CardioDiT: Latent Diffusion Transformers for 4D Cardiac MRI Synthesis

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Hauptverfasser: Seyfarth, Marvin, Müller, Sarah Kaye, Ghanaat, Arman, Ayx, Isabelle, Fastenrath, Fabian, Wild, Philipp, Hertel, Alexander, Papavassiliu, Theano, Dar, Salman Ul Hassan, Engelhardt, Sandy
Format: Preprint
Veröffentlicht: 2026
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author Seyfarth, Marvin
Müller, Sarah Kaye
Ghanaat, Arman
Ayx, Isabelle
Fastenrath, Fabian
Wild, Philipp
Hertel, Alexander
Papavassiliu, Theano
Dar, Salman Ul Hassan
Engelhardt, Sandy
author_facet Seyfarth, Marvin
Müller, Sarah Kaye
Ghanaat, Arman
Ayx, Isabelle
Fastenrath, Fabian
Wild, Philipp
Hertel, Alexander
Papavassiliu, Theano
Dar, Salman Ul Hassan
Engelhardt, Sandy
contents Latent diffusion models (LDMs) have recently achieved strong performance in 3D medical image synthesis. However, modalities like cine cardiac MRI (CMR), representing a temporally synchronized 3D volume across the cardiac cycle, add an additional dimension that most generative approaches do not model directly. Instead, they factorize space and time or enforce temporal consistency through auxiliary mechanisms such as anatomical masks. Such strategies introduce structural biases that may limit global context integration and lead to subtle spatiotemporal discontinuities or physiologically inconsistent cardiac dynamics. We investigate whether a unified 4D generative model can learn continuous cardiac dynamics without architectural factorization. We propose CardioDiT, a fully 4D latent diffusion framework for short-axis cine CMR synthesis based on diffusion transformers. A spatiotemporal VQ-VAE encodes 2D+t slices into compact latents, which a diffusion transformer then models jointly as complete 3D+t volumes, coupling space and time throughout the generative process. We evaluate CardioDiT on public CMR datasets and a larger private cohort, comparing it to baselines with progressively stronger spatiotemporal coupling. Results show improved inter-slice consistency, temporally coherent motion, and realistic cardiac function distributions, suggesting that explicit 4D modeling with a diffusion transformer provides a principled foundation for spatiotemporal cardiac image synthesis. Code and models trained on public data are available at https://github.com/Cardio-AI/cardiodit.
format Preprint
id arxiv_https___arxiv_org_abs_2603_25194
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle CardioDiT: Latent Diffusion Transformers for 4D Cardiac MRI Synthesis
Seyfarth, Marvin
Müller, Sarah Kaye
Ghanaat, Arman
Ayx, Isabelle
Fastenrath, Fabian
Wild, Philipp
Hertel, Alexander
Papavassiliu, Theano
Dar, Salman Ul Hassan
Engelhardt, Sandy
Computer Vision and Pattern Recognition
Latent diffusion models (LDMs) have recently achieved strong performance in 3D medical image synthesis. However, modalities like cine cardiac MRI (CMR), representing a temporally synchronized 3D volume across the cardiac cycle, add an additional dimension that most generative approaches do not model directly. Instead, they factorize space and time or enforce temporal consistency through auxiliary mechanisms such as anatomical masks. Such strategies introduce structural biases that may limit global context integration and lead to subtle spatiotemporal discontinuities or physiologically inconsistent cardiac dynamics. We investigate whether a unified 4D generative model can learn continuous cardiac dynamics without architectural factorization. We propose CardioDiT, a fully 4D latent diffusion framework for short-axis cine CMR synthesis based on diffusion transformers. A spatiotemporal VQ-VAE encodes 2D+t slices into compact latents, which a diffusion transformer then models jointly as complete 3D+t volumes, coupling space and time throughout the generative process. We evaluate CardioDiT on public CMR datasets and a larger private cohort, comparing it to baselines with progressively stronger spatiotemporal coupling. Results show improved inter-slice consistency, temporally coherent motion, and realistic cardiac function distributions, suggesting that explicit 4D modeling with a diffusion transformer provides a principled foundation for spatiotemporal cardiac image synthesis. Code and models trained on public data are available at https://github.com/Cardio-AI/cardiodit.
title CardioDiT: Latent Diffusion Transformers for 4D Cardiac MRI Synthesis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2603.25194