Defining Robust Ultrasound Quality Metrics via an Ultrasound Foundation Model

Fuente: arXiv
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Autores principales: Huang, Ziyang, Li, Bingyan, Ma, Chen, Liu, Tianyi, Zhai, Yihui, Xu, Hong, Guo, Yi, Li, Zeju, Wang, Yuanyuan
Formato: Preprint
Publicado: 2026
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author Huang, Ziyang
Li, Bingyan
Ma, Chen
Liu, Tianyi
Zhai, Yihui
Xu, Hong
Guo, Yi
Li, Zeju
Wang, Yuanyuan
author_facet Huang, Ziyang
Li, Bingyan
Ma, Chen
Liu, Tianyi
Zhai, Yihui
Xu, Hong
Guo, Yi
Li, Zeju
Wang, Yuanyuan
contents Clinicians lack a principled framework to quantify diagnostic utility in ultrasound reconstructions. Existing standards like PSNR and VGG-LPIPS are inadequate, failing to account for modality-specific physics or the structural nuances of acoustic imaging. We close this gap with a TinyUSFM-based evaluation framework featuring two distinct metrics: TinyUSFM-uLPIPS, a full-reference perceptual distance based on multi-layer token relations, and TinyUSFM-NRQ, a deployable no-reference quality score utilizing clean-manifold modeling and worst-region aggregation to detect localized harmful artifacts. We demonstrate that the presented metrics have four unique advantages: 1) Task-linked quality, where TinyUSFM-uLPIPS achieves superior calibration with semantic task damage, accurately reflecting Dice-score drops in segmentation where VGG-based metrics fail; 2) Cross-organ comparability, maintaining stable scoring scales and consistent severity rankings across diverse anatomical sites and domain-shifted data; 3) PSNR-consistent sensitivity, with TinyUSFM-NRQ providing a reliable quality score without ground-truth images that remains consistent with traditional fidelity benchmarks (i.e. PSNR); and 4) Clinical utility, improving the prediction of expert preference from 47.2$\%$ to 72.8$\%$ accuracy and producing super-resolution reconstructions preferred by sonographers. By integrating these advantages into a unified assessment and optimization loop, this work establishes a modality-aligned standard that finally bridges the gap between algorithmic performance and diagnostic utility. Our code is available at https://github.com/sextant-fable/US-Metrics.
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publishDate 2026
record_format arxiv
spellingShingle Defining Robust Ultrasound Quality Metrics via an Ultrasound Foundation Model
Huang, Ziyang
Li, Bingyan
Ma, Chen
Liu, Tianyi
Zhai, Yihui
Xu, Hong
Guo, Yi
Li, Zeju
Wang, Yuanyuan
Image and Video Processing
Clinicians lack a principled framework to quantify diagnostic utility in ultrasound reconstructions. Existing standards like PSNR and VGG-LPIPS are inadequate, failing to account for modality-specific physics or the structural nuances of acoustic imaging. We close this gap with a TinyUSFM-based evaluation framework featuring two distinct metrics: TinyUSFM-uLPIPS, a full-reference perceptual distance based on multi-layer token relations, and TinyUSFM-NRQ, a deployable no-reference quality score utilizing clean-manifold modeling and worst-region aggregation to detect localized harmful artifacts. We demonstrate that the presented metrics have four unique advantages: 1) Task-linked quality, where TinyUSFM-uLPIPS achieves superior calibration with semantic task damage, accurately reflecting Dice-score drops in segmentation where VGG-based metrics fail; 2) Cross-organ comparability, maintaining stable scoring scales and consistent severity rankings across diverse anatomical sites and domain-shifted data; 3) PSNR-consistent sensitivity, with TinyUSFM-NRQ providing a reliable quality score without ground-truth images that remains consistent with traditional fidelity benchmarks (i.e. PSNR); and 4) Clinical utility, improving the prediction of expert preference from 47.2$\%$ to 72.8$\%$ accuracy and producing super-resolution reconstructions preferred by sonographers. By integrating these advantages into a unified assessment and optimization loop, this work establishes a modality-aligned standard that finally bridges the gap between algorithmic performance and diagnostic utility. Our code is available at https://github.com/sextant-fable/US-Metrics.
title Defining Robust Ultrasound Quality Metrics via an Ultrasound Foundation Model
topic Image and Video Processing
url https://arxiv.org/abs/2604.19512