# Latent-to-Latent Flow for Volumetric Stochastic Segmentation

arXiv: https://arxiv.org/abs/2609.07460 · HTML: https://mlsanity.com/paper/2609.07460/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 20 of its 29 references that are in the map.
- First posted on arXiv 7 Sep 2026.

## Builds on (most cited first, 20 of 20)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Denoising Diffusion Implicit Models](https://mlsanity.com/paper/2010.02502/) (2020)
- [Flow Matching for Generative Modeling](https://mlsanity.com/paper/2210.02747/) (2022)
- [The Cityscapes Dataset for Semantic Urban Scene Understanding](https://mlsanity.com/paper/1604.01685/) (2016)
- [Scaling Rectified Flow Transformers for High-Resolution Image Synthesis](https://mlsanity.com/paper/2403.03206/) (2024)
- [Neural Ordinary Differential Equations](https://mlsanity.com/paper/1806.07366/) (2018)
- [Flow Straight and Fast: Learning to Generate and Transfer Data with Rectified Flow](https://mlsanity.com/paper/2209.03003/) (2022)
- [FLUX.1 Kontext: Flow Matching for In-Context Image Generation and Editing in Latent Space](https://mlsanity.com/paper/2506.15742/) (2025)
- [Building Normalizing Flows with Stochastic Interpolants](https://mlsanity.com/paper/2209.15571/) (2022)
- [A Probabilistic U-Net for Segmentation of Ambiguous Images](https://mlsanity.com/paper/1806.05034/) (2018)
- [Diffusion Models for Implicit Image Segmentation Ensembles](https://mlsanity.com/paper/2112.03145/) (2021)
- [PHiSeg: Capturing Uncertainty in Medical Image Segmentation](https://mlsanity.com/paper/1906.04045/) (2019)
- [Stochastic Segmentation Networks: Modelling Spatially Correlated Aleatoric Uncertainty](https://mlsanity.com/paper/2006.06015/) (2020)
- [A Review of Uncertainty Estimation and its Application in Medical Imaging](https://mlsanity.com/paper/2302.08119/) (2023)
- [Stochastic Segmentation with Conditional Categorical Diffusion Models](https://mlsanity.com/paper/2303.08888/) (2023)
- [Modeling Multimodal Aleatoric Uncertainty in Segmentation with Mixture of Stochastic Experts](https://mlsanity.com/paper/2212.07328/) (2022)
- [CardiacFlow: 3D+t Four-Chamber Cardiac Shape Completion and Generation via Flow Matching](https://mlsanity.com/paper/2509.05754/) (2025)
- [Calibration and Uncertainty for multiRater Volume Assessment in multiorgan Segmentation (CURVAS) challenge results](https://mlsanity.com/paper/2505.08685/) (2025)
- [Flow Stochastic Segmentation Networks](https://mlsanity.com/paper/2507.18838/) (2025)

## Abstract (arXiv)

Uncertainty arising from inter-observer variability in medical image segmentation plays an important role in developing treatment plans. Research in this area is inhibited by the lack of multiple annotations for large-scale medical datasets, especially for volumetric data, which suffers from additional scaling and computational complexity challenges. Flow matching has emerged as a powerful framework for generative modelling and has also been demonstrated to maintain strong performance when working with latent representations of images. In this work, we introduce a latent-to-latent flow technique for stochastic segmentation of medical volumes via encoded representations of both the image and label space. We evaluate our method on two challenging applications covering delineation uncertainty for radiotherapy planning and multiple organ structure segmentation, improving efficiency up to 14x compared with full resolution models while maintaining clinically relevant performance.