# GenDiff: A Dose and Anatomy Aware Diffusion Model with Structural Prior Refinement for Low-Dose CT Reconstruction and Generalization

arXiv: https://arxiv.org/abs/2607.11941 · HTML: https://mlsanity.com/paper/2607.11941/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models.
- Builds on 25 of its 52 references that are in the map.
- First posted on arXiv 11 Jul 2026.

## Placed in

- Diffusion models / [Medical imaging and segmentation](https://mlsanity.com/diffusion/medical-imaging-and-segmentation/)

## Builds on (most cited first, 25 of 25)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (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)
- [Deep Unsupervised Learning using Nonequilibrium Thermodynamics](https://mlsanity.com/paper/1503.03585/) (2015)
- [Improved Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2102.09672/) (2021)
- [Diffusion Posterior Sampling for General Noisy Inverse Problems](https://mlsanity.com/paper/2209.14687/) (2022)
- [Diffusion Models: A Comprehensive Survey of Methods and Applications](https://mlsanity.com/paper/2209.00796/) (2022)
- [Improving Diffusion Models for Inverse Problems using Manifold Constraints](https://mlsanity.com/paper/2206.00941/) (2022)
- [Cold Diffusion: Inverting Arbitrary Image Transforms Without Noise](https://mlsanity.com/paper/2208.09392/) (2022)
- [Low-Dose CT with a Residual Encoder-Decoder Convolutional Neural Network (RED-CNN)](https://mlsanity.com/paper/1702.00288/) (2017)
- [Low Dose CT Image Denoising Using a Generative Adversarial Network with Wasserstein Distance and Perceptual Loss](https://mlsanity.com/paper/1708.00961/) (2017)
- [Solving 3D Inverse Problems using Pre-trained 2D Diffusion Models](https://mlsanity.com/paper/2211.10655/) (2022)
- [Decomposed Diffusion Sampler for Accelerating Large-Scale Inverse Problems](https://mlsanity.com/paper/2303.05754/) (2023)
- [Bias and Generalization in Deep Generative Models: An Empirical Study](https://mlsanity.com/paper/1811.03259/) (2018)
- [Can Deep Learning Outperform Modern Commercial CT Image Reconstruction Methods?](https://mlsanity.com/paper/1811.03691/) (2018)
- [CoreDiff: Contextual Error-Modulated Generalized Diffusion Model for Low-Dose CT Denoising and Generalization](https://mlsanity.com/paper/2304.01814/) (2023)
- [DU-GAN: Generative Adversarial Networks with Dual-Domain U-Net Based Discriminators for Low-Dose CT Denoising](https://mlsanity.com/paper/2108.10772/) (2021)
- [Cold Diffusion for Speech Enhancement](https://mlsanity.com/paper/2211.02527/) (2022)
- [Sharpness-aware Low dose CT denoising using conditional generative adversarial network](https://mlsanity.com/paper/1708.06453/) (2017)
- [Cycle Consistent Adversarial Denoising Network for Multiphase Coronary CT Angiography](https://mlsanity.com/paper/1806.09748/) (2018)
- [MAGIC: Manifold and Graph Integrative Convolutional Network for Low-Dose CT Reconstruction](https://mlsanity.com/paper/2008.00406/) (2020)
- [ASCON: Anatomy-aware Supervised Contrastive Learning Framework for Low-dose CT Denoising](https://mlsanity.com/paper/2307.12225/) (2023)
- [Noise-Inspired Diffusion Model for Generalizable Low-Dose CT Reconstruction](https://mlsanity.com/paper/2506.22012/) (2025)
- [Non-local Low-rank Cube-based Tensor Factorization for Spectral CT Reconstruction](https://mlsanity.com/paper/1807.10610/) (2018)
- [Low-Dose CT Using Denoising Diffusion Probabilistic Model for 20× Speedup](https://mlsanity.com/paper/2209.15136/) (2022)

## Abstract (arXiv)

Computed tomography (CT) is a critical imaging modality for clinical diagnosis, but reducing radiation dose inevitably introduces severe noise and structured artifacts that degrade image quality. Existing deep learning-based low-dose CT (LDCT) reconstruction methods are typically optimized for fixed dose levels or specific anatomical regions, limiting their robustness and generalization in realistic clinical settings. We propose GenDiff, a generalizable diffusion-based framework for LDCT reconstruction that jointly models continuous radiation dose and anatomical information within a unified reconstruction network. The proposed framework integrates a Dose-Anatomy Encoder to learn acquisition-aware embeddings, a dose- and anatomy-conditioned cold diffusion backbone for iterative refinement, a physics-consistency update to enforce fidelity to the CT forward model, and a Structural Prior Refinement Module (SPRM) that preserves anatomical structures while suppressing dose-dependent artifacts. Extensive experiments on multi-anatomy clinical datasets, including unseen ultra-low-dose conditions as well as out-of-distribution phantom and animal datasets, demonstrate that GenDiff consistently outperforms state-of-the-art convolutional neural network and diffusion-based reconstruction methods. The proposed approach achieves superior reconstruction quality while maintaining strong robustness across different dose levels, anatomical regions, and acquisition domains, making it a promising solution for practical low-dose CT imaging.