CVAIAug 27, 2024

UltraSeP: Sequence-aware Pre-training for Echocardiography Probe Movement Guidance

arXiv:2408.15026v33 citationsh-index: 21
Originality Incremental advance
AI Analysis

This addresses the shortage of trained professionals in echocardiography by potentially aiding robotic systems or novices, though it appears incremental as it builds on prior work by focusing on personalized rather than population-averaged structures.

The paper tackles the challenge of guiding echocardiography probe movements for high-quality image acquisition by introducing a sequence-aware self-supervised pre-training method that learns personalized cardiac structures, reducing probe guidance errors on a dataset of 1.67 million samples.

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.

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