CVAILGApr 29, 2025

T2ID-CAS: Diffusion Model and Class Aware Sampling to Mitigate Class Imbalance in Neck Ultrasound Anatomical Landmark Detection

arXiv:2504.21231v12 citationsh-index: 2EMBC
Originality Synthesis-oriented
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This addresses class imbalance for AI-assisted ultrasound-guided interventions, offering an incremental improvement in a domain-specific application.

The paper tackled class imbalance in neck ultrasound anatomical landmark detection by proposing T2ID-CAS, a hybrid method combining a diffusion model with class-aware sampling to generate synthetic samples for underrepresented classes, achieving a mean Average Precision of 88.2 compared to a baseline of 66.

Neck ultrasound (US) plays a vital role in airway management by providing non-invasive, real-time imaging that enables rapid and precise interventions. Deep learning-based anatomical landmark detection in neck US can further facilitate procedural efficiency. However, class imbalance within datasets, where key structures like tracheal rings and vocal folds are underrepresented, presents significant challenges for object detection models. To address this, we propose T2ID-CAS, a hybrid approach that combines a text-to-image latent diffusion model with class-aware sampling to generate high-quality synthetic samples for underrepresented classes. This approach, rarely explored in the ultrasound domain, improves the representation of minority classes. Experimental results using YOLOv9 for anatomical landmark detection in neck US demonstrated that T2ID-CAS achieved a mean Average Precision of 88.2, significantly surpassing the baseline of 66. This highlights its potential as a computationally efficient and scalable solution for mitigating class imbalance in AI-assisted ultrasound-guided interventions.

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