# Learning to learn skill assessment for fetal ultrasound scanning

arXiv: https://arxiv.org/abs/2512.23920 · HTML: https://mlsanity.com/paper/2512.23920/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 30 references that are in the map.
- First posted on arXiv 30 Dec 2025.

## Builds on (most cited first, 9 of 9)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Batch Normalization: Accelerating Deep Network Training by Reducing Internal Covariate Shift](https://mlsanity.com/paper/1502.03167/) (2015)
- [DARTS: Differentiable Architecture Search](https://mlsanity.com/paper/1806.09055/) (2018)
- [Generalised Dice overlap as a deep learning loss function for highly unbalanced segmentations](https://mlsanity.com/paper/1707.03237/) (2017)
- [Investigating Bi-Level Optimization for Learning and Vision from a Unified Perspective: A Survey and Beyond](https://mlsanity.com/paper/2101.11517/) (2021)
- [A Review on Bilevel Optimization: From Classical to Evolutionary Approaches and Applications](https://mlsanity.com/paper/1705.06270/) (2017)
- [MiLeNAS: Efficient Neural Architecture Search via Mixed-Level Reformulation](https://mlsanity.com/paper/2003.12238/) (2020)
- [Optimization for Medical Image Segmentation: Theory and Practice when evaluating with Dice Score or Jaccard Index](https://mlsanity.com/paper/2010.13499/) (2020)

## Abstract (arXiv)

Traditionally, ultrasound skill assessment has relied on expert supervision and feedback, a process known for its subjectivity and time-intensive nature. Previous works on quantitative and automated skill assessment have predominantly employed supervised learning methods, often limiting the analysis to predetermined or assumed factors considered influential in determining skill levels. In this work, we propose a novel bi-level optimisation framework that assesses fetal ultrasound skills by how well a task is performed on the acquired fetal ultrasound images, without using manually predefined skill ratings. The framework consists of a clinical task predictor and a skill predictor, which are optimised jointly by refining the two networks simultaneously. We validate the proposed method on real-world clinical ultrasound videos of scanning the fetal head. The results demonstrate the feasibility of predicting ultrasound skills by the proposed framework, which quantifies optimised task performance as a skill indicator.