Align-cDAE: Attention-Aligned Conditional Diffusion Auto-encoder for Alzheimer's Disease Progression

03 Dec 2025 (modified: 15 Dec 2025)MIDL 2026 Conference SubmissionEveryoneRevisionsBibTeXCC BY 4.0
Keywords: Multi-modal Conditions, Conditional Alignment, Denoising Diffusion Model, Progression Modeling, Alzheimer’s Disease.
TL;DR: Attention-Aligned Conditional Diffusion Auto-encoder
Abstract: The integration of multi-modal conditioning with diffusion modeling approaches has been shown to be effective in image-to-image translation tasks. Existing mechanisms usually integrate conditioning information from other modalities by projecting it into a feature space compatible with the image representations. Although these strategies yield improved performance, they do not ensure that information from non-imaging conditioning modalities meaningfully aligns with image features and precisely modulates the generated outputs. In order to better incorporate information from other modalities, we propose a diffusion auto-encoder-based framework for disease progression modeling that explicitly focuses on conditional alignment. This alignment is introduced by constraining the attention between (i) the conditioning attributes and (ii) the feature representations of the model, to focus on the regions exhibiting progression-related changes. This constraint consequently shifts the attention of different layers of the model towards progression-specific regions, generating the required precise anatomical changes. Further, the diffusion auto-encoding-based formulation provides latent representations of images that are compact in nature and suitable for integration of conditions. We have experimentally validated the performance of our model by evaluating on Alzheimer's disease progression generation through various image-level metrics and volumetric assessments. These results demonstrate that enforcing conditional alignment within a diffusion auto-encoding framework leads to more anatomically precise modeling of Alzheimer's disease progression.
Primary Subject Area: Image Synthesis
Secondary Subject Area: Generative Models
Registration Requirement: Yes
Visa & Travel: Yes
Read CFP & Author Instructions: Yes
Originality Policy: Yes
Single-blind & Not Under Review Elsewhere: Yes
LLM Policy: Yes
Submission Number: 326
Loading