TensorLDM: A Component-Wise Latent Diffusion Model for Volumetric DTI Reconstruction from Sparse DWIs

Direct diffusion modeling of high-resolution spatiotemporal fields is computationally challenging. Parameter-efficient primitives address this by representing high-dimensional data with a compact set of parameters. In this paper, we construct data-dependent tensor primitives without pretrained compression autoencoders. Our construction starts from Tucker decomposition, which captures low-rank multilinear structure through a core tensor and mode-wise factors. However, Tucker factors are non-unique: the same tensor can be represented by different rotated factors, which complicates generative modeling. We address this issue with orthogonal Procrustes (OP) alignment. Specifically, we select medoid anchor matrices from the data and align the factor matrices to resolve the gauge ambiguity. This yields matrix Grassmannian primitives and tensor Grassmannian primitives that are compact, data-adaptive, and directly decodable by explicit multilinear reconstruction. Theoretically, we prove that the proposed primitive maps are homeomorphisms between low-rank tensors and their corresponding primitive spaces, certifying that the representations are non-degenerate and topologically faithful. Building on these primitives, we propose Diffusion in Aligned Tensor Space (DiffATS), a generative framework that trains diffusion models directly on aligned tensor primitives. Across images, videos, and PDE solutions, DiffATS achieves strong unconditional and conditional generation performance while compressing original data by $3.9\times$ to $210\times$, without relying on any pretrained deep compression autoencoders.

Three-dimensional (3D) brain MRI is central to clinical neurology and neuro-oncology, where generative models could augment under-represented cohorts, simulate disease trajectories, and support privacy-preserving data sharing. Latent diffusion has been the go-to solution for modeling imaging data, but it places two competing demands on the tokenizer: encoder embeddings must retain the clinical information that downstream tasks act on, and the decoder must reconstruct anatomically faithful volumes. Existing reconstruction-driven tokenizers achieve the second at the expense of the first. To address this, we introduce a fully volumetric masked-autoencoder (MAE) based tokenizer for 3D brain MRI latent diffusion, decoupling encoder and decoder: a frozen 3D MAE encoder produces clinically informative embeddings, while a dedicated CNN decoder reconstructs voxels from a linear projection of those embeddings. We pretrain the encoder on 35,309 volumes from 18 public cohorts spanning four modalities, ten disease categories, and 200+ acquisition sites, and demonstrate its dual utility in two settings. First, on a 23-task linear-probing benchmark, the encoder outperforms or matches SOTA models (i.e., BrainIAC, BrainSegFounder, and MedicalNet) on 21 of 23 tasks. Second, a conditional diffusion transformer (DiT) trained on these clinically informative embeddings supports both conditional generation across six variables and patient-specific longitudinal forecasting. Together these results establish a single 3D brain-MRI embedding space capable of both downstream clinical tasks and controllable generation.

We introduce TCAM-Diff, a novel 3D medical image generation model that reduces the memory requirements to encode and generate high-resolution 3D data. This model utilizes a decoder-only autoencoder method to learn triplane representation from dense volume and leverages generalization operations to prevent overfitting. Subsequently, it uses a triplane-aware cross-attention diffusion model to learn and integrate these features effectively. Furthermore, the features generated by the diffusion model can be rapidly transformed into 3D volumes using a pre-trained decoder module. Our experiments on three different scales of medical datasets, BrainTumour 128 x 128 x 128, Pancreas 256 x 256 x 256, and Colon 512 x 512 x 512, demonstrate outstanding results. We utilized MSE and SSIM to assess reconstruction quality and leveraged the Wasserstein Generative Adversarial Network (W-GAN) critic to assess generative quality. Comparisons with existing approaches show that our method gives better reconstruction and generation results than other encoder-decoder methods with similar-sized latent spaces.