Echo-DND: A Dual Noise Diffusion Model for Robust and Precise Left Ventricle Segmentation in Echocardiography

1Department of Chemical Engineering, Indian Institute of Technology Delhi 2Yardi School of Artificial Intelligence, Indian Institute of Technology Delhi
Published in Discover Applied Sciences (Springer Nature), 2025

Abstract

Recent advancements in diffusion probabilistic models (DPMs) have revolutionized image processing, demonstrating significant potential in medical applications. Accurate segmentation of the left ventricle (LV) in echocardiograms is crucial for diagnostic procedures and necessary treatments. However, ultrasound images are notoriously noisy with low contrast and ambiguous LV boundaries, thereby complicating the segmentation process. To address these challenges, this paper introduces Echo-DND, a novel dual-noise diffusion model specifically designed for this task. Echo-DND leverages a unique combination of Gaussian and Bernoulli noises. It also incorporates a multi-scale fusion conditioning module to improve segmentation precision. Furthermore, it utilizes spatial coherence calibration to maintain spatial integrity in segmentation masks. The model's performance was rigorously validated on the CAMUS and EchoNet-Dynamic datasets. Extensive evaluations demonstrate that the proposed framework outperforms existing state-of-the-art models. It achieves high Dice scores of 0.962 and 0.939 on these datasets, respectively. The proposed Echo-DND model establishes a new standard in echocardiogram segmentation, and its architecture holds promise for broader applicability in other medical imaging tasks, potentially improving diagnostic accuracy across various medical domains.

Echo-DND Architecture

Echo-DND Model Architecture

Overall architecture of the Echo-DND model, illustrating the dual noise (Gaussian and Bernoulli) diffusion pathways, the Multi-scale Fusion Conditioning Module (MFCM), and the integration of various loss components including Spatial Coherence Calibration (SCC).

BibTeX Citation

@article{Rahman2025EchoDND,
  author    = {Rahman, Abdur and Balraj, Keerthiveena and Ramteke, Manojkumar and Rathore, Anurag Singh},
  title     = {Echo-DND: a dual noise diffusion model for robust and precise left ventricle segmentation in echocardiography},
  journal   = {Discover Applied Sciences},
  volume    = {7},
  number    = {514},
  year      = {2025},
  month     = {May},
  doi       = {10.1007/s42452-025-07055-5},
  url       = {https://doi.org/10.1007/s42452-025-07055-5},
  publisher = {Springer Nature}
}