Techniques are described for generating mono-modality training image data from multi-modality image data and using the mono-modality training image data to train and develop mono-modality image inferencing models. A method embodiment comprises generating, by a system comprising a processor, a synthetic 2D image from a 3D image of a first capture modality, wherein the synthetic 2D image corresponds to a 2D version of the 3D image in a second capture modality, and wherein the 3D image and the synthetic 2D image depict a same anatomical region of a same patient. The method further comprises transferring, by the system, ground truth data for the 3D image to the synthetic 2D image. In some embodiments, the method further comprises employing the synthetic 2D image to facilitate transfer of the ground truth data to a native 2D image captured of the same anatomical region of the same patient using the second capture modality.