# VA-Adapter: Adapting Ultrasound Foundation Model to Echocardiography Probe Guidance

arXiv: https://arxiv.org/abs/2510.06809 · HTML: https://mlsanity.com/paper/2510.06809/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 21 of its 34 references that are in the map.
- First posted on arXiv 8 Oct 2025.

## Builds on (most cited first, 21 of 21)

- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [Training data-efficient image transformers & distillation through attention](https://mlsanity.com/paper/2012.12877/) (2020)
- [Parameter-Efficient Transfer Learning for NLP](https://mlsanity.com/paper/1902.00751/) (2019)
- [Prefix-Tuning: Optimizing Continuous Prompts for Generation](https://mlsanity.com/paper/2101.00190/) (2021)
- [An Empirical Study of Training Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.02057/) (2021)
- [Decision Transformer: Reinforcement Learning via Sequence Modeling](https://mlsanity.com/paper/2106.01345/) (2021)
- [Self-Supervised Learning from Images with a Joint-Embedding Predictive Architecture](https://mlsanity.com/paper/2301.08243/) (2023)
- [Temporal Segment Networks: Towards Good Practices for Deep Action Recognition](https://mlsanity.com/paper/1608.00859/) (2016)
- [BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairs](https://mlsanity.com/paper/2303.00915/) (2023)
- [USFM: A Universal Ultrasound Foundation Model Generalized to Tasks and Organs towards Label Efficient Image Analysis](https://mlsanity.com/paper/2401.00153/) (2023)
- [LVM-Med: Learning Large-Scale Self-Supervised Vision Models for Medical Imaging via Second-order Graph Matching](https://mlsanity.com/paper/2306.11925/) (2023)
- [Automatic Probe Movement Guidance for Freehand Obstetric Ultrasound](https://mlsanity.com/paper/2007.04480/) (2020)
- [CheXWorld: Exploring Image World Modeling for Radiograph Representation Learning](https://mlsanity.com/paper/2504.13820/) (2025)
- [Cardiac Copilot: Automatic Probe Guidance for Echocardiography with World Model](https://mlsanity.com/paper/2406.13165/) (2024)
- [EchoWorld: Learning Motion-Aware World Models for Echocardiography Probe Guidance](https://mlsanity.com/paper/2504.13065/) (2025)
- [Structure-aware World Model for Probe Guidance via Large-scale Self-supervised Pre-train](https://mlsanity.com/paper/2406.19756/) (2024)
- [Goal-conditioned reinforcement learning for ultrasound navigation guidance](https://mlsanity.com/paper/2405.01409/) (2024)
- [UltraSeP: Sequence-aware Pre-training for Echocardiography Probe Movement Guidance](https://mlsanity.com/paper/2408.15026/) (2024)
- [UltraHiT: A Hierarchical Transformer Architecture for Generalizable Internal Carotid Artery Robotic Ultrasonography](https://mlsanity.com/paper/2509.13832/) (2025)

## Built on by (most cited first, 1 of 1)

- [UltraStar: Semantic-Aware Star Graph Modeling for Echocardiography Navigation](https://mlsanity.com/paper/2603.01461/) (2026)

## Abstract (arXiv)

Echocardiography is a critical tool for detecting heart diseases, yet its steep operational difficulty causes a shortage of skilled personnel. Probe guidance systems, which assist in acquiring high-quality images, offer a promising solution to lower this operational barrier. However, robust probe guidance remains challenging due to significant individual variability. This variability manifests as differences in low-level features within two-dimensional (2D) images, which complicates image feature understanding, and differences in individual three-dimensional (3D) structures, which poses challenges for precise navigation. To address these challenges, we first propose leveraging the robust image representations learned by ultrasound foundation models from vast datasets. Yet, applying these models to probe navigation is non-trivial due to their lack of understanding of individual 3D structures. To this end, we meticulously design a Vision-Action Adapter (VA-Adapter) to online inject the capability of understanding individual 3D structures. Specifically, by embedding the VA-Adapter into the foundation model's image encoder, the model can infer cardiac anatomy from historical vision-action sequences, mimicking the cognitive process of a sonographer. Extensive experiments on a dataset with over 1.31M samples demonstrate that the VA-Adapter outperforms strong probe guidance models while requiring approximately 33 times fewer trained parameters. Code is available at https://github.com/LeapLabTHU/VA-Adapter.