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

arXiv: https://arxiv.org/abs/2602.02171 · HTML: https://mlsanity.com/paper/2602.02171/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 16 of its 26 references that are in the map.
- First posted on arXiv 2 Feb 2026.

## Builds on (most cited first, 16 of 16)

- [A Style-Based Generator Architecture for Generative Adversarial Networks](https://mlsanity.com/paper/1812.04948/) (2018)
- [Generative Adversarial Networks](https://mlsanity.com/paper/2203.00667/) (2022)
- [Adding Conditional Control to Text-to-Image Diffusion Models](https://mlsanity.com/paper/2302.05543/) (2023)
- [Image-to-Image Translation with Conditional Adversarial Networks](https://mlsanity.com/paper/1611.07004/) (2016)
- [Semantic Image Synthesis with Spatially-Adaptive Normalization](https://mlsanity.com/paper/1903.07291/) (2019)
- [High-Resolution Image Synthesis and Semantic Manipulation with Conditional GANs](https://mlsanity.com/paper/1711.11585/) (2017)
- [Generative Adversarial Network in Medical Imaging: A Review](https://mlsanity.com/paper/1809.07294/) (2018)
- [AttentionGAN: Unpaired Image-to-Image Translation using Attention-Guided Generative Adversarial Networks](https://mlsanity.com/paper/1911.11897/) (2019)
- [Regularizing Deep Networks with Semantic Data Augmentation](https://mlsanity.com/paper/2007.10538/) (2020)
- [Sketch guided and progressive growing GAN for realistic and editable ultrasound image synthesis](https://mlsanity.com/paper/2204.06929/) (2022)
- [How to Fool Radiologists with Generative Adversarial Networks? A Visual Turing Test for Lung Cancer Diagnosis](https://mlsanity.com/paper/1710.09762/) (2017)
- [Synthesizing Diverse Lung Nodules Wherever Massively: 3D Multi-Conditional GAN-based CT Image Augmentation for Object Detection](https://mlsanity.com/paper/1906.04962/) (2019)
- [Noise-Consistent Siamese-Diffusion for Medical Image Synthesis and Segmentation](https://mlsanity.com/paper/2505.06068/) (2025)
- [Adaptively Distilled ControlNet: Accelerated Training and Superior Sampling for Medical Image Synthesis](https://mlsanity.com/paper/2507.23652/) (2025)
- [Learn From Zoom: Decoupled Supervised Contrastive Learning For WCE Image Classification](https://mlsanity.com/paper/2401.05771/) (2024)
- [PlainUSR: Chasing Faster ConvNet for Efficient Super-Resolution](https://mlsanity.com/paper/2409.13435/) (2024)

## 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.