Femoral artery access is essential for numerous clinical procedures, including diagnostic angiography, therapeutic catheterization, and emergency interventions. Despite its critical role, successful vascular access remains challenging due to anatomical variability, overlying adipose tissue, and the need for precise ultrasound (US) guidance. Errors in needle placement can lead to severe complications, restricting the procedure to highly skilled clinicians in controlled hospital settings. While robotic systems have shown promise in addressing these challenges through autonomous scanning and vessel reconstruction, clinical translation remains limited due to reliance on simplified phantom models that fail to capture human anatomical complexity. In this work, we present a method for autonomous robotic US scanning of bifurcated femoral arteries, and validate it on five vascular phantoms created from real patient computed tomography (CT) data. Additionally, we introduce a video-based deep learning US segmentation network tailored for vascular imaging, enabling improved 3D arterial reconstruction. The proposed network achieves a Dice score of 89.21% and an Intersection over Union of 80.54% on a newly developed vascular dataset. The quality of the reconstructed artery centerline is evaluated against ground truth CT data, demonstrating an average L2 deviation of 0.91+/-0.70 mm, with an average Hausdorff distance of 4.36+/-1.11mm. This study is the first to validate an autonomous robotic system for US scanning of the femoral artery on a diverse set of patient-specific phantoms, introducing a more advanced framework for evaluating robotic performance in vascular imaging and intervention.

However, in these robotic systems, the gel is still model highlighting the components of the UltraGelBot applied by the human attendant. This human intervention between the procedure results in the acquisition of suboptimal The syringe is constrained by the housing to stabilize images due to inappropriate acoustic coupling its linear movement. The syringe has a piston, which [7]. Further, the procedure time also increases as RUS is connected to the moving end of the linear actuator needs to be halted several times in between the procedure (Actuonix L16-P). It will move to compress the piston for manual gel application. Moreover, the presence inside the reservoir and dispense the gel. For refilling, of humans near the patient's vicinity did not achieve the the syringe needs to be detached from the assembly complete safety of the operator, as promised by RUS. and refilled using a commercially used container. Larger Thus, an automated method for dispensing of ultrasound reservoirs may be included in the design in order to gel is the immediate requirement of RUS.

Ultrasound is a commonly used medical imaging modality that requires expert sonographers to manually maneuver the ultrasound probe based on the acquired image. Autonomous Robotic Ultrasound (A-RUS) is an appealing alternative to this manual procedure in order to reduce sonographers' workload. The key challenge to A-RUS is optimizing the ultrasound image quality for the region of interest across different patients. This requires knowledge of anatomy, recognition of error sources and precise probe position, orientation and pressure. Sample efficiency is important while optimizing these parameters associated with the robotized probe controller. Bayesian Optimization (BO), a sample-efficient optimization framework, has recently been applied to optimize the 2D motion of the probe. Nevertheless, further improvements are needed to improve the sample efficiency for high-dimensional control of the probe. We aim to overcome this problem by using a neural network to learn a low-dimensional kernel in BO, termed as Deep Kernel (DK). The neural network of DK is trained using probe and image data acquired during the procedure. The two image quality estimators are proposed that use a deep convolution neural network and provide real-time feedback to the BO. We validated our framework using these two feedback functions on three urinary bladder phantoms. We obtained over 50% increase in sample efficiency for 6D control of the robotized probe. Furthermore, our results indicate that this performance enhancement in BO is independent of the specific training dataset, demonstrating inter-patient adaptability.

The one of the significant challenges faced by autonomous robotic ultrasound systems is acquiring high-quality images across different patients. The proper orientation of the robotized probe plays a crucial role in governing the quality of ultrasound images. To address this challenge, we propose a sample-efficient method to automatically adjust the orientation of the ultrasound probe normal to the point of contact on the scanning surface, thereby improving the acoustic coupling of the probe and resulting image quality. Our method utilizes Bayesian Optimization (BO) based search on the scanning surface to efficiently search for the normalized probe orientation. We formulate a novel objective function for BO that leverages the contact force measurements and underlying mechanics to identify the normal. We further incorporate a regularization scheme in BO to handle the noisy objective function. The performance of the proposed strategy has been assessed through experiments on urinary bladder phantoms. These phantoms included planar, tilted, and rough surfaces, and were examined using both linear and convex probes with varying search space limits. Further, simulation-based studies have been carried out using 3D human mesh models. The results demonstrate that the mean ($\pm$SD) absolute angular error averaged over all phantoms and 3D models is $\boldsymbol{2.4\pm0.7^\circ}$ and $\boldsymbol{2.1\pm1.3^\circ}$, respectively.

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.