# Score-Based Generative Models for Medical Image Segmentation using Signed Distance Functions

arXiv: https://arxiv.org/abs/2303.05966 · HTML: https://mlsanity.com/paper/2303.05966/

## Key facts

- Cited by 8 papers in the map (data through 14 Oct 2026).
- Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models.
- Builds on 24 of its 37 references that are in the map.
- First posted on arXiv 10 Mar 2023.

## Placed in

- Diffusion models / [Medical imaging and segmentation](https://mlsanity.com/diffusion/medical-imaging-and-segmentation/)

## Builds on (most cited first, 24 of 24)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [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)
- [Denoising Diffusion Implicit Models](https://mlsanity.com/paper/2010.02502/) (2020)
- [Score-Based Generative Modeling through Stochastic Differential Equations](https://mlsanity.com/paper/2011.13456/) (2020)
- [Deep Unsupervised Learning using Nonequilibrium Thermodynamics](https://mlsanity.com/paper/1503.03585/) (2015)
- [Generative Modeling by Estimating Gradients of the Data Distribution](https://mlsanity.com/paper/1907.05600/) (2019)
- [Elucidating the Design Space of Diffusion-Based Generative Models](https://mlsanity.com/paper/2206.00364/) (2022)
- [DPM-Solver: A Fast ODE Solver for Diffusion Probabilistic Model Sampling in Around 10 Steps](https://mlsanity.com/paper/2206.00927/) (2022)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation](https://mlsanity.com/paper/1511.00561/) (2015)
- [Palette: Image-to-Image Diffusion Models](https://mlsanity.com/paper/2111.05826/) (2021)
- [Cascaded Diffusion Models for High Fidelity Image Generation](https://mlsanity.com/paper/2106.15282/) (2021)
- [Solving Inverse Problems in Medical Imaging with Score-Based Generative Models](https://mlsanity.com/paper/2111.08005/) (2021)
- [Sliced Score Matching: A Scalable Approach to Density and Score Estimation](https://mlsanity.com/paper/1905.07088/) (2019)
- [Axial-DeepLab: Stand-Alone Axial-Attention for Panoptic Segmentation](https://mlsanity.com/paper/2003.07853/) (2020)
- [Medical Transformer: Gated Axial-Attention for Medical Image Segmentation](https://mlsanity.com/paper/2102.10662/) (2021)
- [SegDiff: Image Segmentation with Diffusion Probabilistic Models](https://mlsanity.com/paper/2112.00390/) (2021)
- [Restoring Vision in Adverse Weather Conditions with Patch-Based Denoising Diffusion Models](https://mlsanity.com/paper/2207.14626/) (2022)
- [Gland Segmentation in Colon Histology Images: The GlaS Challenge Contest](https://mlsanity.com/paper/1603.00275/) (2016)
- [Diffusion Models for Implicit Image Segmentation Ensembles](https://mlsanity.com/paper/2112.03145/) (2021)
- [MedSegDiff: Medical Image Segmentation with Diffusion Probabilistic Model](https://mlsanity.com/paper/2211.00611/) (2022)
- [Shape-Aware Organ Segmentation by Predicting Signed Distance Maps](https://mlsanity.com/paper/1912.03849/) (2019)
- [Posterior-Variance-Based Error Quantification for Inverse Problems in Imaging](https://mlsanity.com/paper/2212.12499/) (2022)

## Built on by (most cited first, 8 of 8)

- [Contrastive Conditional Latent Diffusion for Audio-visual Segmentation](https://mlsanity.com/paper/2307.16579/) (2023)
- [FlowSDF: Flow Matching for Medical Image Segmentation Using Distance Transforms](https://mlsanity.com/paper/2405.18087/) (2024)
- [A Review of Bayesian Uncertainty Quantification in Deep Probabilistic Image Segmentation](https://mlsanity.com/paper/2411.16370/) (2024)
- [Investigating and Improving Latent Density Segmentation Models for Aleatoric Uncertainty Quantification in Medical Imaging](https://mlsanity.com/paper/2307.16694/) (2023)
- [Surf-CDM: Score-Based Surface Cold-Diffusion Model For Medical Image Segmentation](https://mlsanity.com/paper/2312.12649/) (2023)
- [Synthetic Augmentation for Anatomical Landmark Localization using DDPMs](https://mlsanity.com/paper/2410.12489/) (2024)
- [VesselSDF: Distance Field Priors for Vascular Network Reconstruction](https://mlsanity.com/paper/2506.16556/) (2025)
- [Uncertainty-aware retinal layer segmentation in OCT through probabilistic signed distance functions](https://mlsanity.com/paper/2412.04935/) (2024)

## Abstract (arXiv)

Medical image segmentation is a crucial task that relies on the ability to accurately identify and isolate regions of interest in medical images. Thereby, generative approaches allow to capture the statistical properties of segmentation masks that are dependent on the respective structures. In this work we propose a conditional score-based generative modeling framework to represent the signed distance function (SDF) leading to an implicit distribution of segmentation masks. The advantage of leveraging the SDF is a more natural distortion when compared to that of binary masks. By learning the score function of the conditional distribution of SDFs we can accurately sample from the distribution of segmentation masks, allowing for the evaluation of statistical quantities. Thus, this probabilistic representation allows for the generation of uncertainty maps represented by the variance, which can aid in further analysis and enhance the predictive robustness. We qualitatively and quantitatively illustrate competitive performance of the proposed method on a public nuclei and gland segmentation data set, highlighting its potential utility in medical image segmentation applications.