# tFUSOperator: Operator Learning for Transcranial Focused Ultrasound Digital Twins

arXiv: https://arxiv.org/abs/2608.01839 · HTML: https://mlsanity.com/paper/2608.01839/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 4 of its 23 references that are in the map.
- First posted on arXiv 3 Aug 2026.

## Builds on (most cited first, 4 of 4)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Multi-Task Learning Using Uncertainty to Weigh Losses for Scene Geometry and Semantics](https://mlsanity.com/paper/1705.07115/) (2017)
- [Latent Neural Operator for Solving Forward and Inverse PDE Problems](https://mlsanity.com/paper/2406.03923/) (2024)
- [A Skull-Adaptive Framework for AI-Based 3D Transcranial Focused Ultrasound Simulation](https://mlsanity.com/paper/2505.12998/) (2025)

## Abstract (arXiv)

Transcranial focused ultrasound (tFUS) requires accurate estimation of the intracranial acoustic field, which is distorted by skull-induced aberrations. Numerical solvers are accurate but computationally expensive for digital twins, where the field must be re-estimated repeatedly as treatment conditions change. Existing deep-learning surrogates are fast but typically use voxel-to-voxel regression on a fixed grid, with no mechanism reflecting how acoustic energy propagates through the skull. We instead cast tFUS simulation as an operator learning problem and propose tFUSOperator, a coordinate-aware neural operator that maps the free-field pressure, skull anatomy, and treatment parameters to the intracranial field within a shared physical coordinate frame. To our knowledge, this is the first operator-based formulation of tFUS field prediction. On both seen and unseen skulls, the model localizes the acoustic focus accurately-reaching about 90% and 72% Dice, respectively-and it performs nearly as well from magnetic resonance (MR) as from computed tomography (CT) input while running 5.6 × 104 times faster than numerical simulation. These results suggest a fast, radiation-free route to safe and practical digital twins for patient-specific tFUS treatment. The code is available at: https://github.com/CMME-Lab/tFUSOperator.git.