đ€ AI Summary
In assisted reproductive ultrasound, automatic follicle counting faces challenges including sub-millimeter size, severe occlusion, and speckle noise, leading to inaccurate localization and missed detections. To address these, this paper proposes a YOLOv8-based single-stage detection framework with key innovations: (1) a dynamic precision control mechanism featuring a lightweight confidence-localization co-calibration module embedded in the detection headâenabling fine-grained, demand-driven accuracy allocation for the first time; (2) integration of multi-scale feature enhancement, adaptive non-maximum suppression (NMS), and uncertainty-aware regression loss; and (3) clinical prior-constrained post-processing. Evaluated on a multi-center ultrasound dataset, the model achieves 96.2% recall, 94.7% precision, and 92.4% of cases with follicle count error †±1, while operating at 47 FPSâmeeting real-time clinical deployment requirements.