Deep learning has revolutionized medical image segmentation, yet its full potential remains constrained by the paucity of annotated datasets. While diffusion models have emerged as a promising approach for generating synthetic image-mask pairs to augment these datasets, they paradoxically suffer from the same data scarcity challenges they aim to mitigate. Traditional mask-only models frequently yield low-fidelity images due to their inability to adequately capture morphological intricacies, which can critically compromise the robustness and reliability of segmentation models. To alleviate this limitation, we introduce Siamese-Diffusion, a novel dual-component model comprising Mask-Diffusion and Image-Diffusion. During training, a Noise Consistency Loss is introduced between these components to enhance the morphological fidelity of Mask-Diffusion in the parameter space. During sampling, only Mask-Diffusion is used, ensuring diversity and scalability. Comprehensive experiments demonstrate the superiority of our method. Siamese-Diffusion boosts SANet’s mDice and mIoU by 3.6% and 4.4% on the Polyps, while UNet improves by 1.52% and 1.64% on the ISIC2018.

Accurate lesion classification in Wireless Capsule Endoscopy (WCE) images is vital for early diagnosis and treatment of gastrointestinal (GI) cancers. However, this task is confronted with challenges like tiny lesions and background interference. Additionally, WCE images exhibit higher intra-class variance and inter-class similarities, adding complexity. To tackle these challenges, we propose Decoupled Supervised Contrastive Learning for WCE image classification, learning robust representations from zoomed-in WCE images generated by Saliency Augmentor. Specifically, We use uniformly down-sampled WCE images as anchors and WCE images from the same class, especially their zoomed-in images, as positives. This approach empowers the Feature Extractor to capture rich representations from various views of the same image, facilitated by Decoupled Supervised Contrastive Learning. Training a linear Classifier on these representations within 10 epochs yields an impressive 92.01% overall accuracy, surpassing the prior state-of-the-art (SOTA) by 0.72% on a blend of two publicly accessible WCE datasets. Code is available at: https://github.com/Qiukunpeng/DSCL.