arXiv Computer Vision

Anatomy-Guided Foundation Model Adaptation with Within-Case Prototype Supervision for Standard Plane Detection in Fetal Ultrasound Blind Sweeps

AnatoProto is a lightweight sequence‑level framework that adapts a frozen BiomedCLIP encoder for detecting the fetal abdominal circumference standard plane in low‑cost obstetric blind sweeps. It incorporates anatomy‑weighted spatial pooling, a within‑case prototype loss, a three‑stage cascade refinement, and a hybrid prediction head to address the highly imbalanced, short‑segment nature of the task. On the ACOUSLIC‑AI benchmark, AnatoProto achieves a test F1 of 67.72, surpassing the best foundation‑model baseline by 13.20 F1 and the best video temporal‑action‑detection baseline by 15.76 F1.

arXiv AI
Oct 15

FETALFusion: Resolution-Aware State-Space Modeling for Multi-Domain Fetal Head Segmentation

FETALFusion is a dual‑path CNN‑Mamba encoder‑decoder designed for fetal head segmentation in 2D ultrasound across transabdominal and transperineal acquisition types. It uses four‑directional state‑space scans at the highest‑resolution stages, domain‑specific channel gates, and a weak landmark shape prior, achieving a Dice score of 0.963 and an HD95 of 2.10 mm on a held‑out test set of 471 images. Ablation studies show that the landmark prior and domain gates drive most of the performance gains, while the state‑space branch has minimal impact. whyItMatters":"The method provides highly accurate fetal head segmentation without test‑time augmentation or domain labels, enabling reliable head circumference measurement for monitoring fetal growth."

By Ammar Bhilwarawala, Mainak Bandyopadhyay
arXiv Computer Vision
Sep 18

Open ultrasound foundation model for robust segmentation and clinical measurement across heterogeneous settings

The paper introduces SonoCorpus, an open dataset of 456,963 ultrasound images with 1,626,085 expert masks from 53 public sources across 24 clinical applications and 17 countries, and SonoBase, an interactive segmentation foundation model pretrained on this data. SonoBase outperforms existing models (SAM2, MedSAM2, MedSAM3) on fifteen diverse evaluation datasets, matching specialist models and achieving clinically relevant accuracy for metrics such as ejection fraction, fetal head circumference, and gestational age. The authors provide full reproducibility resources, including checkpoints, optimizer states, and starter code, to enable community adoption and further development.

By Chao Qin, Fahad Shahbaz Khan, Salman Khan, Sarim Ather, Siddiq Anwar, Rao Muhammad Anwer, Shadab Khan
arXiv AI
Sep 7

Measuring proximity to standard planes during fetal brain ultrasound scanning

This study introduces a pipeline that enhances ultrasound plane pose estimation for fetal brain imaging by providing continuous, real‑time proximity feedback to standard planes (SPs). It employs a semi‑supervised segmentation model achieving high mIoU scores on both SPs and non‑SPs, and integrates a classification step to filter out frames without the fetal brain. The system, validated on an NVIDIA Clara AGX edge device, runs at 39 Hz and has been tested on real scan videos from 17 sonographers, demonstrating its practical viability for clinical use.

By Chiara Di Vece, Antonio Cirigliano, Meala Le Lous, Raffaele Napolitano, Anna L. David, Donald Peebles, Pierre Jannin, Francisco Vasconcelos, Danail Stoyanov
arXiv AI
Jun 10

FADA: Accessible fetal ultrasound interpretation and annotation with a selectively distilled unified vision-language model

arXiv:2606. 11106v1 Announce Type: cross Abstract: A global shortage of trained sonographers limits prenatal ultrasound screening in low- and middle-income countries, where over half of pregnant women receive no skilled sonography.

By Mahmood Alzubaidi, Uzair Shah, Raden Muaz, Ines Abbes, Nader Mohammed, Abdullatif Magram, Khalid Alyafei, Mowafa Househ, Marco Agus
arXiv Computer Vision
Sep 28

Towards Whole-Study Screening for Congenital Heart Disease in Fetal Ultrasound Using Multiple Instance Learning

The paper presents a two‑stage framework for prenatal congenital heart disease (CHD) screening that operates directly on whole fetal ultrasound studies. It first learns transferable frame representations via self‑supervised masked‑autoencoder pre‑training, then identifies cardiac frames with a disease‑robust module and aggregates them using a transformer‑based multiple instance learning model to produce a case‑level diagnosis. The approach achieves high performance (AUC 0.985, specificity 0.990) on an internal test set and, after label‑free CORAL adaptation, improves to an AUC of 0.944 on an external cohort, outperforming existing baselines.

By Mohamed Azzam, Ruobing Liu, Esther C. Ugwueke, Ziyang Xu, Shibiao Wan, Alex Foy, Abraham Zabih, Jason Christensen, Neil Hamill, Ling Li, Jieqiong Wang
arXiv Computer Vision
Oct 23

Pos4CHD: A Positive-Free Mask-Guided Counterfactual Synthesis Framework for Fetal Congenital Heart Defect Analysis

Pos4CHD is a positive‑free, mask‑guided counterfactual synthesis framework designed to generate realistic fetal heart ultrasound images with congenital heart defects (CHDs) from only normal samples. It introduces FE‑Gen, a mask‑guided generative model that improves image‑mask alignment, and uses manipulated semantic masks to render anatomically consistent pseudo‑positive images. Experiments on in‑house datasets and expert evaluations show high visual fidelity (−12.97 FID) and anatomical consistency (+3.96% DSC), and the synthesized data boosts performance in zero‑shot classification, lesion detection, and anatomy segmentation tasks.

By Wenjie Xuan, Yapeng Li, Hang Su, Chen Cheng, Juhua Liu, Sheng Zhao, Ziming Huang, Bo Du
arXiv Machine Learning
Aug 4

MedSAM2-Anatomy: Training-Free Inference-Time Optimization for Musculoskeletal Segmentation

arXiv:2608. 00195v1 Announce Type: cross Abstract: High-resolution 3D segmentation of hip and shoulder anatomy from CT and MRI is essential for surgical planning, yet frozen segmentation models often fail under domain shift.

By John Garcia Henao, Nicholas B\"unger, Benedikt Herzog, Cindy Guerrero Toro, Benjamin Vella, Matthias Biner, Rico Br\"utsch, Carmen Castroviejo Fernandez, Felix \"Ottl, Norman Juchler, Armando Hoch, Bettina Hochreiter, Sven Hirsch, Sebastiano Caprara