Diffusion Model as a Generalist Segmentation Learner
On the map: Diffusion models → Medical imaging and segmentation
Abstract (arXiv)
Diffusion models are primarily trained for image synthesis, yet their denoising trajectories encode rich, spatially aligned visual priors. In this paper, we demonstrate that these priors can be utilized for text-conditioned semantic and open-vocabulary segmentation, and this approach can be generalized to various downstream tasks to make a general-purpose diffusion segmentation framework. Concretely, we introduce DiGSeg (Diffusion Models as a Generalist Segmentation Learner), which repurposes a pretrained diffusion model into a unified segmentation framework. Our approach encodes the input image and ground-truth mask into the latent space and concatenates them as conditioning signals for the diffusion U-Net. A parallel CLIP-aligned text pathway injects language features across multiple scales, enabling the model to align textual queries with evolving visual representations. This design transforms an off-the-shelf diffusion backbone into a universal interface that produces structured segmentation masks conditioned on both appearance and arbitrary text prompts. Extensive experiments demonstrate state-of-the-art performance on standard semantic segmentation benchmarks, as well as strong open-vocabulary generalization and cross-domain transfer to medical, remote sensing, and agricultural scenarios-without domain-specific architectural customization. These results indicate that modern diffusion backbones can serve as generalist segmentation learners rather than pure generators, narrowing the gap between visual generation and visual understanding.
Key facts. Cited by 4 papers in the map (data through 7 Oct 2026). Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models. Builds on 93 of its 115 references that are in the map. First posted on arXiv 27 Apr 2026.
Builds on
93 of 115 references.
Closest ancestors · 11
Same direction, newest first
- 2025Seg4Diff: Unveiling Open-Vocabulary Segmentation in Text-to-Image Diffusion Transformers22 Sep
- 2024Image Segmentation in Foundation Model Era: A Survey23 Aug
- 2024A Simple Latent Diffusion Approach for Panoptic Segmentation and Mask Inpainting18 Jan
- 2023Diffusion Model is Secretly a Training-free Open Vocabulary Semantic Segmenter6 Sep
- 2023Diffuse, Attend, and Segment: Unsupervised Zero-Shot Segmentation using Stable Diffusion23 Aug
- 2023DiffuMask: Synthesizing Images with Pixel-level Annotations for Semantic Segmentation Using Diffusion Models21 Mar
- 2023MaskDiff: Modeling Mask Distribution with Diffusion Probabilistic Model for Few-Shot Instance Segmentation9 Mar
- 2023Open-Vocabulary Panoptic Segmentation with Text-to-Image Diffusion Models8 Mar
- 2022DiffusionInst: Diffusion Model for Instance Segmentation6 Dec
- 2021Label-Efficient Semantic Segmentation with Diffusion Models6 Dec
- 2021SegDiff: Image Segmentation with Diffusion Probabilistic Models1 Dec
Other references · 82
- 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,456
- 2020Denoising Diffusion Probabilistic Modelscited by 20,851
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,604
- 2021High-Resolution Image Synthesis with Latent Diffusion Modelscited by 18,694
- 2014Microsoft COCO: Common Objects in Contextcited by 17,498
- 2020Denoising Diffusion Implicit Modelscited by 9,655
- 2017Mask R-CNNcited by 7,259
- 2016The Cityscapes Dataset for Semantic Urban Scene Understandingcited by 4,427
- 2018Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentationcited by 3,210
- 2021SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformerscited by 2,923
- 2016Pyramid Scene Parsing Networkcited by 2,472
- 2021Masked-attention Mask Transformer for Universal Image Segmentationcited by 2,338
38 more
- 2017Rethinking Atrous Convolution for Semantic Image Segmentationcited by 2,154
- 2018BDD100K: A Diverse Driving Dataset for Heterogeneous Multitask Learningcited by 1,282
- 2021Grounded Language-Image Pre-trainingcited by 1,147
- 2016Semantic Understanding of Scenes through the ADE20K Datasetcited by 1,063
- 2020Improved Techniques for Training Score-Based Generative Modelscited by 1,036
- 2021Open-vocabulary Object Detection via Vision and Language Knowledge Distillationcited by 903
- 2021Segmenter: Transformer for Semantic Segmentationcited by 855
- 2022Language-driven Semantic Segmentationcited by 711
- 2019Panoptic Feature Pyramid Networkscited by 644
- 2022Open-Vocabulary Semantic Segmentation with Mask-adapted CLIPcited by 560
- 2022GroupViT: Semantic Segmentation Emerges from Text Supervisioncited by 529
- 2021The RSNA-ASNR-MICCAI BraTS 2021 Benchmark on Brain Tumor Segmentation and Radiogenomic Classificationcited by 507
- 2021Scaling Open-Vocabulary Image Segmentation with Image-Level Labelscited by 471
- 2020Open-Vocabulary Object Detection Using Captionscited by 427
- 2022Mask DINO: Towards A Unified Transformer-based Framework for Object Detection and Segmentationcited by 341
- 2022OneFormer: One Transformer to Rule Universal Image Segmentationcited by 327
- 2022Learning to Prompt for Open-Vocabulary Object Detection with Vision-Language Modelcited by 317
- 2023Side Adapter Network for Open-Vocabulary Semantic Segmentationcited by 296
- 2018DeepGlobe 2018: A Challenge to Parse the Earth through Satellite Imagescited by 276
- 2021LoveDA: A Remote Sensing Land-Cover Dataset for Domain Adaptive Semantic Segmentationcited by 259
- 2019Zero-Shot Semantic Segmentationcited by 245
- 2021A Simple Baseline for Open-Vocabulary Semantic Segmentation with Pre-trained Vision-language Modelcited by 223
- 2024MambaVision: A Hybrid Mamba-Transformer Vision Backbonecited by 222
- 2023CAT-Seg: Cost Aggregation for Open-Vocabulary Semantic Segmentationcited by 215
- 2023Sequential Modeling Enables Scalable Learning for Large Vision Modelscited by 212
- 2021Decoupling Zero-Shot Semantic Segmentationcited by 198
- 2023Cut and Learn for Unsupervised Object Detection and Instance Segmentationcited by 186
- 2024Lotus: Diffusion-based Visual Foundation Model for High-quality Dense Predictioncited by 163
- 2022Open-Vocabulary Universal Image Segmentation with MaskCLIPcited by 131
- 2023The Surprising Effectiveness of Diffusion Models for Optical Flow and Monocular Depth Estimationcited by 116
- 2023SED: A Simple Encoder-Decoder for Open-Vocabulary Semantic Segmentationcited by 95
- 2023Monocular Depth Estimation using Diffusion Modelscited by 87
- 2024Fine-Tuning Image-Conditional Diffusion Models is Easier than You Thinkcited by 82
- 2023DiffusionDepth: Diffusion Denoising Approach for Monocular Depth Estimationcited by 81
- 2017Open Vocabulary Scene Parsingcited by 76
- 2025Vid2World: Crafting Video Diffusion Models to Interactive World Modelscited by 67
- 2020Agriculture-Vision: A Large Aerial Image Database for Agricultural Pattern Analysiscited by 61
- 2025Your ViT is Secretly an Image Segmentation Modelcited by 61
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Citing papers per year: 2026: 4.
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- 2026PhysRAG: Enhancing Physics-Awareness in Video Generation via Retrieval-Augmented Generation25 Jun 2026
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