Scalable Differentially Private Data Compression via Diffusion and Stochastic Codes

Differential privacy (DP)'s effect in medical imaging is typically evaluated only through end-to-end performance, leaving the mechanism of privacy-induced utility loss unclear. We introduce Differential Privacy Representation Geometry for Medical Imaging (DP-RGMI), a framework that interprets DP as a structured transformation of representation space and decomposes performance degradation into encoder geometry and task-head utilization. Geometry is quantified by representation displacement from initialization and spectral effective dimension, while utilization is measured as the gap between linear-probe and end-to-end utility. Across over 594,000 images from four chest X-ray datasets and multiple pretrained initializations, we show that DP is consistently associated with a utilization gap even when linear separability is largely preserved. At the same time, displacement and spectral dimension exhibit non-monotonic, initialization- and dataset-dependent reshaping, indicating that DP alters representation anisotropy rather than uniformly collapsing features. Correlation analysis reveals that the association between end-to-end performance and utilization is robust across datasets but can vary by initialization, while geometric quantities capture additional prior- and dataset-conditioned variation. These findings position DP-RGMI as a reproducible framework for diagnosing privacy-induced failure modes and informing privacy model selection.

The rate-distortion-perception (RDP) trade-off extends classical rate--distortion theory by imposing a distributional constraint on reconstructions, providing a unified framework for neural image compression that jointly governs fidelity and perceptual realism. While prior work achieves near-optimal rate--perception trade-offs, practical frameworks explicitly realizing the full RDP surface remain scarce, primarily due to the difficulty of introducing common randomness at the decoder. We propose DCIC (Dual-Constrained Diffusion Image Compression), which integrates a learned codec with a diffusion-based decoder governed by joint distortion and idempotence constraints. The distortion constraint bounds reconstruction fidelity relative to the base codec output; the idempotence constraint -- requiring that re-encoding the restored image recovers the base codec reconstruction -- serves as a tractable surrogate for the distributional perception requirement. Together, they steer the reverse denoising process via iterative optimization with consistent noise injection, realizing common randomness without additional rate overhead. At fixed rate, dual attenuation factors $(K_D, K_P)$ jointly navigate the Pareto frontier of the distortion-perception plane, enabling continuously adjustable fidelity-realism trade-offs from a single bitstream. DCIC$_{RD}$ ($K_P{=}0$) and DCIC$_{RP}$ ($K_D{=}0$) arise as boundary curves, with DCIC$_{RDP}$ ($K_D = K_P=1$) realizing the optimal interior operating point. Experiments on CelebA-HQ, CLIC2020, and ImageNet-1K across CNN, Transformer, and hybrid architectures confirm that DCIC$_{RDP}$ achieves superior BD-PSNR over all perceptual codecs, while DCIC$_{RP}$ matches dedicated perception-oriented methods in BD-FID, validating the practical value of full RDP surface navigation.

Most existing extreme compression methods fail to achieve an optimal rate-distortion-perception trade-off, as they typically prioritize perceptual fidelity and visual realism over pixel-level accuracy. Consequently, the resulting reconstructions often deviate noticeably from the originals. Ultra-low bitrate image compression is therefore crucial-not only for producing extremely compact representations but also for ensuring that reconstructed images remain semantically coherent and faithful to the source at the pixel level. To this end, we propose SPRDiff, a diffusion-based compression method that fully leverages both semantic and pixel representations, thereby enhancing reconstruction fidelity under ultra-low bitrate constraints. Specifically, we develop a triple-encoder architecture that utilizes high-fidelity features from the pretrained distortion-oriented and semantic-oriented encoders to compensate for the limited representations extracted by the frozen VAE encoder, thereby improving latent compression and entropy modeling. To further enhance the reconstruction fidelity of diffusion models, we introduce a distortion-aware reconstruction module with dual feature extraction. This module not only generates a coarse reconstruction that preserves the main structures, but also provides practical and accurate semantic- and pixel-level conditional signals to guide the diffusion model. Extensive experiments on benchmark datasets demonstrate that our method outperforms state-of-the-art approaches in the rate-distortion-perception tradeoff at extremely low bitrates (below 0.03 bpp), effectively preserving both perceptual quality and pixel-wise fidelity in the reconstructed images. We will release the source code and trained models at https://github.com/cshw2021/SPRDiff.