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    Causal Ultrasound-guided tracking (CUS-Track) improves liver tracking accuracy by correcting for periodicity bias in historical data. This method enhances target localization in ultrasound, especially for challenging cases.

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    Area of Science:

    • Medical Imaging
    • Ultrasound Technology
    • Biomedical Engineering

    Background:

    • Real-time liver tissue tracking is crucial for ultrasound applications.
    • Historical trajectories offer priors for localization but can introduce periodicity bias.
    • Existing methods often over-rely on periodic motion, neglecting appearance matching.

    Purpose of the Study:

    • To develop a novel liver tracking method mitigating periodicity bias.
    • To improve target localization accuracy and robustness in liver ultrasound.
    • To leverage causal inference for enhanced trajectory analysis.

    Main Methods:

    • Proposed Causal Ultrasound-guided tracking (CUS-Track) method.
    • Decomposition and correction of causal effects from historical trajectories.
    • Counterfactual reasoning to eliminate periodicity bias.
    • Incorporated deconfounding module for latent confounder removal.

    Main Results:

    • CUS-Track demonstrated superior tracking accuracy compared to existing methods.
    • The method showed enhanced robustness under challenging ultrasound conditions.
    • Effective suppression of periodicity bias while preserving useful trajectory priors.

    Conclusions:

    • CUS-Track offers a robust solution for real-time liver tracking.
    • Causal inference provides a powerful framework for addressing bias in motion tracking.
    • The proposed method advances the state-of-the-art in ultrasound-guided interventions.