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Semantic Diffusion Posterior Sampling for Cardiac Ultrasound Dehazing

Tristan S. W. Stevens, Oisín Nolan, Ruud J. G. van Sloun

2025-08-26

Semantic Diffusion Posterior Sampling for Cardiac Ultrasound Dehazing

Summary

This research focuses on improving the clarity of echocardiograms, which are ultrasound images of the heart, by removing a visual distortion called 'haze'.

What's the problem?

Echocardiograms can often appear blurry or hazy, especially when imaging patients where getting a clear picture is already difficult. This haze is caused by how sound waves bounce around inside the body, creating unwanted echoes that interfere with the real image. This poor image quality makes it harder for doctors to accurately diagnose and monitor heart conditions.

What's the solution?

The researchers developed a new computer algorithm that uses a technique called 'diffusion modeling' combined with 'semantic segmentation'. Essentially, the algorithm learns what a clear heart ultrasound should look like and then uses that knowledge to intelligently remove the haze. It first identifies different parts of the heart in the hazy image and then uses this information to guide the 'dehazing' process, making it more effective. It's like having a guide that tells the algorithm where the heart structures are so it can clean up the image around them.

Why it matters?

Improving echocardiogram clarity is really important because it allows doctors to get a better view of the heart without needing more invasive or expensive tests. A clearer image means more accurate diagnoses and better patient care. This new algorithm shows promising results in automatically improving image quality, which could eventually become a standard tool in cardiac imaging.

Abstract

Echocardiography plays a central role in cardiac imaging, offering dynamic views of the heart that are essential for diagnosis and monitoring. However, image quality can be significantly degraded by haze arising from multipath reverberations, particularly in difficult-to-image patients. In this work, we propose a semantic-guided, diffusion-based dehazing algorithm developed for the MICCAI Dehazing Echocardiography Challenge (DehazingEcho2025). Our method integrates a pixel-wise noise model, derived from semantic segmentation of hazy inputs into a diffusion posterior sampling framework guided by a generative prior trained on clean ultrasound data. Quantitative evaluation on the challenge dataset demonstrates strong performance across contrast and fidelity metrics. Code for the submitted algorithm is available at https://github.com/tristan-deep/semantic-diffusion-echo-dehazing.