A-SEE2.0: Active-Sensing End-Effector for Robotic Ultrasound Systems with Dense Contact Surface Perception Enabled Probe Orientation Adjustment

Conventional freehand ultrasound (US) imaging is highly dependent on the skill of the operator, often leading to inconsistent results and increased physical demand on sonographers. Robotic Ultrasound Systems (RUSS) aim to address these limitations by providing standardized and automated imaging solutions, especially in environments with limited access to skilled operators. This paper presents the development of a novel RUSS system that employs dual RGB-D depth cameras to maintain the US probe normal to the skin surface, a critical factor for optimal image quality. Our RUSS integrates RGB-D camera data with robotic control algorithms to maintain orthogonal probe alignment on uneven surfaces without preoperative data. Validation tests using a phantom model demonstrate that the system achieves robust normal positioning accuracy while delivering ultrasound images comparable to those obtained through manual scanning. A-SEE2.0 demonstrates 2.47 ${\pm}$ 1.25 degrees error for flat surface normal-positioning and 12.19 ${\pm}$ 5.81 degrees normal estimation error on mannequin surface. This work highlights the potential of A-SEE2.0 to be used in clinical practice by testing its performance during in-vivo forearm ultrasound examinations.