# Masked Conditional Diffusion Models for Image Analysis with Application to Radiographic Diagnosis of Infant Abuse

arXiv: https://arxiv.org/abs/2311.13688 · HTML: https://mlsanity.com/paper/2311.13688/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models.
- Builds on 13 of its 24 references that are in the map.
- First posted on arXiv 22 Nov 2023.

## Placed in

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

## Builds on (most cited first, 13 of 13)

- [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)
- [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)
- [Generative Adversarial Networks](https://mlsanity.com/paper/2203.00667/) (2022)
- [Improved Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2102.09672/) (2021)
- [Diffusion Models for Medical Anomaly Detection](https://mlsanity.com/paper/2203.04306/) (2022)
- [AttentionGAN: Unpaired Image-to-Image Translation using Attention-Guided Generative Adversarial Networks](https://mlsanity.com/paper/1911.11897/) (2019)
- [Diffusion Deformable Model for 4D Temporal Medical Image Generation](https://mlsanity.com/paper/2206.13295/) (2022)
- [Towards performant and reliable undersampled MR reconstruction via diffusion model sampling](https://mlsanity.com/paper/2203.04292/) (2022)
- [MADGAN: unsupervised Medical Anomaly Detection GAN using multiple adjacent brain MRI slice reconstruction](https://mlsanity.com/paper/2007.13559/) (2020)

## Abstract (arXiv)

The classic metaphyseal lesion (CML) is a distinct injury that is highly specific for infant abuse. It commonly occurs in the distal tibia. To aid radiologists detect these subtle fractures, we need to develop a model that can flag abnormal distal tibial radiographs (i.e. those with CMLs). Unfortunately, the development of such a model requires a large and diverse training database, which is often not available. To address this limitation, we propose a novel generative model for data augmentation. Unlike previous models that fail to generate data that span the diverse radiographic appearance of the distal tibial CML, our proposed masked conditional diffusion model (MaC-DM) not only generates realistic-appearing and wide-ranging synthetic images of the distal tibial radiographs with and without CMLs, it also generates their associated segmentation labels. To achieve these tasks, MaC-DM combines the weighted segmentation masks of the tibias and the CML fracture sites as additional conditions for classifier guidance. The augmented images from our model improved the performances of ResNet-34 in classifying normal radiographs and those with CMLs. Further, the augmented images and their associated segmentation masks enhanced the performance of the U-Net in labeling areas of the CMLs on distal tibial radiographs.