control of anatomical circulation (anterior vs.\ posterior) and canonical C-arm positions. We curated a large single-centre DSA dataset of 99,349 frames and trained a conditional LDM using text embeddings that encoded anatomy and acquisition geometry. To assess clinical realism, four medical experts, including two neuroradiologists, one neurosurgeon, and one internal medicine expert, systematically rated 400 synthetic DSA images using a 5-grade Likert scale for evaluating proximal large, medium, and small peripheral vessels. The generated images achieved image-wise overall Likert scores ranging from 3.1 to 3.3, with high inter-rater reliability (ICC(2,k) = 0.80--0.87). Distributional similarity to real DSA frames was supported by a low median Fréchet inception distance (FID) of 15.27. Our results indicate that semantically controlled LDMs can produce realistic synthetic DSAs suitable for downstream algorithm development, research, and training.
format Preprint
id arxiv_https___arxiv_org_abs_2602_11703
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Semantically Conditioned Diffusion Models for Cerebral DSA Synthesis
Xu, Qiwen
Rügamer, David
Wenz, Holger
Fontana, Johann
Meggyeshazi, Nora
Bender, Andreas
Maros, Máté E.
Computer Vision and Pattern Recognition
Artificial Intelligence
Digital subtraction angiography (DSA) plays a central role in the diagnosis and treatment of cerebrovascular disease, yet its invasive nature and high acquisition cost severely limit large-scale data collection and public data sharing. Therefore, we developed a semantically conditioned latent diffusion model (LDM) that synthesizes arterial-phase cerebral DSA frames under explicit control of anatomical circulation (anterior vs.\ posterior) and canonical C-arm positions. We curated a large single-centre DSA dataset of 99,349 frames and trained a conditional LDM using text embeddings that encoded anatomy and acquisition geometry. To assess clinical realism, four medical experts, including two neuroradiologists, one neurosurgeon, and one internal medicine expert, systematically rated 400 synthetic DSA images using a 5-grade Likert scale for evaluating proximal large, medium, and small peripheral vessels. The generated images achieved image-wise overall Likert scores ranging from 3.1 to 3.3, with high inter-rater reliability (ICC(2,k) = 0.80--0.87). Distributional similarity to real DSA frames was supported by a low median Fréchet inception distance (FID) of 15.27. Our results indicate that semantically controlled LDMs can produce realistic synthetic DSAs suitable for downstream algorithm development, research, and training.
title Semantically Conditioned Diffusion Models for Cerebral DSA Synthesis
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2602.11703