A generalist model for diverse text-guided medical image synthesis
Deep learning requires extensive data to achieve robust performance. However, data availability is often restricted in medicine due to patient privacy concerns. Synthetic data from medical image generative models present a possible solution to these challenges. Unfortunately, many models are often task-specific or trained on private datasets, limiting scalability and reproducibility. To address this, we introduce MediSyn: an open-access, generalist, text-guided latent diffusion model. MediSyn can generate images across 6 medical specialties and 10 imaging modalities, while being trained exclusively on public data. Our study provides several key contributions using MediSyn. First, we demonstrate that a generalist model can generate images of comparable quality to task-specific models across multiple specialties. Second, we show that this generalist approach is more computationally efficient than a suite of task-specific models. Third, we establish that a generalist model can produce realistic, text-aligned images across visually and medically distinct modalities. Fourth, we empirically demonstrate that these synthetic images are visually distinct from real images used in training. Finally, we show that a generalist model can produce images that improve classifier performance in data-limited settings across multiple specialties. Altogether, our findings highlight the potential of generalist image generative models to accelerate medical algorithmic research and development.
Authors
- Robyn Fong (ORCID: https://orcid.org/0000-0002-7953-5109)
- Cyril Zakka (ORCID: https://orcid.org/0000-0001-8446-2349)
- Kelly C. Higa (ORCID: https://orcid.org/0000-0001-8409-9017)
- Dhamanpreet Kaur (ORCID: https://orcid.org/0000-0001-6123-7499)
- Lyna Azzouz (ORCID: https://orcid.org/0000-0002-0077-0115)
- Karen M. Wai (ORCID: https://orcid.org/0000-0001-8980-2242)
- Matthew M. Duda (ORCID: https://orcid.org/0000-0003-1442-7614)
- Cindy S. Zhao (ORCID: https://orcid.org/0000-0001-9925-2985)
- William Hiesinger (ORCID: https://orcid.org/0000-0002-3548-2578)
- Akshay Sanjay Chaudhari (ORCID: https://orcid.org/0000-0002-3667-6796)
- Ehsan Rahimy (ORCID: https://orcid.org/0000-0001-8446-7078)
- Mrudang Mathur (ORCID: https://orcid.org/0000-0002-9273-5586)
- Aravind Krishnan (ORCID: https://orcid.org/0000-0003-0746-6674)
- Joseph Cho (ORCID: https://orcid.org/0009-0004-7452-594X)
- Ashley Choi
- Matthew Leipzig
- Eubee Koo
- Alex Dalal
- Rohan Shad
Institutions
- Stanford Medicine (US)
- University of Pennsylvania (US)
- Stanford University (US)
Publication Details
- Journal
- npj Digital Medicine
- Published
- 2026-10-16
- DOI
- https://doi.org/10.1038/s41746-026-03381-z
- Citations
- 2
- Primary Topic
- Generative Adversarial Networks and Image Synthesis
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- American Heart Association
- National Heart, Lung, and Blood Institute