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Controllable Generation with Diffusion Models and Applications in Medical Imaging

Shentu, Junjie

Durham e-Theses (Durham University), 2026

Abstract

Deep generative modeling has undergone rapid advancement in recent years, with diffusion models (DMs) emerging as a dominant framework for high-fidelity and diverse image synthesis. A core strength of DMs is their inherent controllability, offering the ability to steer generation through various conditions. Despite these advantages, achieving reliable controllability remains challenging, as issues such as concept entanglement, multimodal misalignment, and limited adaptability to specialized domains continue to restrict the practical deployment of DMs. These challenges become even more pronounced in medical imaging, where controllability is essential for tasks such as targeted data augmentation, but research on controllable generation using DMs within medical imaging remains limited. In this thesis, I investigate controllable generation with DMs from both theoretical and application-oriented perspectives. First, I advance the understanding of controllability in general-purpose text-to-image DMs by introducing an attention-driven framework for disentangling and customizing multiple visual concepts from a single image. This framework effectively mitigates issues of feature fusion and asynchronous learning across concepts that degrade customization quality, improving fidelity and control in customized generation. Building on the insights into attention-based guidance, I then explore controllable generation in medical imaging, focusing primarily on dermoscopic and chest X-ray…

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