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arXiv — cs.AI preprintsInternational5 October 2026

Uncertainty as a Proxy for Semantic Correctness in Diffusion-Based Medical Image Synthesis

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arXiv:2610.03224v1 Announce Type: cross Abstract: Diffusion models can synthesise contrast-enhanced CT (CECT) from non-contrast CT (NCCT), avoiding contrast administration and its environmental and patient-access costs. However, visually realistic images are not necessarily anatomically correct, and the pixel-intensity and feature-space similarity metrics used to assess generation quality do not directly measure anatomical correctness. In this work, we investigate whether uncertainty can serve as a proxy for semantic correctness in diffusion-based medical image synthesis. We study NCCT-to-CECT
— arXiv — cs.AI preprints

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