Organizations: independent researcher · University of Wyoming · Shanghai World Foreign Language Academy · SUNY Binghamton,USA
Abstract
Robotic ultrasound scanning in real clinical environments requires both high-level clinical workflow reasoning and low-level closed-loop execution. Physicians natural-language instructions often contain implicit anatomical targets, procedural logic, image-quality requirements, and safety constraints, while execution is affected by patient motion, contact variations, and target drift. We propose a fast and slow hierarchical embodied ultrasound system for safe and interpretable robotic ultrasound assistance. The Slow Brain performs intent parsing and stage-wise task planning with knowledge augmentation from an API and handbook corpus, and generates executable plans through task-graph construction and structured plan verification. The Fast Brain fuses multimodal feedback, including ultrasound images, robot pose and force states, and patient-motion information, to refine local actions and perform image-quality-guided recovery behaviors. The system further integrates a Safety Shield and a hierarchical escalation policy to constrain risky actions and trigger replanning or human confirmation under persistent failures or safety-bound violations. Experiments on planning evaluation, closed-loop execution under dynamic perturbations, and safety-mechanism validation demonstrate that the proposed hierarchical design improves task success rates while reducing safety violations.
We present an action-conditioned world model framework for goal plane probe guidance in robotic ultrasound, with a focus on neck ultrasound scanning. Autonomous ultrasound tasks often require large numbers of probe-motion trajectories for training, but collecting high-quality demonstrations is labor-intensive and explicit simulators are difficult to build because ultrasound appearance depends on contact, tissue deformation, and view-dependent acoustic artifacts. We address this problem with a two-stage model-based learning pipeline. First, a latent conditional diffusion world model predicts future ultrasound observations from recent context frames, probe motions and temporal offset. Second, a goal-conditioned temporal transformer predicts ordered probe motions and is fine-tuned using rewards from the frozen world model. Experiments on the self-collected dataset show that the world model preserves action-dependent anatomical structure on target-directed scans. In real-world closed loop experiments, the framework achieves success rates of 70.0% for carotid guidance and 65.0% for thyroid guidance. These results demonstrate the potential of learned ultrasound dynamics for training goal-directed robotic probe navigation.
Robotic ultrasound has advanced local image-driven control, contact regulation, and view optimization, yet current systems lack the anatomical understanding needed to determine what to scan, where to begin, and how to adapt to individual patient anatomy. These gaps make systems still reliant on expert intervention to initiate scanning. Here we present SAMe, a semantic anatomy mapping engine that provides robotic ultrasound with an explicit anatomical prior layer. SAMe addresses scan initiation as a target-to-anatomy-to-action process: it grounds under-specified clinical complaints into structured target organs, instantiates a patient-specific anatomical representation for the grounded targets from a single external body image, and translates this representation into control-facing 6-DoF probe initialization states without any additional registration using preoperative CT or MRI. The anatomical representation maintained by SAMe is explicit, lightweight (single-organ inference in 0.08s), and compatible with downstream control by design. Across semantic grounding, anatomical instantiation, and real-robot evaluation, SAMe shows strong performance across the full initialization pipeline. In real-robot experiments, centroid-based SAMe initialization outperformed the body-keypoint-based heuristic baseline under a budget-matched single-target setting for both liver (86.7% versus 46.7%) and kidney (80.0% versus 73.3%) initialization. Furthermore, The trial-level organ-hit rate reached 97.3% for liver and 83.3% for kidney when multiple candidate targets were available. These results establish an explicit anatomical prior layer that addresses scan initialization and is designed to support broader downstream autonomous scanning pipelines, providing the anatomical foundation for complaint-driven, anatomically informed robotic ultrasonography.
In this paper, we present a robotic ultrasound acquisition system that integrates stereo vision, touch-based feedback, and expert-informed strategies to perform autonomous and adaptive abdominal scans. The system records freehand motion and force data from expert radiologists, creating a framework to capture transducer motion, applied forces, and anatomical scanning strategies. This expert data is replayed to replicate characteristic scans with the robot, forming a foundation for further autonomous capabilities. Using stereo vision, the system generates three-dimensional topography maps of the patient's abdomen, which are refined through stiffness measurements at key points to delineate the rib cage boundary. These combined techniques enable the robot to execute two distinct scanning paths: an upward-angled sweep beneath the rib cage to visualize structures near the upper abdomen and a perpendicular sweep across soft tissue regions. A compliant, torque-controlled seven degree-of-freedom robotic manipulator is controlled to maintain consistent probe contact through closed-loop force control over the varied anatomical surfaces. Physical experiments demonstrate that the system achieves high-quality imaging comparable to expert scans while dynamically adapting to patient-specific topographies. Furthermore, the robotic system surpasses expert capabilities by enabling three-dimensional volume acquisition, which enhances diagnostic potential and provides volumetric data for advanced analyses. This work highlights the integration of expert knowledge into autonomous robotic systems and underscores the potential of combining perception-based autonomy with physical reasoning for enhanced diagnostic performance.