# Data synthesis and adversarial networks: A review and meta-analysis in cancer imaging

arXiv: https://arxiv.org/abs/2107.09543 · HTML: https://mlsanity.com/paper/2107.09543/

## Key facts

- Cited by 15 papers in the map (data through 14 Oct 2026).
- Builds on 198 of its 513 references that are in the map.
- First posted on arXiv 20 Jul 2021.

## Builds on (most cited first, 30 of 198)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [The Unreasonable Effectiveness of Deep Features as a Perceptual Metric](https://mlsanity.com/paper/1801.03924/) (2018)
- [Diffusion Models Beat GANs on Image Synthesis](https://mlsanity.com/paper/2105.05233/) (2021)
- [Communication-Efficient Learning of Deep Networks from Decentralized Data](https://mlsanity.com/paper/1602.05629/) (2016)
- [Deep Unsupervised Learning using Nonequilibrium Thermodynamics](https://mlsanity.com/paper/1503.03585/) (2015)
- [Batch Normalization: Accelerating Deep Network Training by Reducing Internal Covariate Shift](https://mlsanity.com/paper/1502.03167/) (2015)
- [Towards Deep Learning Models Resistant to Adversarial Attacks](https://mlsanity.com/paper/1706.06083/) (2017)
- [A Style-Based Generator Architecture for Generative Adversarial Networks](https://mlsanity.com/paper/1812.04948/) (2018)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Bootstrap your own latent: A new approach to self-supervised Learning](https://mlsanity.com/paper/2006.07733/) (2020)
- [Neural Discrete Representation Learning](https://mlsanity.com/paper/1711.00937/) (2017)
- [Image-to-Image Translation with Conditional Adversarial Networks](https://mlsanity.com/paper/1611.07004/) (2016)
- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Generative Modeling by Estimating Gradients of the Data Distribution](https://mlsanity.com/paper/1907.05600/) (2019)
- [Simple and Scalable Predictive Uncertainty Estimation using Deep Ensembles](https://mlsanity.com/paper/1612.01474/) (2016)
- [Analyzing and Improving the Image Quality of StyleGAN](https://mlsanity.com/paper/1912.04958/) (2019)
- [Taming Transformers for High-Resolution Image Synthesis](https://mlsanity.com/paper/2012.09841/) (2020)
- [Progressive Growing of GANs for Improved Quality, Stability, and Variation](https://mlsanity.com/paper/1710.10196/) (2017)
- [Improved Techniques for Training GANs](https://mlsanity.com/paper/1606.03498/) (2016)
- [Large Scale GAN Training for High Fidelity Natural Image Synthesis](https://mlsanity.com/paper/1809.11096/) (2018)
- [Improved Training of Wasserstein GANs](https://mlsanity.com/paper/1704.00028/) (2017)
- [Variational Inference with Normalizing Flows](https://mlsanity.com/paper/1505.05770/) (2015)
- [Unsupervised Representation Learning with Deep Convolutional Generative Adversarial Networks](https://mlsanity.com/paper/1511.06434/) (2015)
- [Density estimation using Real NVP](https://mlsanity.com/paper/1605.08803/) (2016)
- [Unsupervised Domain Adaptation by Backpropagation](https://mlsanity.com/paper/1409.7495/) (2014)

## Built on by (most cited first, 15 of 15)

- [A large-scale multicenter breast cancer DCE-MRI benchmark dataset with expert segmentations](https://mlsanity.com/paper/2406.13844/) (2024)
- [Fr'echet Radiomic Distance (FRD): A Versatile Metric for Comparing Medical Imaging Datasets](https://mlsanity.com/paper/2412.01496/) (2024)
- [MRI-CORE: A Foundation Model for Magnetic Resonance Imaging](https://mlsanity.com/paper/2506.12186/) (2025)
- [medigan: a Python library of pretrained generative models for medical image synthesis](https://mlsanity.com/paper/2209.14472/) (2022)
- [High-resolution synthesis of high-density breast mammograms: Application to improved fairness in deep learning based mass detection](https://mlsanity.com/paper/2209.09809/) (2022)
- [Pre- to Post-Contrast Breast MRI Synthesis for Enhanced Tumour Segmentation](https://mlsanity.com/paper/2311.10879/) (2023)
- [Cross-modal tumor segmentation using generative blending augmentation and self training](https://mlsanity.com/paper/2304.01705/) (2023)
- [Simulating Dynamic Tumor Contrast Enhancement in Breast MRI using Conditional Generative Adversarial Networks](https://mlsanity.com/paper/2409.18872/) (2024)
- [A Catalog of Fairness-Aware Practices in Machine Learning Engineering](https://mlsanity.com/paper/2408.16683/) (2024)
- [Enhancing the Utility of Privacy-Preserving Cancer Classification using Synthetic Data](https://mlsanity.com/paper/2407.12669/) (2024)
- [Federated nnU-Net for Privacy-Preserving Medical Image Segmentation](https://mlsanity.com/paper/2503.02549/) (2025)
- [Method for Generating Synthetic Data Combining Chest Radiography Images with Tabular Clinical Information Using Dual Generative Models](https://mlsanity.com/paper/2308.07573/) (2023)
- [Mitigating annotation shift in cancer classification using single image generative models](https://mlsanity.com/paper/2405.19754/) (2024)
- [Comparative Analysis of Deep Convolutional Neural Networks for Detecting Medical Image Deepfakes](https://mlsanity.com/paper/2406.08758/) (2024)
- [Enhancing Quantitative Image Synthesis through Pretraining and Resolution Scaling for Bone Mineral Density Estimation from a Plain X-ray Image](https://mlsanity.com/paper/2407.20495/) (2024)

## Abstract (arXiv)

Despite technological and medical advances, the detection, interpretation, and treatment of cancer based on imaging data continue to pose significant challenges. These include inter-observer variability, class imbalance, dataset shifts, inter- and intra-tumour heterogeneity, malignancy determination, and treatment effect uncertainty. Given the recent advancements in Generative Adversarial Networks (GANs), data synthesis, and adversarial training, we assess the potential of these technologies to address a number of key challenges of cancer imaging. We categorise these challenges into (a) data scarcity and imbalance, (b) data access and privacy, (c) data annotation and segmentation, (d) cancer detection and diagnosis, and (e) tumour profiling, treatment planning and monitoring. Based on our analysis of 164 publications that apply adversarial training techniques in the context of cancer imaging, we highlight multiple underexplored solutions with research potential. We further contribute the Synthesis Study Trustworthiness Test (SynTRUST), a meta-analysis framework for assessing the validation rigour of medical image synthesis studies. SynTRUST is based on 26 concrete measures of thoroughness, reproducibility, usefulness, scalability, and tenability. Based on SynTRUST, we analyse 16 of the most promising cancer imaging challenge solutions and observe a high validation rigour in general, but also several desirable improvements. With this work, we strive to bridge the gap between the needs of the clinical cancer imaging community and the current and prospective research on data synthesis and adversarial networks in the artificial intelligence community.