Scanning While Imagining: A Scene-Graph World Model for Robotic Ultrasound Navigation

Ultrasound (US) acquisition depends on the operator's ability to interpret anatomy and anticipate how the view will change with probe motion. Many robotic US navigation methods select actions without explicitly predicting these anatomical changes. We propose SonoGraph-WM, an action- and goal-conditioned world model for anticipatory probe navigation. The model represents anatomy as scene graphs (SGs), capturing visible structures, their geometry, and spatial relationships without synthesizing US images. Given a history of SGs and probe poses, a unified Transformer jointly predicts future SGs and poses. A receding-horizon planner recursively imagines candidate trajectories, selects the shortest predicted path reaching a goal graph, and follows it over a short execution horizon before replanning from new observations. To reduce reliance on tracked and anatomically annotated US sequences, we generate aligned SG--pose training data from computed tomography (CT) label maps along surface-constrained probe trajectories. On four held-out CT cases, spatial relation F1 remains above 93% over 20 prediction steps, and closed-loop navigation achieves 77.50% and 75.00% success for the gallbladder and pancreas, respectively, using annotation-derived SGs. In robot--phantom navigation experiments with label-map-derived SGs, the planner reached the target view in 73.7% of trials. These findings support CT-supervised anatomical world modeling for probe planning and highlight the importance of frequent observation updates for reliable navigation. Project Page: https://noseefood.github.io/us-sonograph-wm/