Images produced by text-to-image diffusion models might not always faithfully represent the semantic intent of the provided text prompt, where the model might overlook or entirely fail to produce certain objects. Existing solutions often require customly tailored functions for each of these problems, leading to sub-optimal results, especially for complex prompts. Our work introduces a novel perspective by tackling this challenge in a contrastive context. Our approach intuitively promotes the segregation of objects in attention maps while also maintaining that pairs of related attributes are kept close to each other. We conduct extensive experiments across a wide variety of scenarios, each involving unique combinations of objects, attributes, and scenes. These experiments effectively showcase the versatility, efficiency, and flexibility of our method in working with both latent and pixel-based diffusion models, including Stable Diffusion and Imagen. Moreover, we publicly share our source code to facilitate further research.

Recent advances in synthetic imaging open up opportunities for obtaining additional data in the field of surgical imaging. This data can provide reliable supplements supporting surgical applications and decision-making through computer vision. Particularly the field of image-guided surgery, such as laparoscopic and robotic-assisted surgery, benefits strongly from synthetic image datasets and virtual surgical training methods. Our study presents an intuitive approach for generating synthetic laparoscopic images from short text prompts using diffusion-based generative models. We demonstrate the usage of state-of-the-art text-to-image architectures in the context of laparoscopic imaging with regard to the surgical removal of the gallbladder as an example. Results on fidelity and diversity demonstrate that diffusion-based models can acquire knowledge about the style and semantics in the field of image-guided surgery. A validation study with a human assessment survey underlines the realistic nature of our synthetic data, as medical personnel detects actual images in a pool with generated images causing a false-positive rate of 66%. In addition, the investigation of a state-of-the-art machine learning model to recognize surgical actions indicates enhanced results when trained with additional generated images of up to 5.20%. Overall, the achieved image quality contributes to the usage of computer-generated images in surgical applications and enhances its path to maturity.