Radio maps (RMs) provide spatially continuous propagation characterizations essential for 6G network planning, but high-fidelity RM construction remains challenging. Rigorous electromagnetic solvers incur prohibitive computational latency, while data-driven models demand massive labeled datasets and generalize poorly from simplified simulations to complex multipath environments. This paper proposes RadioDiff-FS, a few-shot diffusion framework that adapts a pre-trained main-path generator to multipath-rich target domains with only a small number of high-fidelity samples. The adaptation is grounded in a theoretical decomposition of the multipath RM into a dominant main-path component and a directionally sparse residual. This decomposition shows that the cross-domain shift corresponds to a bounded and geometrically structured feature translation rather than an arbitrary distribution change. A Direction-Consistency Loss (DCL) is then introduced to constrain diffusion score updates along physically plausible propagation directions, suppressing phase-inconsistent artifacts that arise in the low-data regime. Experiments show that RadioDiff-FS reduces NMSE by 59.5% on static RMs and by 74.0% on dynamic RMs relative to the vanilla diffusion baseline, achieving an SSIM of 0.9752 and a PSNR of 36.37 dB under severely limited supervision.

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