End-to-End Framework Integrating Generative AI and Deep Reinforcement Learning for Autonomous Ultrasound Scanning

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Main Authors: Elmekki, Hanae, Spilkin, Amanda, Zakeri, Ehsan, Zanuttini, Antonela Mariel, Alagha, Ahmed, Sami, Hani, Bentahar, Jamal, Kadem, Lyes, Xie, Wen-Fang, Pibarot, Philippe, Mizouni, Rabeb, Otrok, Hadi, Mourad, Azzam, Muhaidat, Sami
Format: Preprint
Published: 2025
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author Elmekki, Hanae
Spilkin, Amanda
Zakeri, Ehsan
Zanuttini, Antonela Mariel
Alagha, Ahmed
Sami, Hani
Bentahar, Jamal
Kadem, Lyes
Xie, Wen-Fang
Pibarot, Philippe
Mizouni, Rabeb
Otrok, Hadi
Mourad, Azzam
Muhaidat, Sami
author_facet Elmekki, Hanae
Spilkin, Amanda
Zakeri, Ehsan
Zanuttini, Antonela Mariel
Alagha, Ahmed
Sami, Hani
Bentahar, Jamal
Kadem, Lyes
Xie, Wen-Fang
Pibarot, Philippe
Mizouni, Rabeb
Otrok, Hadi
Mourad, Azzam
Muhaidat, Sami
contents Cardiac ultrasound (US) is among the most widely used diagnostic tools in cardiology for assessing heart health, but its effectiveness is limited by operator dependence, time constraints, and human error. The shortage of trained professionals, especially in remote areas, further restricts access. These issues underscore the need for automated solutions that can ensure consistent, and accessible cardiac imaging regardless of operator skill or location. Recent progress in artificial intelligence (AI), especially in deep reinforcement learning (DRL), has gained attention for enabling autonomous decision-making. However, existing DRL-based approaches to cardiac US scanning lack reproducibility, rely on proprietary data, and use simplified models. Motivated by these gaps, we present the first end-to-end framework that integrates generative AI and DRL to enable autonomous and reproducible cardiac US scanning. The framework comprises two components: (i) a conditional generative simulator combining Generative Adversarial Networks (GANs) with Variational Autoencoders (VAEs), that models the cardiac US environment producing realistic action-conditioned images; and (ii) a DRL module that leverages this simulator to learn autonomous, accurate scanning policies. The proposed framework delivers AI-driven guidance through expert-validated models that classify image type and assess quality, supports conditional generation of realistic US images, and establishes a reproducible foundation extendable to other organs. To ensure reproducibility, a publicly available dataset of real cardiac US scans is released. The solution is validated through several experiments. The VAE-GAN is benchmarked against existing GAN variants, with performance assessed using qualitative and quantitative approaches, while the DRL-based scanning system is evaluated under varying configurations to demonstrate effectiveness.
format Preprint
id arxiv_https___arxiv_org_abs_2511_00114
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle End-to-End Framework Integrating Generative AI and Deep Reinforcement Learning for Autonomous Ultrasound Scanning
Elmekki, Hanae
Spilkin, Amanda
Zakeri, Ehsan
Zanuttini, Antonela Mariel
Alagha, Ahmed
Sami, Hani
Bentahar, Jamal
Kadem, Lyes
Xie, Wen-Fang
Pibarot, Philippe
Mizouni, Rabeb
Otrok, Hadi
Mourad, Azzam
Muhaidat, Sami
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
Cardiac ultrasound (US) is among the most widely used diagnostic tools in cardiology for assessing heart health, but its effectiveness is limited by operator dependence, time constraints, and human error. The shortage of trained professionals, especially in remote areas, further restricts access. These issues underscore the need for automated solutions that can ensure consistent, and accessible cardiac imaging regardless of operator skill or location. Recent progress in artificial intelligence (AI), especially in deep reinforcement learning (DRL), has gained attention for enabling autonomous decision-making. However, existing DRL-based approaches to cardiac US scanning lack reproducibility, rely on proprietary data, and use simplified models. Motivated by these gaps, we present the first end-to-end framework that integrates generative AI and DRL to enable autonomous and reproducible cardiac US scanning. The framework comprises two components: (i) a conditional generative simulator combining Generative Adversarial Networks (GANs) with Variational Autoencoders (VAEs), that models the cardiac US environment producing realistic action-conditioned images; and (ii) a DRL module that leverages this simulator to learn autonomous, accurate scanning policies. The proposed framework delivers AI-driven guidance through expert-validated models that classify image type and assess quality, supports conditional generation of realistic US images, and establishes a reproducible foundation extendable to other organs. To ensure reproducibility, a publicly available dataset of real cardiac US scans is released. The solution is validated through several experiments. The VAE-GAN is benchmarked against existing GAN variants, with performance assessed using qualitative and quantitative approaches, while the DRL-based scanning system is evaluated under varying configurations to demonstrate effectiveness.
title End-to-End Framework Integrating Generative AI and Deep Reinforcement Learning for Autonomous Ultrasound Scanning
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2511.00114