Radiomics-Driven Diffusion Model and Monte Carlo Compression Sampling for Reliable Medical Image Synthesis

Reliable medical image synthesis is crucial for clinical applications and downstream tasks, where high-quality anatomical structure and predictive confidence are essential. Existing studies have made significant progress by embedding prior conditional knowledge, such as conditional images or textual information, to synthesize natural images. However, medical image synthesis remains a challenging task due to: 1) Data scarcity: High-quality medical text prompt are extremely rare and require specialized expertise. 2) Insufficient uncertainty estimation: The uncertainty estimation is critical for evaluating the confidence of reliable medical image synthesis. This paper presents a novel approach for medical image synthesis, driven by radiomics prompts and combined with Monte Carlo Compression Sampling (MCCS) to ensure reliability. For the first time, our method leverages clinically focused radiomics prompts to condition the generation process, guiding the model to produce reliable medical images. Furthermore, the innovative MCCS algorithm employs Monte Carlo methods to randomly select and compress sampling steps within the denoising diffusion implicit models (DDIM), enabling efficient uncertainty quantification. Additionally, we introduce a MambaTrans architecture to model long-range dependencies in medical images and embed prior conditions (e.g., radiomics prompts). Extensive experiments on benchmark medical imaging datasets demonstrate that our approach significantly improves image quality and reliability, outperforming SoTA methods in both qualitative and quantitative evaluations.