SonoBase: An Open Ultrasound Foundation Model for Robust

Overview


Ultrasound is the most widely deployed imaging modality worldwide, yet clinical AI remains fragmented into narrow, single-task models that fail when the device, operator, or anatomy changes. To address this gap, researchers present SonoCorpus and SonoBase β€” an open data resource and an interactive segmentation foundation model pretrained on it β€” as published on arXiv (2609.19230, cs.CV), submitted on 16 September 2026.


Authors: Chao Qin, Fahad Shahbaz Khan, Salman Khan, Sarim Ather, Siddiq Anwar, Rao Muhammad Anwer, and Shadab Khan.


Subject: Computer Vision and Pattern Recognition (cs.CV). The PDF includes the Supplementary Information.


SonoCorpus: A Unified Open Resource


SonoCorpus unifies:


  • 456,963 images and 1,626,085 expert masks
  • 53 public datasets spanning 24 clinical applications and 17 countries

This scale and diversity aim to overcome the fragmentation that limits generalization in ultrasound AI.


SonoBase: Foundation Model and Results


SonoBase is an interactive segmentation foundation model pretrained on SonoCorpus. Across fifteen evaluation datasets introducing new organs, devices, operators, and geographies, SonoBase:


  • Outperforms SAM2, MedSAM2, and the concept-promptable MedSAM3 on every dataset
  • Matches per-dataset specialist models trained on the same data
  • On fully external data, exceeds the accuracy these baselines achieve on their own in-distribution benchmarks

Clinical Measurement Accuracy


  • Ejection fraction (EF): derived segmentations fall within inter-observer variability, with a 6.63% error, and fewer misclassifications at the defibrillator-candidacy threshold than either promptable baseline (13% vs. 18–42%)
  • Fetal head circumference: 1.81 mm error, below inter-observer variability
  • Gestational age: 1.2 days error, below inter-observer variability

Robustness in the Field


Where a baseline fails outright β€” one in four test cases β€” SonoBase recovers a usable segmentation in 81% of them. This includes handheld probes operated by minimally trained users in two low- and middle-income countries (Sierra Leone and Tanzania).


Adaptability and Transferability


  • Five labeled examples can help the model adapt to a new setting
  • The identical training protocol transfers well to newer models such as SAM3, locating the advantage in ultrasound-specific pretraining rather than any single architecture

Reproducibility and Open Release


To ensure reproducibility and enable the community to build on SonoBase as a platform, the authors release:


  • All checkpoints
  • Optimizer states
  • Data-split indices
  • Deduplication hashes
  • Starter code

Citation


Cite as: arXiv:2609.19230 [cs.CV] β€” https://arxiv.org/abs/2609.19230

via ArXiv CV

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