RAG-RUSS: A Retrieval-Augmented Robotic Ultrasound for Autonomous Carotid Examination

Fuente: arXiv
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Auteurs principaux: Huang, Dianye, Cong, Ziping, Navab, Nassir, Jiang, Zhongliang
Format: Preprint
Publié: 2026
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author Huang, Dianye
Cong, Ziping
Navab, Nassir
Jiang, Zhongliang
author_facet Huang, Dianye
Cong, Ziping
Navab, Nassir
Jiang, Zhongliang
contents Robotic ultrasound (US) has recently attracted increasing attention as a means to overcome the limitations of conventional US examinations, such as the strong operator dependence. However, the decision-making process of existing methods is often either rule-based or relies on end-to-end learning models that operate as black boxes. This has been seen as a main limit for clinical acceptance and raises safety concerns for widespread adoption in routine practice. To tackle this challenge, we introduce the RAG-RUSS, an interpretable framework capable of performing a full carotid examination in accordance with the clinical workflow while explicitly explaining both the current stage and the next planned action. Furthermore, given the scarcity of medical data, we incorporate retrieval-augmented generation to enhance generalization and reduce dependence on large-scale training datasets. The method was trained on data acquired from 28 volunteers, while an additional four volumetric scans recorded from previously unseen volunteers were reserved for testing. The results demonstrate that the method can explain the current scanning stage and autonomously plan probe motions to complete the carotid examination, encompassing both transverse and longitudinal planes.
format Preprint
id arxiv_https___arxiv_org_abs_2603_01153
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle RAG-RUSS: A Retrieval-Augmented Robotic Ultrasound for Autonomous Carotid Examination
Huang, Dianye
Cong, Ziping
Navab, Nassir
Jiang, Zhongliang
Robotics
Robotic ultrasound (US) has recently attracted increasing attention as a means to overcome the limitations of conventional US examinations, such as the strong operator dependence. However, the decision-making process of existing methods is often either rule-based or relies on end-to-end learning models that operate as black boxes. This has been seen as a main limit for clinical acceptance and raises safety concerns for widespread adoption in routine practice. To tackle this challenge, we introduce the RAG-RUSS, an interpretable framework capable of performing a full carotid examination in accordance with the clinical workflow while explicitly explaining both the current stage and the next planned action. Furthermore, given the scarcity of medical data, we incorporate retrieval-augmented generation to enhance generalization and reduce dependence on large-scale training datasets. The method was trained on data acquired from 28 volunteers, while an additional four volumetric scans recorded from previously unseen volunteers were reserved for testing. The results demonstrate that the method can explain the current scanning stage and autonomously plan probe motions to complete the carotid examination, encompassing both transverse and longitudinal planes.
title RAG-RUSS: A Retrieval-Augmented Robotic Ultrasound for Autonomous Carotid Examination
topic Robotics
url https://arxiv.org/abs/2603.01153