Identity Diffuser: Preserving Abnormal Region of Interests While Diffusing Identity

To release medical images that can be freely used in downstream processes while maintaining their utility, it is necessary to remove personal features from the images while preserving the lesion structures. Unlike previous studies that focused on removing lesion structures while preserving the individuality of medical images, this study proposes and validates a new framework that maintains the lesion structures while diffusing individual characteristics. In this framework, we apply local differential privacy techniques to provide theoretical guarantees of privacy protection. Additionally, to enhance the utility of protected medical images, we perform denoising using a diffusion model on the noise-contaminated medical images. Numerous chest X-rays generated by the proposed method were evaluated by physicians, revealing a trade-off between the level of privacy protection and utility. In other words, it was confirmed that increasing the level of personal information protection tends to result in relatively lower utility. This study potentially enables the release of certain types of medical images that were previously difficult to share.