Prior-guided Hierarchical Instance-pixel Contrastive Learning for Ultrasound Speckle Noise Suppression

Ultrasound denoising is essential for mitigating speckle-induced degradations, thereby enhancing image quality and improving diagnostic reliability. Nevertheless, because speckle patterns inherently encode both texture and fine anatomical details, effectively suppressing noise while preserving structural fidelity remains a significant challenge. In this study, we propose a prior-guided hierarchical instance-pixel contrastive learning model for ultrasound denoising, designed to promote noise-invariant and structure-aware feature representations by maximizing the separability between noisy and clean samples at both pixel and instance levels. Specifically, a statistics-guided pixel-level contrastive learning strategy is introduced to enhance distributional discrepancies between noisy and clean pixels, thereby improving local structural consistency. Concurrently, a memory bank is employed to facilitate instance-level contrastive learning in the feature space, encouraging representations that more faithfully approximate the underlying data distribution. Furthermore, a hybrid Transformer-CNN architecture is adopted, coupling a Transformer-based encoder for global context modeling with a CNN-based decoder optimized for fine-grained anatomical structure restoration, thus enabling complementary exploitation of long-range dependencies and local texture details. Extensive evaluations on two publicly available ultrasound datasets demonstrate that the proposed model consistently outperforms existing methods, confirming its effectiveness and superiority.

TASL-Net: Tri-Attention Selective Learning Network for Intelligent Diagnosis of Bimodal Ultrasound Video

In the intelligent diagnosis of bimodal (gray-scale and contrast-enhanced) ultrasound videos, medical domain knowledge such as the way sonographers browse videos, the particular areas they emphasize, and the features they pay special attention to, plays a decisive role in facilitating precise diagnosis. Embedding medical knowledge into the deep learning network can not only enhance performance but also boost clinical confidence and reliability of the network. However, it is an intractable challenge to automatically focus on these person- and disease-specific features in videos and to enable networks to encode bimodal information comprehensively and efficiently. This paper proposes a novel Tri-Attention Selective Learning Network (TASL-Net) to tackle this challenge and automatically embed three types of diagnostic attention of sonographers into a mutual transformer framework for intelligent diagnosis of bimodal ultrasound videos. Firstly, a time-intensity-curve-based video selector is designed to mimic the temporal attention of sonographers, thus removing a large amount of redundant information while improving computational efficiency of TASL-Net. Then, to introduce the spatial attention of the sonographers for contrast-enhanced video analysis, we propose the earliest-enhanced position detector based on structural similarity variation, on which the TASL-Net is made to focus on the differences of perfusion variation inside and outside the lesion. Finally, by proposing a mutual encoding strategy that combines convolution and transformer, TASL-Net possesses bimodal attention to structure features on gray-scale videos and to perfusion variations on contrast-enhanced videos. These modules work collaboratively and contribute to superior performance. We conduct a detailed experimental validation of TASL-Net's performance on three datasets, including lung, breast, and liver.