# Beyond the Foreground: FOV-Aware Polyp Image Synthesis via Lesion-Guided Adaptive Mucosal Context Propagation

arXiv: https://arxiv.org/abs/2609.19966 · HTML: https://mlsanity.com/paper/2609.19966/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 38 of its 55 references that are in the map.
- First posted on arXiv 17 Sep 2026.

## Builds on (most cited first, 30 of 38)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [High-Resolution Image Synthesis with Latent Diffusion Models](https://mlsanity.com/paper/2112.10752/) (2021)
- [Denoising Diffusion Implicit Models](https://mlsanity.com/paper/2010.02502/) (2020)
- [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)
- [Taming Transformers for High-Resolution Image Synthesis](https://mlsanity.com/paper/2012.09841/) (2020)
- [Arbitrary Style Transfer in Real-time with Adaptive Instance Normalization](https://mlsanity.com/paper/1703.06868/) (2017)
- [RePaint: Inpainting using Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2201.09865/) (2022)
- [Spatial Transformer Networks](https://mlsanity.com/paper/1506.02025/) (2015)
- [RWKV: Reinventing RNNs for the Transformer Era](https://mlsanity.com/paper/2305.13048/) (2023)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [Structure-measure: A New Way to Evaluate Foreground Maps](https://mlsanity.com/paper/1708.00786/) (2017)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [Reliable Fidelity and Diversity Metrics for Generative Models](https://mlsanity.com/paper/2002.09797/) (2020)
- [Enhanced-alignment Measure for Binary Foreground Map Evaluation](https://mlsanity.com/paper/1805.10421/) (2018)
- [DatasetGAN: Efficient Labeled Data Factory with Minimal Human Effort](https://mlsanity.com/paper/2104.06490/) (2021)
- [A Benchmark for Endoluminal Scene Segmentation of Colonoscopy Images](https://mlsanity.com/paper/1612.00799/) (2016)
- [Unsupervised Learning of Probabilistic Diffeomorphic Registration for Images and Surfaces](https://mlsanity.com/paper/1903.03545/) (2019)
- [DiffuMask: Synthesizing Images with Pixel-level Annotations for Semantic Segmentation Using Diffusion Models](https://mlsanity.com/paper/2303.11681/) (2023)
- [DatasetDM: Synthesizing Data with Perception Annotations Using Diffusion Models](https://mlsanity.com/paper/2308.06160/) (2023)
- [Dataset Diffusion: Diffusion-based Synthetic Dataset Generation for Pixel-Level Semantic Segmentation](https://mlsanity.com/paper/2309.14303/) (2023)
- [BigDatasetGAN: Synthesizing ImageNet with Pixel-wise Annotations](https://mlsanity.com/paper/2201.04684/) (2022)
- [Vision-RWKV: Efficient and Scalable Visual Perception with RWKV-Like Architectures](https://mlsanity.com/paper/2403.02308/) (2024)
- [SinGAN-Seg: Synthetic training data generation for medical image segmentation](https://mlsanity.com/paper/2107.00471/) (2021)
- [Bridging Global Context Interactions for High-Fidelity Image Completion](https://mlsanity.com/paper/2104.00845/) (2021)
- [Explore the Power of Synthetic Data on Few-shot Object Detection](https://mlsanity.com/paper/2303.13221/) (2023)
- [Mask-conditioned latent diffusion for generating gastrointestinal polyp images](https://mlsanity.com/paper/2304.05233/) (2023)
- [Mask Factory: Towards High-quality Synthetic Data Generation for Dichotomous Image Segmentation](https://mlsanity.com/paper/2412.19080/) (2024)
- [LAKE-RED: Camouflaged Images Generation by Latent Background Knowledge Retrieval-Augmented Diffusion](https://mlsanity.com/paper/2404.00292/) (2024)
- [Location-Free Camouflage Generation Network](https://mlsanity.com/paper/2203.09845/) (2022)

## Abstract (arXiv)

Synthetic image and mask pairs can alleviate scarce colonoscopy annotations, but realistic synthesis requires preserving the supplied lesion while generating compatible mucosa. Existing foreground-guided methods treat all non-foreground pixels as background and rely mainly on local integration. Directly applying them to colonoscopy causes two problems: non-mucosal black regions contaminate generated tissue, and local reasoning produces inconsistent mucosal texture and illumination. We propose LAMP, the first foreground-guided framework for polyp image synthesis based on lesion-guided adaptive mucosal context propagation. LAMP explicitly separates the lesion, valid mucosa, and camera exterior using a field-of-view (FOV) mask. Lesion-to-Mucosa cross-attention extracts lesion appearance conditions for valid-mucosa locations, while FOV-constrained multidirectional Vision Receptance Weighted Key Value propagates them over legal tissue support. An adaptive gate then controls their residual fusion into the diffusion U-Net. Extensive experiments on five polyp datasets demonstrate that LAMP substantially outperforms existing methods in overall generation quality and consistently improves five downstream segmentation models. Our code will be released at https://github.com/wangtong627/LAMP.