DAM: Degradation-Aware Model for Ultrasound Image Quality Assessment

Tuo Liu, Xuan Zhang, Xiuzhu Ma, Shuang Chen, Xuejuan Wang, Ping Zhou, Yang Chen, Guangquan Zhou, Faqin Lv

Published: 2025, Last Modified: 27 Feb 2026IEEE J. Biomed. Health Informatics 2025EveryoneRevisionsBibTeXCC BY-SA 4.0
Abstract: One of the core challenges in ultrasound image quality assessment (IQA) is the entanglement of semantic content and quality-related information, such as blurring and shadows. Insufficient attention to the latter can easily lead to biased IQA results. Furthermore, fine-grained quality inconsistencies, i.e., subtle variations in ultrasound images that can impact quality interpretations, may further complicate the IQA tasks. To address these challenges, we propose a novel degradation-aware model (DAM) for the ultrasound IQA, which effectively perceives various and subtle variations of quality patterns, accurately assessing the quality of ultrasound images. The advanced degradation-derived augmentation (DDA) in DAM incorporates degradations that clinicians may focus on during IQA into the synthesis of appearance changes, promoting the disentanglement of quality-related representations from semantic contents. Subsequently, we present fine-grained degradation learning (FGDL), which encourages distinctions between image versions with diminishing quality inconsistencies, boosting the awareness of quality nuances from easy to hard for better ultrasound IQA performance. A universal boundary acquisition operator (UBAO) is also developed to suppress interferences from redundant information, achieving the standardization of ultrasound images from various devices. Extensive experimental results on an in-house ultrasound dataset demonstrate that DAM outperforms 14 baseline methods, achieving a PLCC of 0.760 and an SROCC of 0.766. The code can be available at this URL.
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