# REASON: Probability map-guided dual-branch fusion framework for gastric content assessment

arXiv: https://arxiv.org/abs/2511.01302 · HTML: https://mlsanity.com/paper/2511.01302/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 32 of its 65 references that are in the map.
- First posted on arXiv 3 Nov 2025.

## Builds on (most cited first, 30 of 32)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
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- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [A ConvNet for the 2020s](https://mlsanity.com/paper/2201.03545/) (2022)
- [Searching for MobileNetV3](https://mlsanity.com/paper/1905.02244/) (2019)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
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- [Fine-Grained Image Analysis with Deep Learning: A Survey](https://mlsanity.com/paper/2111.06119/) (2021)
- [Recent advances and clinical applications of deep learning in medical image analysis](https://mlsanity.com/paper/2105.13381/) (2021)
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- [MedViT: A Robust Vision Transformer for Generalized Medical Image Classification](https://mlsanity.com/paper/2302.09462/) (2023)
- [MedMamba: Vision Mamba for Medical Image Classification](https://mlsanity.com/paper/2403.03849/) (2024)
- [Learning with Limited Annotations: A Survey on Deep Semi-Supervised Learning for Medical Image Segmentation](https://mlsanity.com/paper/2207.14191/) (2022)
- [Semi-supervised Medical Image Classification with Relation-driven Self-ensembling Model](https://mlsanity.com/paper/2005.07377/) (2020)
- [Enhancing Pseudo Label Quality for Semi-Supervised Domain-Generalized Medical Image Segmentation](https://mlsanity.com/paper/2201.08657/) (2022)
- [Contrastive Learning with Continuous Proxy Meta-Data for 3D MRI Classification](https://mlsanity.com/paper/2106.08808/) (2021)
- [Rethinking Semi-Supervised Medical Image Segmentation: A Variance-Reduction Perspective](https://mlsanity.com/paper/2302.01735/) (2023)
- [Deep learning in ultrasound imaging](https://mlsanity.com/paper/1907.02994/) (2019)
- [Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation](https://mlsanity.com/paper/2306.02416/) (2023)
- [Self-aware and Cross-sample Prototypical Learning for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2305.16214/) (2023)
- [Exploring Feature Representation Learning for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2111.10989/) (2021)

## Abstract (arXiv)

Accurate assessment of gastric content from ultrasound is critical for stratifying aspiration risk at induction of general anesthesia. However, traditional methods rely on manual tracing of gastric antra and empirical formulas, which face significant limitations in both efficiency and accuracy. To address these challenges, a novel two-stage probability map-guided dual-branch fusion framework (REASON) for gastric content assessment is proposed. In stage 1, a segmentation model generates probability maps that suppress artifacts and highlight gastric anatomy. In stage 2, a dual-branch classifier fuses information from two standard views, right lateral decubitus (RLD) and supine (SUP), to improve the discrimination of learned features. Experimental results on a self-collected dataset demonstrate that the proposed framework outperforms current state-of-the-art approaches by a significant margin. This framework shows great promise for automated preoperative aspiration risk assessment, offering a more robust, efficient, and accurate solution for clinical practice.