构建端到端超声智能系统,实现多器官多任务统一分析。
Unified Ultrasound Intelligence Toward an End-to-End Agentic System

- 分三阶段训练:通用模型→领域适配→临床流程模拟
- 在27个数据集上4类任务均优于现有方法
- 生成可解释的结构化报告,适合临床部署
临床超声分析需要在不同器官、视角和设备间具备泛化能力,并支持可解释的工作流级分析。现有方法多依赖任务特定适配,联合学习易受跨任务干扰,难以实现工作流级输出。为此,我们提出USTri,一种三阶段超声智能流水线,实现多器官、多任务统一分析。第一阶段在不同领域训练通用模型USGen,学习对设备和协议变化鲁棒的可迁移先验。第二阶段冻结USGen,微调数据集特异性头(USpec),以应对领域偏移并保持共享知识。第三阶段引入USAgent,通过协调USpec专家进行多步推理,生成确定性结构化报告,模拟临床工作流程。在FMC_UIA验证集上,模型在4类任务和27个数据集上整体表现最佳,且定性结果显示报告具有高准确性和可解释性。研究为超声智能提供了一条可扩展的路径,支持跨异构任务的统一分析与一致临床工作流。代码公开于:https://github.com/MacDunno/USTri。
原文摘要 · Abstract (English)
Clinical ultrasound analysis demands models that generalize across heterogeneous organs, views, and devices, while supporting interpretable workflow-level analysis. Existing methods often rely on task-wise adaptation, and joint learning may be unstable due to cross-task interference, making it hard to deliver workflow-level outputs in practice. To address these challenges, we present USTri, a tri-stage ultrasound intelligence pipeline for unified multi-organ, multi-task analysis. Stage I trains a universal generalist USGen on different domains to learn broad, transferable priors that are robust to device and protocol variability. To better handle domain shifts and reach task-aligned performance while preserving ultrasound shared knowledge, Stage II builds USpec by keeping USGen frozen and finetuning dataset-specific heads. Stage III introduces USAgent, which mimics clinician workflows by orchestrating USpec specialists for multi-step inference and deterministic structured reports. On the FMC\_UIA validation set, our model achieves the best overall performance across 4 task types and 27 datasets, outperforming state-of-the-art methods. Moreover, qualitative results show that USAgent produces clinically structured reports with high accuracy and interpretability. Our study suggests a scalable path to ultrasound intelligence that generalizes across heterogeneous ultrasound tasks and supports consistent end-to-end clinical workflows. The code is publicly available at: https://github.com/MacDunno/USTri.
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