The enhanced performance of AI has accelerated its integration into scientific research. In particular, the use of generative AI to create scientific hypotheses is promising and is increasingly being applied across various fields. However, when employing AI-generated hypotheses for critical decisions, such as medical diagnoses, verifying their reliability is crucial. In this study, we consider a medical diagnostic task using generated images by diffusion models, and propose a statistical test to quantify its reliability. The basic idea behind the proposed statistical test is to employ a selective inference framework, where we consider a statistical test conditional on the fact that the generated images are produced by a trained diffusion model. Using the proposed method, the statistical reliability of medical image diagnostic results can be quantified in the form of a p-value, allowing for decision-making with a controlled error rate. We show the theoretical validity of the proposed statistical test and its effectiveness through numerical experiments on synthetic and brain image datasets.
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