IVCVMED-PHMay 8, 2025

UltraGauss: Ultrafast Gaussian Reconstruction of 3D Ultrasound Volumes

arXiv:2505.05643v14 citationsh-index: 15
Originality Highly original
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This addresses the need for faster, more accurate 3D ultrasound reconstruction to reduce operator variability and cognitive demand in clinical settings, representing a novel method for a known bottleneck.

The paper tackles the problem of computationally expensive 2D-to-3D reconstruction in ultrasound imaging by introducing UltraGauss, an ultrasound-specific Gaussian Splatting framework that achieves state-of-the-art reconstructions in 5 minutes and reaches 0.99 SSIM within 20 minutes on a single GPU.

Ultrasound imaging is widely used due to its safety, affordability, and real-time capabilities, but its 2D interpretation is highly operator-dependent, leading to variability and increased cognitive demand. 2D-to-3D reconstruction mitigates these challenges by providing standardized volumetric views, yet existing methods are often computationally expensive, memory-intensive, or incompatible with ultrasound physics. We introduce UltraGauss: the first ultrasound-specific Gaussian Splatting framework, extending view synthesis techniques to ultrasound wave propagation. Unlike conventional perspective-based splatting, UltraGauss models probe-plane intersections in 3D, aligning with acoustic image formation. We derive an efficient rasterization boundary formulation for GPU parallelization and introduce a numerically stable covariance parametrization, improving computational efficiency and reconstruction accuracy. On real clinical ultrasound data, UltraGauss achieves state-of-the-art reconstructions in 5 minutes, and reaching 0.99 SSIM within 20 minutes on a single GPU. A survey of expert clinicians confirms UltraGauss' reconstructions are the most realistic among competing methods. Our CUDA implementation will be released upon publication.

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