UNICORN: Ultrasound Nakagami Imaging via Score Matching and Adaptation for Assessing Hepatic Steatosis

📅 2026-03-16
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Current ultrasound Nakagami imaging is hindered by the difficulty of selecting a fixed window size and unstable parameter estimation, leading to low resolution and limited accuracy in assessing hepatic steatosis. This work proposes UNICORN, a novel method that, for the first time, introduces score matching into Nakagami parameter estimation. It derives a closed-form analytical solution based on ultrasound envelope signals and integrates an adaptive strategy to enable pixel-wise parameter mapping, thereby eliminating reliance on conventional region-based windows. Experiments on real patient data demonstrate that UNICORN substantially improves imaging stability and fine-detail resolution, effectively discriminates backscattering statistical characteristics associated with hepatic steatosis, and exhibits strong clinical applicability, robustness, and generalization capability.

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📝 Abstract
Ultrasound imaging is an essential first-line tool for assessing hepatic steatosis. While conventional B-mode ultrasound imaging has limitations in providing detailed tissue characterization, ultrasound Nakagami imaging holds promise for visualizing and quantifying tissue scattering in backscattered signals, with potential applications in fat fraction analysis. However, existing methods for Nakagami imaging struggle with optimal window size selection and suffer from estimator instability, leading to degraded image resolution. To address these challenges, we propose a novel method called UNICORN (Ultrasound Nakagami Imaging via Score Matching and Adaptation), which offers an accurate, closed-form estimator for Nakagami parameter estimation based on the score function of the ultrasound envelope signal. Unlike methods that visualize only specific regions of interest (ROI) and estimate parameters within fixed window sizes, our approach provides comprehensive parameter mapping by providing a pixel-by-pixel estimator, resulting in high-resolution imaging. We demonstrated that our proposed estimator effectively assesses hepatic steatosis and provides visual distinction in the backscattered statistics associated with this condition. Through extensive experiments using real envelope data from patient, we validated that UNICORN enables clinical detection of hepatic steatosis and exhibits robustness and generalizability.
Problem

Research questions and friction points this paper is trying to address.

Nakagami imaging
hepatic steatosis
ultrasound
estimator instability
window size selection
Innovation

Methods, ideas, or system contributions that make the work stand out.

Nakagami imaging
score matching
ultrasound envelope
pixel-wise estimation
hepatic steatosis
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