A Foundational EDM2-Based Generative Model for High-Resolution Synthetic Fetal Ultrasound Imaging from Open Datasets

Prenatal ultrasound imaging is key for assessing fetal health, but AI progress is limited by scarce, privacy-restricted, and hard-to-annotate datasets. We propose a high-resolution fetal ultrasound synthesis framework based on the EDM2 diffusion architecture, trained on multiple public datasets to generate 512x512 images across six anatomical classes. Our method achieved improved image quality with lower FID scores and enhanced downstream fetal plane classification, reaching 93.36% ensemble accuracy after fine-tuning, surpassing real-data-only training. Clinical evaluation by an experienced fetal ultrasound specialist (10+ years) on 100 images yielded a mean realism score of 2.67/5, with real images rated higher than synthetic. Artefacts included smoothing, speckle irregularities, and anatomical inconsistencies. Code, data, models and other resources to reproduce this work are available at https://github.com/xfetus/fetal-ultrasound-edm2.

Noise-Level Diffusion Guidance: Well Begun is Half Done

Diffusion models have achieved state-of-the-art image generation. However, the random Gaussian noise used to start the diffusion process influences the final output, causing variations in image quality and prompt adherence. Existing noise-level optimization approaches generally rely on extra dataset construction, additional networks, or backpropagation-based optimization, limiting their practicality. In this paper, we propose Noise Level Guidance (NLG), a simple, efficient, and general noise-level optimization approach that refines initial noise by increasing the likelihood of its alignment with general guidance - requiring no additional training data, auxiliary networks, or backpropagation. The proposed NLG approach provides a unified framework generalizable to both conditional and unconditional diffusion models, accommodating various forms of diffusion-level guidance. Extensive experiments on five standard benchmarks demonstrate that our approach enhances output generation quality and input condition adherence. By seamlessly integrating with existing guidance methods while maintaining computational efficiency, our method establishes NLG as a practical and scalable enhancement to diffusion models. Code can be found at https://github.com/harveymannering/NoiseLevelGuidance.

Analysing Gender Bias in Text-to-Image Models using Object Detection

This work presents a novel strategy to measure bias in text-to-image models. Using paired prompts that specify gender and vaguely reference an object (e.g. "a man/woman holding an item") we can examine whether certain objects are associated with a certain gender. In analysing results from Stable Diffusion, we observed that male prompts generated objects such as ties, knives, trucks, baseball bats, and bicycles more frequently. On the other hand, female prompts were more likely to generate objects such as handbags, umbrellas, bowls, bottles, and cups. We hope that the method outlined here will be a useful tool for examining bias in text-to-image models.

Towards Realistic Ultrasound Fetal Brain Imaging Synthesis

Prenatal ultrasound imaging is the first-choice modality to assess fetal health. Medical image datasets for AI and ML methods must be diverse (i.e. diagnoses, diseases, pathologies, scanners, demographics, etc), however there are few public ultrasound fetal imaging datasets due to insufficient amounts of clinical data, patient privacy, rare occurrence of abnormalities in general practice, and limited experts for data collection and validation. To address such data scarcity, we proposed generative adversarial networks (GAN)-based models, diffusion-super-resolution-GAN and transformer-based-GAN, to synthesise images of fetal ultrasound brain planes from one public dataset. We reported that GAN-based methods can generate 256x256 pixel size of fetal ultrasound trans-cerebellum brain image plane with stable training losses, resulting in lower FID values for diffusion-super-resolution-GAN (average 7.04 and lower FID 5.09 at epoch 10) than the FID values of transformer-based-GAN (average 36.02 and lower 28.93 at epoch 60). The results of this work illustrate the potential of GAN-based methods to synthesise realistic high-resolution ultrasound images, leading to future work with other fetal brain planes, anatomies, devices and the need of a pool of experts to evaluate synthesised images. Code, data and other resources to reproduce this work are available at \url{https://github.com/budai4medtech/midl2023}.