AWR-Net: Decoupling Anatomy and Appearance for 3D Fetal Brain Ultrasound Synthesis

Yuhuan Lu, Sergio Valencia, Yuanji Zhang, Yuhao Huang, Camilo Jaimes +2

Three-dimensional fetal brain ultrasound offers non-ionizing, cost-effective imaging with rich spatial information for comprehensive anatomical assessment, yet its development remains limited by scarce data and annotations. In contrast, fetal brain magnetic resonance imaging has advanced further, supported by larger datasets and mature analysis methods. To leverage these resources, anatomical label maps provide a promising modality-invariant bridge for transferring knowledge from fetal brain magnetic resonance imaging to ultrasound. However, generating ultrasound images from label maps remains challenging because anatomy is tightly entangled with ultrasound appearance. To address this challenge, we separate anatomical correspondence learning from ultrasound appearance adaptation at both the data and model levels. Specifically, we propose the anatomy wavelet residual network, a two-stage framework combining wavelet diffusion and residual refinement. The first stage learns to generate volumes from label maps using atlas pairs in the wavelet domain, while the second stage learns bounded residual corrections from real clinical ultrasound in the image domain. This separation enables…