# Diffusion Models for Contrast Harmonization of Magnetic Resonance Images

arXiv: https://arxiv.org/abs/2303.08189 · HTML: https://mlsanity.com/paper/2303.08189/

## Key facts

- Cited by 19 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 50 references that are in the map.
- First posted on arXiv 14 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)

- [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)
- [High-Resolution Image Synthesis with Latent Diffusion Models](https://mlsanity.com/paper/2112.10752/) (2021)
- [Denoising Diffusion Implicit Models](https://mlsanity.com/paper/2010.02502/) (2020)
- [Diffusion Models Beat GANs on Image Synthesis](https://mlsanity.com/paper/2105.05233/) (2021)
- [Deep Unsupervised Learning using Nonequilibrium Thermodynamics](https://mlsanity.com/paper/1503.03585/) (2015)
- [Photorealistic Text-to-Image Diffusion Models with Deep Language Understanding](https://mlsanity.com/paper/2205.11487/) (2022)
- [Image-to-Image Translation with Conditional Adversarial Networks](https://mlsanity.com/paper/1611.07004/) (2016)
- [Improved Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2102.09672/) (2021)
- [RePaint: Inpainting using Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2201.09865/) (2022)
- [Palette: Image-to-Image Diffusion Models](https://mlsanity.com/paper/2111.05826/) (2021)
- [Alias-Free Generative Adversarial Networks](https://mlsanity.com/paper/2106.12423/) (2021)
- [Brain Imaging Generation with Latent Diffusion Models](https://mlsanity.com/paper/2209.07162/) (2022)
- [Diffusion Models for Medical Anomaly Detection](https://mlsanity.com/paper/2203.04306/) (2022)
- [Diffusion Models for Implicit Image Segmentation Ensembles](https://mlsanity.com/paper/2112.03145/) (2021)
- [Unsupervised Medical Image Translation with Adversarial Diffusion Models](https://mlsanity.com/paper/2207.08208/) (2022)
- [Automated brain extraction of multi-sequence MRI using artificial neural networks](https://mlsanity.com/paper/1901.11341/) (2019)
- [Image Synthesis in Multi-Contrast MRI with Conditional Generative Adversarial Networks](https://mlsanity.com/paper/1802.01221/) (2018)
- [Medical Image Synthesis with Context-Aware Generative Adversarial Networks](https://mlsanity.com/paper/1612.05362/) (2016)
- [Conversion Between CT and MRI Images Using Diffusion and Score-Matching Models](https://mlsanity.com/paper/2209.12104/) (2022)
- [DiffuseMorph: Unsupervised Deformable Image Registration Using Diffusion Model](https://mlsanity.com/paper/2112.05149/) (2021)
- [SPA-GAN: Spatial Attention GAN for Image-to-Image Translation](https://mlsanity.com/paper/1908.06616/) (2019)
- [The Swiss Army Knife for Image-to-Image Translation: Multi-Task Diffusion Models](https://mlsanity.com/paper/2204.02641/) (2022)
- [MIDMs: Matching Interleaved Diffusion Models for Exemplar-based Image Translation](https://mlsanity.com/paper/2209.11047/) (2022)

## Built on by (most cited first, 19 of 19)

- [WDM: 3D Wavelet Diffusion Models for High-Resolution Medical Image Synthesis](https://mlsanity.com/paper/2402.19043/) (2024)
- [Denoising Diffusion Models for 3D Healthy Brain Tissue Inpainting](https://mlsanity.com/paper/2403.14499/) (2024)
- [cWDM: Conditional Wavelet Diffusion Models for Cross-Modality 3D Medical Image Synthesis](https://mlsanity.com/paper/2411.17203/) (2024)
- [Fr'echet Radiomic Distance (FRD): A Versatile Metric for Comparing Medical Imaging Datasets](https://mlsanity.com/paper/2412.01496/) (2024)
- [Deep Generative Models for 3D Medical Image Synthesis](https://mlsanity.com/paper/2410.17664/) (2024)
- [Denoising Diffusion Models for Inpainting of Healthy Brain Tissue](https://mlsanity.com/paper/2402.17307/) (2024)
- [A Survey of Emerging Applications of Diffusion Probabilistic Models in MRI](https://mlsanity.com/paper/2311.11383/) (2023)
- [Simulating Dynamic Tumor Contrast Enhancement in Breast MRI using Conditional Generative Adversarial Networks](https://mlsanity.com/paper/2409.18872/) (2024)
- [FlowLet: Conditional 3D Brain MRI Synthesis using Wavelet Flow Matching](https://mlsanity.com/paper/2601.05212/) (2026)
- [Harmonizing Flows: Leveraging normalizing flows for unsupervised and source-free MRI harmonization](https://mlsanity.com/paper/2407.15717/) (2024)
- [RadGazeGen: Radiomics and Gaze-guided Medical Image Generation using Diffusion Models](https://mlsanity.com/paper/2410.00307/) (2024)
- [Denoising Diffusion Models for Anomaly Localization in Medical Images](https://mlsanity.com/paper/2410.23834/) (2024)
- [QID2: An Image-Conditioned Diffusion Model for Q-space Up-sampling of DWI Data](https://mlsanity.com/paper/2409.02309/) (2024)
- [SynthBrainGrow: Synthetic Diffusion Brain Aging for Longitudinal MRI Data Generation in Young People](https://mlsanity.com/paper/2405.00682/) (2024)
- [HepatoGEN: Generating Hepatobiliary Phase MRI with Perceptual and Adversarial Models](https://mlsanity.com/paper/2504.18405/) (2025)
- [Towards Diagnostic Quality Flat-Panel Detector CT Imaging Using Diffusion Models](https://mlsanity.com/paper/2508.16252/) (2025)
- [Deep Generative Models for Enhanced Vitreous OCT Imaging](https://mlsanity.com/paper/2511.00881/) (2025)
- [Unified Multi-Site Multi-Sequence Brain MRI Harmonization Enriched by Biomedical Semantic Style](https://mlsanity.com/paper/2601.08193/) (2026)
- [CoMNet: A MedNeXt-CorrDiff Framework for Multi-Site Brain Tumor Segmentation](https://mlsanity.com/paper/2606.15305/) (2026)

## Abstract (arXiv)

Magnetic resonance (MR) images from multiple sources often show differences in image contrast related to acquisition settings or the used scanner type. For long-term studies, longitudinal comparability is essential but can be impaired by these contrast differences, leading to biased results when using automated evaluation tools. This study presents a diffusion model-based approach for contrast harmonization. We use a data set consisting of scans of 18 Multiple Sclerosis patients and 22 healthy controls. Each subject was scanned in two MR scanners of different magnetic field strengths (1.5 T and 3 T), resulting in a paired data set that shows scanner-inherent differences. We map images from the source contrast to the target contrast for both directions, from 3 T to 1.5 T and from 1.5 T to 3 T. As we only want to change the contrast, not the anatomical information, our method uses the original image to guide the image-to-image translation process by adding structural information. The aim is that the mapped scans display increased comparability with scans of the target contrast for downstream tasks. We evaluate this method for the task of segmentation of cerebrospinal fluid, grey matter and white matter. Our method achieves good and consistent results for both directions of the mapping.