# UltrasODM: A Dual Stream Optical Flow Mamba Network for 3D Freehand Ultrasound Reconstruction

arXiv: https://arxiv.org/abs/2512.07756 · HTML: https://mlsanity.com/paper/2512.07756/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Mamba for medical image analysis, one of 10 directions in State-space sequence models (S4, Mamba).
- Builds on 14 of its 29 references that are in the map.
- First posted on arXiv 8 Dec 2025.

## Placed in

- State-space sequence models (S4, Mamba) / [Mamba for medical image analysis](https://mlsanity.com/ssm/mamba-for-medical-image-analysis/)

## Builds on (most cited first, 14 of 14)

- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [What Uncertainties Do We Need in Bayesian Deep Learning for Computer Vision?](https://mlsanity.com/paper/1703.04977/) (2017)
- [Video Mamba Suite: State Space Model as a Versatile Alternative for Video Understanding](https://mlsanity.com/paper/2403.09626/) (2024)
- [RSMamba: Remote Sensing Image Classification with State Space Model](https://mlsanity.com/paper/2403.19654/) (2024)
- [Self Context and Shape Prior for Sensorless Freehand 3D Ultrasound Reconstruction](https://mlsanity.com/paper/2108.00274/) (2021)
- [Unsupervised Contrastive Learning of Image Representations from Ultrasound Videos with Hard Negative Mining](https://mlsanity.com/paper/2207.13148/) (2022)
- [Agent with Warm Start and Adaptive Dynamic Termination for Plane Localization in 3D Ultrasound](https://mlsanity.com/paper/2103.14502/) (2021)
- [Long-term Dependency for 3D Reconstruction of Freehand Ultrasound Without External Tracker](https://mlsanity.com/paper/2310.10248/) (2023)
- [Multi-IMU with Online Self-Consistency for Freehand 3D Ultrasound Reconstruction](https://mlsanity.com/paper/2306.16197/) (2023)
- [Fine-grained Context and Multi-modal Alignment for Freehand 3D Ultrasound Reconstruction](https://mlsanity.com/paper/2407.04242/) (2024)
- [TUS-REC2024: A Challenge to Reconstruct 3D Freehand Ultrasound Without External Tracker](https://mlsanity.com/paper/2506.21765/) (2025)
- [Nonrigid Reconstruction of Freehand Ultrasound without a Tracker](https://mlsanity.com/paper/2407.05767/) (2024)
- [Enhancing Free-hand 3D Photoacoustic and Ultrasound Reconstruction using Deep Learning](https://mlsanity.com/paper/2502.03505/) (2025)

## Abstract (arXiv)

Clinical ultrasound acquisition is highly operator-dependent, where rapid probe motion and brightness fluctuations often lead to reconstruction errors that reduce trust and clinical utility. We present UltrasODM, a dual-stream framework that assists sonographers during acquisition through calibrated per-frame uncertainty, saliency-based diagnostics, and actionable prompts. UltrasODM integrates (i) a contrastive ranking module that groups frames by motion similarity, (ii) an optical-flow stream fused with Dual-Mamba temporal modules for robust 6-DoF pose estimation, and (iii) a Human-in-the-Loop (HITL) layer combining Bayesian uncertainty, clinician-calibrated thresholds, and saliency maps highlighting regions of low confidence. When uncertainty exceeds the threshold, the system issues unobtrusive alerts suggesting corrective actions such as re-scanning highlighted regions or slowing the sweep. Evaluated on a clinical freehand ultrasound dataset, UltrasODM reduces drift by 15.2%, distance error by 12.1%, and Hausdorff distance by 10.1% relative to UltrasOM, while producing per-frame uncertainty and saliency outputs. By emphasizing transparency and clinician feedback, UltrasODM improves reconstruction reliability and supports safer, more trustworthy clinical workflows. Our code is publicly available at https://github.com/AnandMayank/UltrasODM.