Solving medical imaging data scarcity through semantic image generation has attracted significant attention in recent years. However, existing methods primarily focus on generating whole-organ or large-tissue structures, showing limited effectiveness for organs with fine-grained structure. Due to stringent topological consistency, fragile coronary features, and complex 3D morphological heterogeneity in cardiac imaging, accurately reconstructing fine-grained anatomical details of the heart remains a great challenge. To address this problem, in this paper, we propose the Fine-grained Cardiac image Synthesis(FCaS) framework, established on 3D template conditional diffusion model. FCaS achieves precise cardiac structure generation using Template-guided Conditional Diffusion Model (TCDM) through bidirectional mechanisms, which provides the fine-grained topological structure information of target image through the guidance of template. Meanwhile, we design a deformable Mask Generation Module (MGM) to mitigate the scarcity of high-quality and diverse reference mask in the generation process. Furthermore, to alleviate the confusion caused by imprecise synthetic images, we propose a Confidence-aware Adaptive Learning (CAL) strategy to facilitate the pre-training of downstream segmentation tasks. Specifically, we introduce the Skip-Sampling Variance (SSV) estimation to obtain confidence maps, which are subsequently employed to rectify the pre-training on downstream tasks. Experimental results demonstrate that images generated from FCaS achieves state-of-the-art performance in topological consistency and visual quality, which significantly facilitates the downstream tasks as well. Code will be released in the future.
View on arXiv@article{xia2025_2503.09560,
title={ FCaS: Fine-grained Cardiac Image Synthesis based on 3D Template Conditional Diffusion Model },
author={ Jiahao Xia and Yutao Hu and Yaolei Qi and Zhenliang Li and Wenqi Shao and Junjun He and Ying Fu and Longjiang Zhang and Guanyu Yang },
journal={arXiv preprint arXiv:2503.09560},
year={ 2025 }
}