A Chain-of-thought Reasoning Breast Ultrasound Dataset Covering All Histopathology Categories

Breast ultrasound (BUS) is an essential tool for diagnosing breast lesions, with millions of examinations per year. However, publicly available high-quality BUS benchmarks for AI development are limited in data scale and annotation richness. In this work, we present BUS-CoT, a BUS dataset for chain-of-thought (CoT) reasoning analysis, which contains 11,439 ultrasound images from 11,850 lesions and 4,838 patients, covering all 99 WHO-defined histopathology categories. For model training and evaluation, we provide a curated high-quality subset of 5,163 lesion-focused images annotated by experienced radiologists. To facilitate research on incentivizing CoT reasoning, we construct the reasoning processes based on observation, feature, diagnosis and pathology labels, annotated and verified by experienced experts. Moreover, by covering lesions of all histopathology types, we aim to facilitate robust AI systems in rare cases, which can be error-prone in clinical practice. The data and code are publicly available at https://doi.org/10.6084/m9.figshare.30838715 .