Scanning While Imagining: A Scene-Graph World Model for Robotic Ultrasound Navigation

Ultrasound examinations typically follow specific scanning protocols that require navigating through an ordered sequence of anatomical landmarks and target imaging planes. We present a local action-conditioned world model framework for goal plane probe guidance in robotic ultrasound. 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 within protocol-constrained organ specific tasks.

Echocardiography is critical for diagnosing cardiovascular diseases, yet the shortage of skilled sonographers hinders timely patient care, due to high operational difficulties. Consequently, research on automated probe navigation has significant clinical potential. To achieve robust navigation, it is essential to leverage historical scanning information, mimicking how experts rely on past feedback to adjust subsequent maneuvers. Practical scanning data collected from sonographers typically consists of noisy trajectories inherently generated through trial-and-error exploration. However, existing methods typically model this history as a sequential chain, forcing models to overfit these noisy paths, leading to performance degradation on long sequences. In this paper, we propose UltraStar, which reformulates probe navigation from path regression to anchor-based global localization. By establishing a Star Graph, UltraStar treats historical keyframes as spatial anchors connected directly to the current view, explicitly modeling geometric constraints for precise positioning. We further enhance the Star Graph with a semantic-aware sampling strategy that actively selects the representative landmarks from massive history logs, reducing redundancy for accurate anchoring. Extensive experiments on a dataset with over 1.31 million samples demonstrate that UltraStar outperforms baselines and scales better with longer input lengths, revealing a more effective topology for history modeling under noisy exploration. Code is available at https://github.com/LeapLabTHU/UltraStar.

World models can enable autonomous ultrasound scanning by predicting the outcomes of probe motions from local observations. Learning this action--observation relationship typically relies on synchronized video--pose pairs, which are costly to collect at scale and largely unavailable in routine clinical recordings. Reliable action following further requires modeling ultrasound's cross-sectional sampling geometry. We present UltraWorld, a self-distillation recipe that transfers priors from clinical ultrasound videos into interactive world models without real action annotations. Starting from clinical videos, we adapt a video foundation model into an ultrasound generator conditioned on reference images and anatomical masks. Anatomical masks sampled along programmable trajectories through 3D anatomy provide spatial guidance for synthesizing action--video pairs. We then use these synthetic pairs to self-distill the generator into a world model that predicts future observations from local observations and actions, without requiring anatomical masks or other 3D assets at inference time. To further improve action following, we introduce the Acoustic Sampling Map (AsMap), which represents probe poses and imaging settings as pixel-wise 3D sampling positions, beam directions, and depths. Experiments demonstrate improved prediction fidelity and action following. Across nine simulated closed-loop local planning episodes, UltraWorld reduces the mean final distance to the goal and orientation error by 29% and 38%, respectively, compared with visual servoing. Project Page: https://ultraworld-project.github.io/.