Ultrasound imaging is a commonly used modality for several diagnostic and therapeutic procedures. However, the diagnosis by ultrasound relies heavily on the quality of images assessed manually by sonographers, which diminishes the objectivity of the diagnosis and makes it operator-dependent. The supervised learning-based methods for automated quality assessment require manually annotated datasets, which are highly labour-intensive to acquire. These ultrasound images are low in quality and suffer from noisy annotations caused by inter-observer perceptual variations, which hampers learning efficiency. We propose an UnSupervised UltraSound image Quality assessment Network, US2QNet, that eliminates the burden and uncertainty of manual annotations. US2QNet uses the variational autoencoder embedded with the three modules, pre-processing, clustering and post-processing, to jointly enhance, extract, cluster and visualize the quality feature representation of ultrasound images. The pre-processing module uses filtering of images to point the network's attention towards salient quality features, rather than getting distracted by noise. Post-processing is proposed for visualizing the clusters of feature representations in 2D space. We validated the proposed framework for quality assessment of the urinary bladder ultrasound images. The proposed framework achieved 78% accuracy and superior performance to state-of-the-art clustering methods. The project page with source codes is available at https://sites.google.com/view/US2QNet.

Ultrasound is a vital imaging modality utilized for a variety of diagnostic and interventional procedures. However, an expert sonographer is required to make accurate maneuvers of the probe over the human body while making sense of the ultrasound images for diagnostic purposes. This procedure requires a substantial amount of training and up to a few years of experience. In this paper, we propose an autonomous robotic ultrasound system that uses Bayesian Optimization (BO) in combination with the domain expertise to predict and effectively scan the regions where diagnostic quality ultrasound images can be acquired. The quality map, which is a distribution of image quality in a scanning region, is estimated using Gaussian process in BO. This relies on a prior quality map modeled using expert's demonstration of the high-quality probing maneuvers. The ultrasound image quality feedback is provided to BO, which is estimated using a deep convolution neural network model. This model was previously trained on database of images labelled for diagnostic quality by expert radiologists. Experiments on three different urinary bladder phantoms validated that the proposed autonomous ultrasound system can acquire ultrasound images for diagnostic purposes with a probing position and force accuracy of 98.7% and 97.8%, respectively.