Robust medical image segmentation across modalities remains challenging due to severe domain shifts and the lack of target-domain labels. While diffusion models have been explored for cross-domain generation and augmentation, target-domain conditional diffusion training typically relies on highly noisy pseudo masks; naively conditioning on a single Arg-Max pseudo-label can corrupt diffusion training and downstream segmentation. We propose UPDiff-UDA, a unified UDA framework whose core is an uncertainty-guided training objective for target-domain conditional diffusion. Given an imperfect source-trained segmenter, we use its per-pixel softmax distribution to form ranked pseudo-label maps (Arg-Max, Arg-2nd, Arg-3rd, ...). Each map yields a conditional score estimate, and we aggregate them via pixel-wise confidence weighting to obtain an uncertainty-reweighted score for score matching, improving robustness to pseudo-label noise while leveraging alternative plausible labels in uncertain regions. We further provide a theoretical justification showing that confidence-weighted aggregation follows a minimum-MSE convex-combination principle under the segmenter-induced surrogate label distribution. To improve pseudo-condition quality, we also introduce a feature-guided, low-degree-of-freedom Bézier curve adaptation to reduce appearance gaps. Experiments on multiple public datasets and modality shifts show that UPDiff-UDA generates high-fidelity labeled target-style samples for augmentation and consistently outperforms strong UDA baselines. The code for this project is available at: https://github.com/superlc1995/Multi-Channel-Uncertainty-Diffusion-UDA
Unsupervised domain adaptation (UDA) aims to learn a target-domain classifier from labeled source data and unlabeled target data under distribution shift. Recent diffusion-based UDA methods approach this problem by synthesizing labeled target-style images and training on the resulting synthetic data. However, their performance depends heavily on the conditioning design: class prompts provide only coarse guidance, while domain adaptation modules mainly control appearance, which may leave target-style synthesis insufficiently specified. We propose VT-DUDA, a visual-token conditioning framework for diffusion-guided UDA. Instead of relying only on text prompts, VT-DUDA uses source images to provide additional instance-level visual context for target-style synthesis. Specifically, VT-DUDA maps each source image to a compact sequence of visual tokens and forms a hybrid conditioning context by concatenating these tokens with the corresponding text embeddings along the cross-attention context dimension of a latent diffusion model. This provides instance-dependent conditioning beyond text alone, while synthesis is performed with the target-domain adapter branch. Because guidance is represented explicitly as a token sequence, the same interface also permits inference-time manipulation of the conditioning signal through token selection and token-strength adjustment. The proposed method preserves the standard diffusion objective and can be integrated into existing adapter-based diffusion frameworks without modifying the backbone. Across Office-31, Office-Home, and VisDA-2017, VT-DUDA improves average target-domain accuracy over strong discriminative and diffusion-based UDA baselines. The results suggest that, in generation-based UDA, a stronger conditioning interface can improve the downstream usefulness of synthetic target-style data.
Diffusion models are primarily trained for image synthesis, yet their denoising trajectories encode rich, spatially aligned visual priors. In this paper, we demonstrate that these priors can be utilized for text-conditioned semantic and open-vocabulary segmentation, and this approach can be generalized to various downstream tasks to make a general-purpose diffusion segmentation framework. Concretely, we introduce DiGSeg (Diffusion Models as a Generalist Segmentation Learner), which repurposes a pretrained diffusion model into a unified segmentation framework. Our approach encodes the input image and ground-truth mask into the latent space and concatenates them as conditioning signals for the diffusion U-Net. A parallel CLIP-aligned text pathway injects language features across multiple scales, enabling the model to align textual queries with evolving visual representations. This design transforms an off-the-shelf diffusion backbone into a universal interface that produces structured segmentation masks conditioned on both appearance and arbitrary text prompts. Extensive experiments demonstrate state-of-the-art performance on standard semantic segmentation benchmarks, as well as strong open-vocabulary generalization and cross-domain transfer to medical, remote sensing, and agricultural scenarios-without domain-specific architectural customization. These results indicate that modern diffusion backbones can serve as generalist segmentation learners rather than pure generators, narrowing the gap between visual generation and visual understanding.
Clinical cardiac imaging pipelines currently deploy separate models for each dataset and modality, incurring redundant training costs and precluding knowledge sharing across anatomically related tasks. Consolidating semi-supervised learning, unsupervised domain adaptation, and domain generalisation into one model is therefore a practical necessity, yet naive joint training exposes a fundamental barrier: conflicting label semantics between datasets collapse LA Dice from 90.31% to 83.38%, while gradient imbalance across tasks of unequal complexity suppresses the weaker tasks throughout training. We present UniT-Diff, a unified diffusion segmentation framework that resolves these conflicts through three targeted mechanisms. An 11-channel task-specific output space physically partitions label categories, eliminating cross-task gradient sign reversal by construction. SNR-Adaptive Task Conditioning (SATC) scales the task token by the log signal-to-noise ratio of the current diffusion timestep, suppressing domain-specific bias during coarse denoising and restoring full task guidance as the signal clears. Task-Type-Aware Conditional Dropout (TTACD) permanently removes the task token for domain-generalisation inputs, routing them through a shared neutral pathway that draws on cross-dataset cardiac anatomy rather than source-vendor statistics. Under a single parameter set, UniT-Diff surpasses independently trained task-specific baselines on all three benchmarks simultaneously: +0.87% on LA, +1.77% on MMWHS, and +0.88% on MNMS.