Zhenguo Sun

Haojun Jiang, Teng Wang, Zhenguo Sun et al.

Echocardiography is an essential medical technique for diagnosing cardiovascular diseases, but its high operational complexity has led to a shortage of trained professionals. To address this issue, we introduce a novel probe movement guidance algorithm that has the potential to be applied in guiding robotic systems or novices with probe pose adjustment for high-quality standard plane image acquisition.Cardiac ultrasound faces two major challenges: (1) the inherently complex structure of the heart, and (2) significant individual variations. Previous works have only learned the population-averaged structure of the heart rather than personalized cardiac structures, leading to a performance bottleneck. Clinically, we observe that sonographers dynamically adjust their interpretation of a patient's cardiac anatomy based on prior scanning sequences, consequently refining their scanning strategies. Inspired by this, we propose a novel sequence-aware self-supervised pre-training method. Specifically, our approach learns personalized three-dimensional cardiac structural features by predicting the masked-out image features and probe movement actions in a scanning sequence. We hypothesize that if the model can predict the missing content it has acquired a good understanding of personalized cardiac structure. Extensive experiments on a large-scale expert scanning dataset with 1.67 million samples demonstrate that our proposed sequence-aware paradigm can effectively reduce probe guidance errors compared to other advanced baseline methods.

Teng Wang, Haojun Jiang, Yuxuan Wang et al.

Echocardiography is a critical tool for detecting heart diseases. Recently, ultrasound foundation models have demonstrated remarkable capabilities in cardiac ultrasound image analysis. However, obtaining high-quality ultrasound images is a prerequisite for accurate diagnosis. Due to the exceptionally high operational difficulty of cardiac ultrasound, there is a shortage of highly skilled personnel, which hinders patients from receiving timely examination services. In this paper, we aim to adapt the medical knowledge learned by foundation models from vast datasets to the probe guidance task, which is designed to provide real-time operational recommendations for junior sonographers to acquire high-quality ultrasound images. Moreover, inspired by the practice where experts optimize action decisions based on past explorations, we meticulously design a parameter-efficient Vision-Action Adapter (VA-Adapter) to enable foundation model's image encoder to encode vision-action sequences, thereby enhancing guidance performance. With built-in sequential reasoning capabilities in a compact design, the VA-Adapter enables a pre-trained ultrasound foundation model to learn precise probe adjustment strategies by fine-tuning only a small subset of parameters. Extensive experiments demonstrate that the VA-Adapter can surpass strong probe guidance models. Our code will be released after acceptance.

Haojun Jiang, Meng Li, Zhenguo Sun et al.

The complex structure of the heart leads to significant challenges in echocardiography, especially in acquisition cardiac ultrasound images. Successful echocardiography requires a thorough understanding of the structures on the two-dimensional plane and the spatial relationships between planes in three-dimensional space. In this paper, we innovatively propose a large-scale self-supervised pre-training method to acquire a cardiac structure-aware world model. The core innovation lies in constructing a self-supervised task that requires structural inference by predicting masked structures on a 2D plane and imagining another plane based on pose transformation in 3D space. To support large-scale pre-training, we collected over 1.36 million echocardiograms from ten standard views, along with their 3D spatial poses. In the downstream probe guidance task, we demonstrate that our pre-trained model consistently reduces guidance errors across the ten most common standard views on the test set with 0.29 million samples from 74 routine clinical scans, indicating that structure-aware pre-training benefits the scanning.