A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Tracking

Fuente: arXiv
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Autori principali: Zhang, Yuelin, Ding, Qingpeng, Tang, Longxiang, Fang, Chengyu, Cheng, Shing Shin
Natura: Preprint
Pubblicazione: 2026
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author Zhang, Yuelin
Ding, Qingpeng
Tang, Longxiang
Fang, Chengyu
Cheng, Shing Shin
author_facet Zhang, Yuelin
Ding, Qingpeng
Tang, Longxiang
Fang, Chengyu
Cheng, Shing Shin
contents Ultrasound (US)-guided needle insertion is a critical yet challenging procedure due to dynamic imaging conditions and difficulties in needle visualization. Many methods have been proposed for automated needle insertion, but they often rely on hand-crafted pipelines with modular controllers, whose performance degrades in challenging cases. In this paper, a Vision-Language-Action (VLA) model is proposed for adaptive and automated US-guided needle insertion and tracking on a robotic ultrasound (RUS) system. This framework provides a unified approach to needle tracking and needle insertion control, enabling real-time, dynamically adaptive adjustment of insertion based on the obtained needle position and environment awareness. To achieve real-time and end-to-end tracking, a Cross-Depth Fusion (CDF) tracking head is proposed, integrating shallow positional and deep semantic features from the large-scale vision backbone. To adapt the pretrained vision backbone for tracking tasks, a Tracking-Conditioning (TraCon) register is introduced for parameter-efficient feature conditioning. After needle tracking, an uncertainty-aware control policy and an asynchronous VLA pipeline are presented for adaptive needle insertion control, ensuring timely decision-making for improved safety and outcomes. Extensive experiments on both needle tracking and insertion show that our method consistently outperforms state-of-the-art trackers and manual operation, achieving higher tracking accuracy, improved insertion success rates, and reduced procedure time, highlighting promising directions for RUS-based intelligent intervention.
format Preprint
id arxiv_https___arxiv_org_abs_2604_20347
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Tracking
Zhang, Yuelin
Ding, Qingpeng
Tang, Longxiang
Fang, Chengyu
Cheng, Shing Shin
Robotics
Artificial Intelligence
Ultrasound (US)-guided needle insertion is a critical yet challenging procedure due to dynamic imaging conditions and difficulties in needle visualization. Many methods have been proposed for automated needle insertion, but they often rely on hand-crafted pipelines with modular controllers, whose performance degrades in challenging cases. In this paper, a Vision-Language-Action (VLA) model is proposed for adaptive and automated US-guided needle insertion and tracking on a robotic ultrasound (RUS) system. This framework provides a unified approach to needle tracking and needle insertion control, enabling real-time, dynamically adaptive adjustment of insertion based on the obtained needle position and environment awareness. To achieve real-time and end-to-end tracking, a Cross-Depth Fusion (CDF) tracking head is proposed, integrating shallow positional and deep semantic features from the large-scale vision backbone. To adapt the pretrained vision backbone for tracking tasks, a Tracking-Conditioning (TraCon) register is introduced for parameter-efficient feature conditioning. After needle tracking, an uncertainty-aware control policy and an asynchronous VLA pipeline are presented for adaptive needle insertion control, ensuring timely decision-making for improved safety and outcomes. Extensive experiments on both needle tracking and insertion show that our method consistently outperforms state-of-the-art trackers and manual operation, achieving higher tracking accuracy, improved insertion success rates, and reduced procedure time, highlighting promising directions for RUS-based intelligent intervention.
title A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Tracking
topic Robotics
Artificial Intelligence
url https://arxiv.org/abs/2604.20347