DetectDiffuse: Aggregation- and Attention-Driven Universal Lesion Detection with Multi-scale Diffusion Model

Xinyu Li, Danni Ai*, Jingfan Fan, Tianyu Fu, Hong Song, Deqiang Xiao, Jian Yang

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Automated Universal Lesion Detection (ULD) based on computed tomography (CT) images provides physicians with rapid and objective information regarding lesion locations and shapes. However, it is difficult to detect universal lesions in various regions because of the disparity in lesion sizes and the grayscale variation present in CT images. In this paper, we propose DetectDiffuse, a multi-scale diffusion model driven by feature aggregation and 3D attention. First, we utilize the diffusion model to generate noisy detection boxes, incorporating a scale factor to simulate lesions at different scales and mitigate detection errors. Second, we develop a Neighborhood Aggregation (NA) module to enhance the model’s capability to distinguish between lesioned and normal tissues. This module aggregates features within and around detection boxes, reducing false detections caused by significant grayscale differences in lesions. Third, we propose a 3D Stripe Attention (SA) module leveraging dimensional disambiguation. This module uses an attention mechanism to extract information across different dimensions of CT images more effectively. We performed comparison experiments on five datasets, the results show that the proposed method outperforms the 12 compared state-of-the-art methods, and improves the performance by 5.82% compared with the best method.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer Assisted Intervention, MICCAI 2025 - 28th International Conference, 2025, Proceedings
EditorsJames C. Gee, Jaesung Hong, Carole H. Sudre, Polina Golland, Daniel C. Alexander, Juan Eugenio Iglesias, Archana Venkataraman, Jong Hyo Kim
PublisherSpringer Science and Business Media Deutschland GmbH
Pages154-164
Number of pages11
ISBN (Print)9783032049704
DOIs
Publication statusPublished - 2026
Externally publishedYes
Event28th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2025 - Daejeon, Korea, Republic of
Duration: 23 Sept 202527 Sept 2025

Publication series

NameLecture Notes in Computer Science
Volume15964 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference28th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2025
Country/TerritoryKorea, Republic of
CityDaejeon
Period23/09/2527/09/25

Keywords

  • 3D Stripe Aggregation
  • Neighbor boxes Aggregation
  • Universal Lesion Detection

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