SANA I2I: A Text Free Flow Matching Framework for Paired Image to Image Translation with a Case Study in Fetal MRI Artifact Reduction
Italo Felix Santos, Gilson Antonio Giraldi, Heron Werner Junior

TL;DR
SANA-I2I is a novel text-free, flow-based image-to-image translation framework that effectively reduces fetal MRI motion artifacts using paired data, without relying on textual prompts.
Contribution
It introduces a purely image-based conditional flow-matching model for high-resolution medical image translation, removing the need for textual conditioning.
Findings
Effectively suppresses fetal MRI motion artifacts
Preserves anatomical structures during translation
Achieves competitive performance with few inference steps
Abstract
We propose SANA-I2I, a text-free high-resolution image-to-image generation framework that extends the SANA family by removing textual conditioning entirely. In contrast to SanaControlNet, which combines text and image-based control, SANA-I2I relies exclusively on paired source-target images to learn a conditional flow-matching model in latent space. The model learns a conditional velocity field that maps a target image distribution to another one, enabling supervised image translation without reliance on language prompts. We evaluate the proposed approach on the challenging task of fetal MRI motion artifact reduction. To enable paired training in this application, where real paired data are difficult to acquire, we adopt a synthetic data generation strategy based on the method proposed by Duffy et al., which simulates realistic motion artifacts in fetal magnetic resonance imaging (MRI).…
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