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Life sciences · Preprint
arXiv · November 5, 2026
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Background and Objective: Our main goal is ultrasound guidance: moving a probe until its image matches a target view. Published methods for each part of a guide are evaluated in separate simulators. We asked whether these methods, combined into one guide, are good enough. Methods: We built USB Gym, a testbed whose standard engine simulates ultrasound from public patient CT, with a network drawing organ textures from CT labels. Its guide has three replaceable parts (slots), an organ segmenter, a controller and a reward, which received 20 published methods, each run on the same 60 episodes of six held-out patients. In each slot, a published method replaced ours only if detectably better on these patients. The better of this combination and our original guide on 20 new CTs is the benchmark baseline. A pose oracle, reading the exact probe pose available only in simulation, set the reference. The results below are exploratory. Results: On these CTs, the probe started on average 16.0 mm from the target view; the pose oracle brought it to 1.5 mm. Of the results known when the combination was fixed, only an image-similarity reward (SSIM) was slightly but detectably better, so the combination was our guide with that reward. This combination was the benchmark baseline, ending at 13.7 mm (16% of the oracle's progress). Conclusions: Combining untuned published methods with ours did not guide the probe near the target view; the task remains under-explored. The testbed accepts new methods; no guide was tested on hardware.