DiffusionCT: Latent Diffusion Model for CT Image Standardization

Computed tomography (CT) imaging is a widely used modality for early lung cancer diagnosis, treatment, and prognosis. Features extracted from CT images are now accepted to quantify spatial and temporal variations in tumor architecture and function. However, CT images are often acquired using scanners from different vendors with customized acquisition standards, resulting in significantly different texture features even for the same patient, posing a fundamental challenge to downstream studies. Existing CT image harmonization models rely on supervised or semi-supervised techniques, with limited performance. In this paper, we have proposed a diffusion-based CT image standardization model called DiffusionCT which works on latent space by mapping latent distribution into a standard distribution. DiffusionCT incorporates an Unet-based encoder-decoder and a diffusion model embedded in its bottleneck part. The Unet first trained without the diffusion model to learn the latent representation of the input data. The diffusion model is trained in the next training phase. All the trained models work together on image standardization. The encoded representation outputted from the Unet encoder passes through the diffusion model, and the diffusion model maps the distribution in to target standard image domain. Finally, the decode takes that transformed latent representation to synthesize a standardized image. The experimental results show that DiffusionCT significantly improves the performance of the standardization task.