PGDiffSeg: Prior-Guided Denoising Diffusion Model with Parameter-Shared Attention for Breast Cancer Segmentation

Abstract

Early detection through imaging and accurate diagnosis is crucial in mitigating the high mortality rate associated with breast cancer. However, locating tumors from low-resolution and high-noise medical images is extremely challenging. Therefore, this paper proposes a novel PGDiffSeg (Prior-Guided Diffusion Denoising Model with Parameter-Shared Attention) that applies diffusion denoising methods to breast cancer medical image segmentation, accurately recovering the affected areas from Gaussian noise. Firstly, we design a parallel pipeline for noise processing and semantic information processing and propose a parameter-shared attention module (PSA) in multi-layer that seamlessly integrates these two pipelines. This integration empowers PGDiffSeg to incorporate semantic details at multiple levels during the denoising process, producing highly accurate segmentation maps. Secondly, we introduce a guided strategy that leverages prior knowledge to simulate the decision-making process of medical professionals, thereby enhancing the model's ability to locate tumor positions precisely. Finally, we provide the first-ever discussion on the interpretability of the generative diffusion model in the context of breast cancer segmentation. Extensive experiments have demonstrated the superiority of our model over the current state-of-the-art approaches, confirming its effectiveness as a flexible diffusion denoising method suitable for medical image research. Our code will be publicly available later.