# Adaptively Distilled ControlNet: Accelerated Training and Superior Sampling for Medical Image Synthesis

arXiv: https://arxiv.org/abs/2507.23652 · HTML: https://mlsanity.com/paper/2507.23652/

## Key facts

- Cited by 7 papers in the map (data through 14 Oct 2026).
- Builds on 27 of its 35 references that are in the map.
- First posted on arXiv 31 Jul 2025.

## Builds on (most cited first, 27 of 27)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [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)
- [Score-Based Generative Modeling through Stochastic Differential Equations](https://mlsanity.com/paper/2011.13456/) (2020)
- [Diffusion Models Beat GANs on Image Synthesis](https://mlsanity.com/paper/2105.05233/) (2021)
- [Classifier-Free Diffusion Guidance](https://mlsanity.com/paper/2207.12598/) (2022)
- [Adding Conditional Control to Text-to-Image Diffusion Models](https://mlsanity.com/paper/2302.05543/) (2023)
- [Neural Discrete Representation Learning](https://mlsanity.com/paper/1711.00937/) (2017)
- [DreamBooth: Fine Tuning Text-to-Image Diffusion Models for Subject-Driven Generation](https://mlsanity.com/paper/2208.12242/) (2022)
- [Consistency Models](https://mlsanity.com/paper/2303.01469/) (2023)
- [T2I-Adapter: Learning Adapters to Dig out More Controllable Ability for Text-to-Image Diffusion Models](https://mlsanity.com/paper/2302.08453/) (2023)
- [On Distillation of Guided Diffusion Models](https://mlsanity.com/paper/2210.03142/) (2022)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [A Benchmark for Endoluminal Scene Segmentation of Colonoscopy Images](https://mlsanity.com/paper/1612.00799/) (2016)
- [The KiTS19 Challenge Data: 300 Kidney Tumor Cases with Clinical Context, CT Semantic Segmentations, and Surgical Outcomes](https://mlsanity.com/paper/1904.00445/) (2019)
- [DiffuMask: Synthesizing Images with Pixel-level Annotations for Semantic Segmentation Using Diffusion Models](https://mlsanity.com/paper/2303.11681/) (2023)
- [Polyp-PVT: Polyp Segmentation with Pyramid Vision Transformers](https://mlsanity.com/paper/2108.06932/) (2021)
- [AnomalyDiffusion: Few-Shot Anomaly Image Generation with Diffusion Model](https://mlsanity.com/paper/2312.05767/) (2023)
- [Shallow Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2108.00882/) (2021)
- [SinGAN-Seg: Synthetic training data generation for medical image segmentation](https://mlsanity.com/paper/2107.00471/) (2021)
- [ArSDM: Colonoscopy Images Synthesis with Adaptive Refinement Semantic Diffusion Models](https://mlsanity.com/paper/2309.01111/) (2023)
- [Noise-Consistent Siamese-Diffusion for Medical Image Synthesis and Segmentation](https://mlsanity.com/paper/2505.06068/) (2025)
- [Polyp-Gen: Realistic and Diverse Polyp Image Generation for Endoscopic Dataset Expansion](https://mlsanity.com/paper/2501.16679/) (2025)
- [Rethinking Brain Tumor Segmentation from the Frequency Domain Perspective](https://mlsanity.com/paper/2506.10142/) (2025)
- [Learn From Zoom: Decoupled Supervised Contrastive Learning For WCE Image Classification](https://mlsanity.com/paper/2401.05771/) (2024)
- [Enhancing Fetal Plane Classification Accuracy with Data Augmentation Using Diffusion Models](https://mlsanity.com/paper/2501.15248/) (2025)
- [SV-DRR: High-Fidelity Novel View X-Ray Synthesis Using Diffusion Model](https://mlsanity.com/paper/2507.05148/) (2025)

## Built on by (most cited first, 7 of 7)

- [CrossEarth-SAR: A SAR-Centric and Billion-Scale Geospatial Foundation Model for Domain Generalizable Semantic Segmentation](https://mlsanity.com/paper/2603.12008/) (2026)
- [vMFCoOp: Towards Equilibrium on a Unified Hyperspherical Manifold for Prompting Biomedical VLMs](https://mlsanity.com/paper/2511.09540/) (2025)
- [PairUni: Pairwise Training for Unified Multimodal Language Models](https://mlsanity.com/paper/2510.25682/) (2025)
- [Lung Nodule Image Synthesis Driven by Two-Stage Generative Adversarial Networks](https://mlsanity.com/paper/2602.02171/) (2026)
- [EasyControlEdge: A Foundation-Model Fine-Tuning for Edge Detection](https://mlsanity.com/paper/2602.16238/) (2026)
- [LAW & ORDER: Adaptive Spatial Weighting for Medical Diffusion and Segmentation](https://mlsanity.com/paper/2603.04795/) (2026)
- [AWR-Net: Decoupling Anatomy and Appearance for 3D Fetal Brain Ultrasound Synthesis](https://mlsanity.com/paper/2609.22635/) (2026)

## Abstract (arXiv)

Medical image annotation is constrained by privacy concerns and labor-intensive labeling, significantly limiting the performance and generalization of segmentation models. While mask-controllable diffusion models excel in synthesis, they struggle with precise lesion-mask alignment. We propose Adaptively Distilled ControlNet, a task-agnostic framework that accelerates training and optimization through dual-model distillation. Specifically, during training, a teacher model, conditioned on mask-image pairs, regularizes a mask-only student model via predicted noise alignment in parameter space, further enhanced by adaptive regularization based on lesion-background ratios. During sampling, only the student model is used, enabling privacy-preserving medical image generation. Comprehensive evaluations on two distinct medical datasets demonstrate state-of-the-art performance: TransUNet improves mDice/mIoU by 2.4%/4.2% on KiTS19, while SANet achieves 2.6%/3.5% gains on Polyps, highlighting its effectiveness and superiority. Code is available at GitHub.
