# DiffSegLung: Diffusion Radiomic Distillation for Unsupervised Lung Pathology Segmentation

arXiv: https://arxiv.org/abs/2605.11758 · HTML: https://mlsanity.com/paper/2605.11758/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 14 references that are in the map.
- First posted on arXiv 12 May 2026.

## Builds on (most cited first, 9 of 9)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [DPM-Solver: A Fast ODE Solver for Diffusion Probabilistic Model Sampling in Around 10 Steps](https://mlsanity.com/paper/2206.00927/) (2022)
- [Label-Efficient Semantic Segmentation with Diffusion Models](https://mlsanity.com/paper/2112.03126/) (2021)
- [Diffuse, Attend, and Segment: Unsupervised Zero-Shot Segmentation using Stable Diffusion](https://mlsanity.com/paper/2308.12469/) (2023)
- [Scribble-Supervised Medical Image Segmentation via Dual-Branch Network and Dynamically Mixed Pseudo Labels Supervision](https://mlsanity.com/paper/2203.02106/) (2022)
- [Efficient Medical Image Segmentation Based on Knowledge Distillation](https://mlsanity.com/paper/2108.09987/) (2021)
- [MedVAE: Efficient Automated Interpretation of Medical Images with Large-Scale Generalizable Autoencoders](https://mlsanity.com/paper/2502.14753/) (2025)
- [Lung-DDPM: Semantic Layout-guided Diffusion Models for Thoracic CT Image Synthesis](https://mlsanity.com/paper/2502.15204/) (2025)
- [Lung-DDPM+: Efficient Thoracic CT Image Synthesis using Diffusion Probabilistic Model](https://mlsanity.com/paper/2508.09327/) (2025)

## Abstract (arXiv)

Unsupervised segmentation of pulmonary pathologies in CT remains an open challenge due to the absence of annotated multi pathology cohorts and the failure of existing diffusion-based methods to exploit the quantitative Hounsfield Unit (HU) signal that physically distinguishes tissue classes. To address this, we propose DiffSegLung,a framework that introduces Diffusion Radiomic Distillation, in which handcrafted radiomic descriptors serve as a physics grounded teacher to shape the bottleneck of a 3D diffusion U-Net via a contrastive objective, transferring pathology discriminative structure into the learned representation without any annotations. At inference, the teacher is discarded and multitimestep bottleneck features are clustered by a Gaussian Mixture Model with HU-guided label assignment, followed by Sobel Diffusion Fusion for boundary refinement. Evaluated on 190 expert annotated axial slices drawn from four heterogeneous CT cohorts, Diff-SegLung improves segmentation across all four pathology classes over unsupervised baselines and improves generation fidelity over prior CT diffusion models.