# Annotator Consensus Prediction for Medical Image Segmentation with Diffusion Models

arXiv: https://arxiv.org/abs/2306.09004 · HTML: https://mlsanity.com/paper/2306.09004/

## Key facts

- Cited by 10 papers in the map (data through 14 Oct 2026).
- Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models.
- Builds on 21 of its 28 references that are in the map.
- First posted on arXiv 15 Jun 2023.

## Placed in

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

## Builds on (most cited first, 21 of 21)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (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)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Improved Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2102.09672/) (2021)
- [Image Super-Resolution via Iterative Refinement](https://mlsanity.com/paper/2104.07636/) (2021)
- [ESRGAN: Enhanced Super-Resolution Generative Adversarial Networks](https://mlsanity.com/paper/1809.00219/) (2018)
- [Cascaded Diffusion Models for High Fidelity Image Generation](https://mlsanity.com/paper/2106.15282/) (2021)
- [Variational Diffusion Models](https://mlsanity.com/paper/2107.00630/) (2021)
- [ILVR: Conditioning Method for Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2108.02938/) (2021)
- [Label-Efficient Semantic Segmentation with Diffusion Models](https://mlsanity.com/paper/2112.03126/) (2021)
- [SRDiff: Single Image Super-Resolution with Diffusion Probabilistic Models](https://mlsanity.com/paper/2104.14951/) (2021)
- [A Probabilistic U-Net for Segmentation of Ambiguous Images](https://mlsanity.com/paper/1806.05034/) (2018)
- [SegDiff: Image Segmentation with Diffusion Probabilistic Models](https://mlsanity.com/paper/2112.00390/) (2021)
- [Diffusion Models for Implicit Image Segmentation Ensembles](https://mlsanity.com/paper/2112.03145/) (2021)
- [A Variational Perspective on Diffusion-Based Generative Models and Score Matching](https://mlsanity.com/paper/2106.02808/) (2021)
- [Noise Estimation for Generative Diffusion Models](https://mlsanity.com/paper/2104.02600/) (2021)
- [Ambiguous Medical Image Segmentation using Diffusion Models](https://mlsanity.com/paper/2304.04745/) (2023)
- [Who Said What: Modeling Individual Labelers Improves Classification](https://mlsanity.com/paper/1703.08774/) (2017)

## Built on by (most cited first, 10 of 10)

- [A Survey of Emerging Applications of Diffusion Probabilistic Models in MRI](https://mlsanity.com/paper/2311.11383/) (2023)
- [Conditional Diffusion Models are Medical Image Classifiers that Provide Explainability and Uncertainty for Free](https://mlsanity.com/paper/2502.03687/) (2025)
- [Diff-VPS: Video Polyp Segmentation via a Multi-task Diffusion Network with Adversarial Temporal Reasoning](https://mlsanity.com/paper/2409.07238/) (2024)
- [Applications of Large Models in Medicine](https://mlsanity.com/paper/2502.17132/) (2025)
- [Conditional diffusion model with spatial attention and latent embedding for medical image segmentation](https://mlsanity.com/paper/2502.06997/) (2025)
- [Denoising Diffusion Models for Anomaly Localization in Medical Images](https://mlsanity.com/paper/2410.23834/) (2024)
- [ResEnsemble-DDPM: Residual Denoising Diffusion Probabilistic Models for Ensemble Learning](https://mlsanity.com/paper/2312.01682/) (2023)
- [Contrastive-Adversarial and Diffusion: Exploring pre-training and fine-tuning strategies for sulcal identification](https://mlsanity.com/paper/2405.19204/) (2024)
- [Explaining Uncertainty in Multiple Sclerosis Cortical Lesion Segmentation Beyond Prediction Errors](https://mlsanity.com/paper/2504.04814/) (2025)
- [Rethinking Diffusion Segmentation: When Does It Rely on Its Noisy State, and Does Diffusion Matter?](https://mlsanity.com/paper/2609.23967/) (2026)

## Abstract (arXiv)

A major challenge in the segmentation of medical images is the large inter- and intra-observer variability in annotations provided by multiple experts. To address this challenge, we propose a novel method for multi-expert prediction using diffusion models. Our method leverages the diffusion-based approach to incorporate information from multiple annotations and fuse it into a unified segmentation map that reflects the consensus of multiple experts. We evaluate the performance of our method on several datasets of medical segmentation annotated by multiple experts and compare it with state-of-the-art methods. Our results demonstrate the effectiveness and robustness of the proposed method. Our code is publicly available at https://github.com/tomeramit/Annotator-Consensus-Prediction.