# MCAT: Visual Query-Based Localization of Standard Anatomical Clips in Fetal Ultrasound Videos Using Multi-Tier Class-Aware Token Transformer

arXiv: https://arxiv.org/abs/2504.06088 · HTML: https://mlsanity.com/paper/2504.06088/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 17 of its 31 references that are in the map.
- First posted on arXiv 8 Apr 2025.

## Builds on (most cited first, 17 of 17)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Pyramid Vision Transformer: A Versatile Backbone for Dense Prediction without Convolutions](https://mlsanity.com/paper/2102.12122/) (2021)
- [Multiscale Vision Transformers](https://mlsanity.com/paper/2104.11227/) (2021)
- [UniVTG: Towards Unified Video-Language Temporal Grounding](https://mlsanity.com/paper/2307.16715/) (2023)
- [Learning Spatio-Temporal Features with 3D Residual Networks for Action Recognition](https://mlsanity.com/paper/1708.07632/) (2017)
- [Dense Regression Network for Video Grounding](https://mlsanity.com/paper/2004.03545/) (2020)
- [Query-Dependent Video Representation for Moment Retrieval and Highlight Detection](https://mlsanity.com/paper/2303.13874/) (2023)
- [UMT: Unified Multi-modal Transformers for Joint Video Moment Retrieval and Highlight Detection](https://mlsanity.com/paper/2203.12745/) (2022)
- [TubeDETR: Spatio-Temporal Video Grounding with Transformers](https://mlsanity.com/paper/2203.16434/) (2022)
- [Multi-modal Understanding and Generation for Medical Images and Text via Vision-Language Pre-Training](https://mlsanity.com/paper/2105.11333/) (2021)
- [Attention-Gated Networks for Improving Ultrasound Scan Plane Detection](https://mlsanity.com/paper/1804.05338/) (2018)
- [Examining Modality Incongruity in Multimodal Federated Learning for Medical Vision and Language-based Disease Detection](https://mlsanity.com/paper/2402.05294/) (2024)
- [MINOTAUR: Multi-task Video Grounding From Multimodal Queries](https://mlsanity.com/paper/2302.08063/) (2023)
- [FedPIA -- Permuting and Integrating Adapters leveraging Wasserstein Barycenters for Finetuning Foundation Models in Multi-Modal Federated Learning](https://mlsanity.com/paper/2412.14424/) (2024)
- [Principled Ultrasound Data Augmentation for Classification of Standard Planes](https://mlsanity.com/paper/2103.07895/) (2021)
- [F3OCUS -- Federated Finetuning of Vision-Language Foundation Models with Optimal Client Layer Updating Strategy via Multi-objective Meta-Heuristics](https://mlsanity.com/paper/2411.11912/) (2024)

## Built on by (most cited first, 2 of 2)

- [Self-supervised Learning of Echocardiographic Video Representations via Online Cluster Distillation](https://mlsanity.com/paper/2506.11777/) (2025)
- [Clinically-Grounded Counterfactual Reasoning for Medical Video Diagnosis](https://mlsanity.com/paper/2605.26483/) (2026)

## Abstract (arXiv)

Accurate standard plane acquisition in fetal ultrasound (US) videos is crucial for fetal growth assessment, anomaly detection, and adherence to clinical guidelines. However, manually selecting standard frames is time-consuming and prone to intra- and inter-sonographer variability. Existing methods primarily rely on image-based approaches that capture standard frames and then classify the input frames across different anatomies. This ignores the dynamic nature of video acquisition and its interpretation. To address these challenges, we introduce Multi-Tier Class-Aware Token Transformer (MCAT), a visual query-based video clip localization (VQ-VCL) method, to assist sonographers by enabling them to capture a quick US sweep. By then providing a visual query of the anatomy they wish to analyze, MCAT returns the video clip containing the standard frames for that anatomy, facilitating thorough screening for potential anomalies. We evaluate MCAT on two ultrasound video datasets and a natural image VQ-VCL dataset based on Ego4D. Our model outperforms state-of-the-art methods by 10% and 13% mIoU on the ultrasound datasets and by 5.35% mIoU on the Ego4D dataset, using 96% fewer tokens. MCAT's efficiency and accuracy have significant potential implications for public health, especially in low- and middle-income countries (LMICs), where it may enhance prenatal care by streamlining standard plane acquisition, simplifying US-based screening, diagnosis and allowing sonographers to examine more patients.