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Lung Nodule Image Synthesis Driven by Two-Stage Generative Adversarial Networks

arXiv 2602.02171 ↗First posted 2 Feb 2026cs.CVcited by 0

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Abstract (arXiv)

The limited sample size and insufficient diversity of lung nodule CT datasets severely restrict the performance and generalization ability of detection models. Existing methods generate images with insufficient diversity and controllability, suffering from issues such as monotonous texture features and distorted anatomical structures. Therefore, we propose a two-stage generative adversarial network (TSGAN) to enhance the diversity and spatial controllability of synthetic data by decoupling the morphological structure and texture features of lung nodules. In the first stage, StyleGAN is used to generate semantic segmentation mask images, encoding lung nodules and tissue backgrounds to control the anatomical structure of lung nodule images; The second stage uses the DL-Pix2Pix model to translate the mask map into CT images, employing local importance attention to capture local features, while utilizing dynamic weight multi-head window attention to enhance the modeling capability of lung nodule texture and background. Compared to the original dataset, the accuracy improved by 4.6% and mAP by 4% on the LUNA16 dataset. Experimental results demonstrate that TSGAN can enhance the quality of synthetic images and the performance of detection models.

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References · 16

  1. 2018A Style-Based Generator Architecture for Generative Adversarial Networkscited by 5,986
  2. 2022Generative Adversarial Networkscited by 5,603
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  4. 2016Image-to-Image Translation with Conditional Adversarial Networkscited by 4,510
  5. 2019Semantic Image Synthesis with Spatially-Adaptive Normalizationcited by 1,295
  6. 2017High-Resolution Image Synthesis and Semantic Manipulation with Conditional GANscited by 1,176
  7. 2018Generative Adversarial Network in Medical Imaging: A Reviewcited by 257
  8. 2019AttentionGAN: Unpaired Image-to-Image Translation using Attention-Guided Generative Adversarial Networkscited by 77
  9. 2020Regularizing Deep Networks with Semantic Data Augmentationcited by 73
  10. 2022Sketch guided and progressive growing GAN for realistic and editable ultrasound image synthesiscited by 41
  11. 2017How to Fool Radiologists with Generative Adversarial Networks? A Visual Turing Test for Lung Cancer Diagnosiscited by 35
  12. 2019Synthesizing Diverse Lung Nodules Wherever Massively: 3D Multi-Conditional GAN-based CT Image Augmentation for Object Detectioncited by 29
4 more
  1. 2025Noise-Consistent Siamese-Diffusion for Medical Image Synthesis and Segmentationcited by 21
  2. 2025Adaptively Distilled ControlNet: Accelerated Training and Superior Sampling for Medical Image Synthesiscited by 7
  3. 2024Learn From Zoom: Decoupled Supervised Contrastive Learning For WCE Image Classificationcited by 6
  4. 2024PlainUSR: Chasing Faster ConvNet for Efficient Super-Resolutioncited by 4

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