U2-BENCH: Benchmarking Large Vision-Language Models on Ultrasound Understanding

Ultrasound is a widely-used imaging modality critical to global healthcare, yet its interpretation remains challenging due to its varying image quality on operators, noises, and anatomical structures. Although large vision-language models (LVLMs) have demonstrated impressive multimodal capabilities across natural and medical domains, their performance on ultrasound remains largely unexplored. We introduce U2-BENCH, the first comprehensive benchmark to evaluate LVLMs on ultrasound understanding across classification, detection, regression, and text generation tasks. U2-BENCH aggregates 7,241 cases spanning 15 anatomical regions and defines 8 clinically inspired tasks, such as diagnosis, view recognition, lesion localization, clinical value estimation, and report generation, across 50 ultrasound application scenarios. We evaluate 20 state-of-the-art LVLMs, both open- and closed-source, general-purpose and medical-specific. Our results reveal strong performance on image-level classification, but persistent challenges in spatial reasoning and clinical language generation. U2-BENCH establishes a rigorous and unified testbed to assess and accelerate LVLM research in the uniquely multimodal domain of medical ultrasound imaging.

Continuous Patch Stitching for Block-wise Image Compression

Most recently, learned image compression methods have outpaced traditional hand-crafted standard codecs. However, their inference typically requires to input the whole image at the cost of heavy computing resources, especially for high-resolution image compression; otherwise, the block artefact can exist when compressed by blocks within existing learned image compression methods. To address this issue, we propose a novel continuous patch stitching (CPS) framework for block-wise image compression that is able to achieve seamlessly patch stitching and mathematically eliminate block artefact, thus capable of significantly reducing the required computing resources when compressing images. More specifically, the proposed CPS framework is achieved by padding-free operations throughout, with a newly established parallel overlapping stitching strategy to provide a general upper bound for ensuring the continuity. Upon this, we further propose functional residual blocks with even-sized kernels to achieve down-sampling and up-sampling, together with bottleneck residual blocks retaining feature size to increase network depth. Experimental results demonstrate that our CPS framework achieves the state-of-the-art performance against existing baselines, whilst requiring less than half of computing resources of existing models. Our code shall be released upon acceptance.