Controllable Lung Nodule Synthesis via Histogram-Regularized Latent Diffusion Models

While automated diagnosis systems have achieved remarkable success in computed tomography (CT)-based lung cancer screening, their development remains limited by the scarcity of diverse, annotated pulmonary nodule datasets. Diffusion-based generative models offer a promising strategy for data synthesis; however, many existing conditional approaches primarily optimize spatial reconstruction losses, which encourage voxel-wise similarity but may inadequately constrain lesion-level intensity distributions. As a result, these methods may produce over-smoothed texture profiles and underrepresent the distinct attenuation characteristics of different nodule subtypes, including solid, part-solid, and ground-glass nodules. To address this challenge, we propose a controllable latent diffusion model that synthesizes pulmonary nodules within full 3D CT volumes while accurately modeling nodule-specific intensity distributions. Specifically, rather than relying solely on spatial losses, we introduce a histogram-based regularization term that constrains voxel intensity distributions during the generative process. The model combines subtype, spatial mask, and Hounsfield unit (HU) histogram conditioning with the differentiable feature-space histogram regularization term to better align lesion-level intensity distributions, improving the visual plausibility and subtype consistency of synthesized nodules. Extensive experiments on lung CT data demonstrate that our framework achieves strong visual realism, validated through both quantitative metrics and a visual Turing test. Furthermore, when used for data augmentation, the generated nodules improve performance in downstream clinical tasks, particularly for underrepresented nodule subtypes, and show a potential benefit for subtype-informed malignancy classification.

Gaussian Harmony: Attaining Fairness in Diffusion-based Face Generation Models

Diffusion models have achieved great progress in face generation. However, these models amplify the bias in the generation process, leading to an imbalance in distribution of sensitive attributes such as age, gender and race. This paper proposes a novel solution to this problem by balancing the facial attributes of the generated images. We mitigate the bias by localizing the means of the facial attributes in the latent space of the diffusion model using Gaussian mixture models (GMM). Our motivation for choosing GMMs over other clustering frameworks comes from the flexible latent structure of diffusion model. Since each sampling step in diffusion models follows a Gaussian distribution, we show that fitting a GMM model helps us to localize the subspace responsible for generating a specific attribute. Furthermore, our method does not require retraining, we instead localize the subspace on-the-fly and mitigate the bias for generating a fair dataset. We evaluate our approach on multiple face attribute datasets to demonstrate the effectiveness of our approach. Our results demonstrate that our approach leads to a more fair data generation in terms of representational fairness while preserving the quality of generated samples.