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Main Authors: Kline, Adrienne, Gaonkar, Abhijit, Pittman, Daniel, Kuehn, Chris, Forkert, Nils
Format: Preprint
Published: 2026
Subjects:
Online Access:https://arxiv.org/abs/2604.11376
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author Kline, Adrienne
Gaonkar, Abhijit
Pittman, Daniel
Kuehn, Chris
Forkert, Nils
author_facet Kline, Adrienne
Gaonkar, Abhijit
Pittman, Daniel
Kuehn, Chris
Forkert, Nils
contents Removing patient-specific information from medical images is crucial to enable sharing and open science without compromising patient identities. However, many methods currently used for deidentification have negative effects on downstream image analysis tasks because of removal of relevant but non-identifiable information. This work presents an end-to-end deep learning framework for transforming raw clinical image volumes into de-identified, analysis-ready datasets without compromising downstream utility. The methodology developed and tested in this work first detects and redacts regions likely to contain protected health information (PHI), such as burned-in text and metadata, and then uses a generative deep learning model to inpaint the redacted areas with anatomically and imaging plausible content. The proposed pipeline leverages a lightweight hybrid architecture, combining CRNN-based redaction with a latent-diffusion inpainting restoration module (Stable Diffusion 2). We evaluate the approach using both privacy-oriented metrics, which quantify residual PHI and success of redaction, and image-quality and task-based metrics, which assess the fidelity of restored volumes for representative deep learning applications. Our results suggest that the proposed method yields de-identified medical images that are visually coherent, maintaining fidelity for downstream models, while substantially reducing the risk of patient re-identification. By automating anonymization and image reconstruction within a single workflow, and dissemination of large-scale medical imaging collections, thereby lowering a key barrier to data sharing and multi-institutional collaboration in medical imaging AI.
format Preprint
id arxiv_https___arxiv_org_abs_2604_11376
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle From Redaction to Restoration: Deep Learning for Medical Image Anonymization and Reconstruction
Kline, Adrienne
Gaonkar, Abhijit
Pittman, Daniel
Kuehn, Chris
Forkert, Nils
Computer Vision and Pattern Recognition
Artificial Intelligence
Removing patient-specific information from medical images is crucial to enable sharing and open science without compromising patient identities. However, many methods currently used for deidentification have negative effects on downstream image analysis tasks because of removal of relevant but non-identifiable information. This work presents an end-to-end deep learning framework for transforming raw clinical image volumes into de-identified, analysis-ready datasets without compromising downstream utility. The methodology developed and tested in this work first detects and redacts regions likely to contain protected health information (PHI), such as burned-in text and metadata, and then uses a generative deep learning model to inpaint the redacted areas with anatomically and imaging plausible content. The proposed pipeline leverages a lightweight hybrid architecture, combining CRNN-based redaction with a latent-diffusion inpainting restoration module (Stable Diffusion 2). We evaluate the approach using both privacy-oriented metrics, which quantify residual PHI and success of redaction, and image-quality and task-based metrics, which assess the fidelity of restored volumes for representative deep learning applications. Our results suggest that the proposed method yields de-identified medical images that are visually coherent, maintaining fidelity for downstream models, while substantially reducing the risk of patient re-identification. By automating anonymization and image reconstruction within a single workflow, and dissemination of large-scale medical imaging collections, thereby lowering a key barrier to data sharing and multi-institutional collaboration in medical imaging AI.
title From Redaction to Restoration: Deep Learning for Medical Image Anonymization and Reconstruction
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2604.11376