EMIT-Diff: Enhancing Medical Image Segmentation via Text-Guided Diffusion Model

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Zheyuan Zhang, Lanhong Yao, Bin Wang, Debesh Jha, Elif Keles, Alpay Medetalibeyoglu, Ulas Bagci


Large-scale, big-variant, and high-quality data are crucial for developing robust and successful deep-learning models for medical applications since they potentially enable better generalization performance and avoid overfitting. However, the scarcity of high-quality labeled data always presents significant challenges. This paper proposes a novel approach to address this challenge by developing controllable diffusion models for medical image synthesis, called EMIT-Diff. We leverage recent diffusion probabilistic models to generate realistic and diverse synthetic medical image data that preserve the essential characteristics of the original medical images by incorporating edge information of objects to guide the synthesis process. In our approach, we ensure that the synthesized samples adhere to medically relevant constraints and preserve the underlying structure of imaging data. Due to the random sampling process by the diffusion model, we can generate an arbitrary number of synthetic images with diverse appearances. To validate the effectiveness of our proposed method, we conduct an extensive set of medical image segmentation experiments on multiple datasets, including Ultrasound breast (+13.87%), CT spleen (+0.38%), and MRI prostate (+7.78%), achieving significant improvements over the baseline segmentation methods. For the first time, to our best knowledge, the promising results demonstrate the effectiveness of our EMIT-Diff for medical image segmentation tasks and show the feasibility of introducing a first-ever text-guided diffusion model for general medical image segmentation tasks. With carefully designed ablation experiments, we investigate the influence of various data augmentation ratios, hyper-parameter settings, patch size for generating random merging mask settings, and combined influence with different network architectures.

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