Tracking neurite morphology over time helps characterize structural changes during neuronal development and deterioration, but long-term time-lapse imaging is resource-intensive and difficult to scale. Forecasting future morphology could reduce this burden.

Existing neurite digital-twin models such as gated spatiotemporal attention (gSTA) produce a single deterministic forecast without representing variability among plausible futures. We introduce Morphology-Gated Residual Diffusion (MGRD), a compact stochastic surrogate that jointly forecasts twenty future neurite-morphology frames from ten observed frames while conditioning on morphology features derived from the latest observation.

On controlled phase-field trajectories, MGRD reduces trajectory-wise mean MAE by 9.7% relative to a matched control while updating 4.46 times fewer parameters. On human iPSC-derived neuron microscopy, MGRD improves all four reported metrics over gSTA, including a 39.6% reduction in trajectory-wise mean MAE and a 45.3% increase in skeleton F1.

Without mouse-domain retraining or fine-tuning, MGRD also improves MAE and skeleton F1 on mouse cortical-neurosphere microscopy across 10-40-min sampling intervals and forecast horizons beyond 13 hours. Repeated sampling provides a case-level variance score for ranking forecast difficulty.

Retaining approximately 60% of the lowest-variance cases reduces mean MAE by 17.6% on iPSC microscopy and 16.8% on simulation data. MGRD uses 1.01% of gSTA's parameters, requires less than one tenth of its training-update time, and generates a 50-step DDIM trajectory 7.9% faster when morphology features are cached.

These results establish MGRD as a compact stochastic surrogate for neurite-morphology forecasting and case prioritization across simulation and microscopy datasets.