Submitted:
31 March 2026
Posted:
01 April 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Search Strategy and Data Sources
2.2. Inclusion Criteria
- Studies were included if they met all the following criteria:
- Focus on diagnostic US imaging;
- Use deep learning or machine learning methods for US image denoising or speckle reduction;
- Published in a peer-reviewed journal or a reputable medical imaging, computer vision, or machine learning conference;
2.3. Study Screening and Selection
2.4. Data Extraction
- A structured data charting process was employed to systematically extract and organize information from all included studies. The data extraction form was piloted on a subset of studies and calibrated by the review team prior to use to ensure consistency. The following variables were extracted from each study.
- Anatomy (Breast/ Fetal/ Cardiac/ Abdominal/Musculoskeletal/Others);
- Imaging dimensionality(2D/3D/Videos);
- Target noise type (Speckle, Gaussian noise);
- Learning paradigm (Supervised Learning/Self Supervised/Unsupervised);
- Deep learning architecture (CNN/Unet/GAN/Transformer);
- Summary of the proposed denoising methodology;
- Training data characteristics;
- Evaluation metrics used for quantitative assessment;
- Baseline methods used for comparison;
- Summary of performance results;
- Limitations of the study;
- Future research directions stated;
2.5. Data Handling and Summary
2.6. Limitations
3. Results and Discussion

3.1. Study Selection
3.2. Characteristics of the Studies
3.3. Training Data and Noise Modelling Strategy
3.4. Evaluation Metrics
3.5. Meta Analysis of Quantitative Metrices

3.6. Methodological Trends

3.7. Identified Gap
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| US | Ultrasound |
| PRISMA-DTA | Preferred Reporting Items for a Systematic Review and Meta-Analysis of Diagnostic Test Accuracy studies |
| CNN | Convolutional neural network |
| GAN | Generative adversarial neural network |
| VAE | Variational autoencoder |
| POCUS | Point of care ultrasound |
| CT | Computed tomography |
| MRI | Magnetic resonance imaging |
| SL | Supervised learning |
| SSL | Self-supervised learning |
| USL | Unsupervised learning |
| MSE | Mean squared error |
| RMSE | Root mean squared error |
| MSSIM | Mean structural similarity index |
| ENL | Equivalent number of looks |
| CNR | Contrast-to-noise ratio |
| SRN | Signal-to-noise ratio |
| FSIM | Feature similarity index measure |
| EPI | Edge preservation index |
| NIQE | Natural image quality evaluator |
| PIQE | Perception-based image quality evaluator |
| FOM | Figure of merit |
| ISNR | Improvement in signal-to-noise ratio |
| SI | Speckle index |
| SRE | Signal-to-reconstruction error |
| UIQ | Universal image quality |
| SSIM | Structural similarity index |
| PSNR | Peak signal to noise ratio |
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| Studies | Machine earning paradigm | Deep Learning architecture | Dataset domain (Anatomy) | Metrics |
|---|---|---|---|---|
| Cui et al. [27],Soy et al. [28], Chi et al. [29], Kavand et al. [30], Jha et al. [31], El-Hag at al. [32], Reddy et al. [33] | SL | CNN | Breast, Thyroid, Ovary (PCOS), Carotid Artery, General US | PSNR, SSIM, MSE, RMSE, NIQE, PIQE, ENL, AGM, SSI, EI |
| Khalifa et al. [34], Devi et al. [35], Hsu et al. [36], Satish et al.[37], Monkam et al.[38] | SL | Unet | Breast, Liver, Lung, Fetal (Cardiac/Head), Carotid Artery, General US | PSNR, SSIM, MSE, EPI, ENL, CNR, SNR, AGM |
| Saranya et al.[39], Slimi et al. [40], Bhute et al. [41] | SL | DAE | Breast, General US | PSNR, SSIM, MSE |
| Jiménez-Gaona et al.[42], Sivaanpu et al. [43], Liu et al. [44], Gan et al. [45] | SL | GAN | Breast, Fetal Head, General US | PSNR, SSIM, MSSIM, MSE, RMSE, FOM, FSIM |
| Chen et al. [46],Oliveira et al. [47],Li et al.[48] | SL | CAE | Breast, Lung, Nerve, Cardiac, Fetal Head | PSNR, SSIM, RMSE |
| Jiang et al. [49], Mahmoudi et al. [50] | SL | DnCNN | General US, Carotid Artery | PSNR, SSIM |
| Chen et al. [51],Sivaanpu et al.[52], Bu et al. [53] | SL | Hybrid CNN + Transformer | Fetal Head, Breast, Dental, Cardiac Phantom | PSNR, SSIM, RMSE, MSE, NIQE, ENL, SNR, CNR, ISNR, SI |
| Vimala et al. [54] | SL | LPRNN (CNN+RNN) | ||
| Slimi et al. [55], Yu et al. [56], Sun et al. [57] | SSL | DAE / Unet | Breast, Thyroid, Abdominal, General US | PSNR, SSIM |
| Zhang et al. [58], Goudarzi et al. [59] | USL | CNN / Unet | Nerve | PSNR, SSIM, FSIM, EPI, CNR, SRE, UIQ, MSR |
| Chen et al. [60], Wei et al. [61], Basile et al. [62] | USL | N2N / VAE | Liver, Breast, Abdominal, Heart, Mediastinum | PSNR, SSIM, MSSIM, ENL, MSE, CNR, SNR |
| Study | Dataset | PSNR (dB) | SSIM | Other Metrics score |
|---|---|---|---|---|
| Slimi at al. [55] | BUS-BRA | 33.82 | 0.7625 | - |
| Saranya et al. [39] | PICMUS | 44.48 | 0.935 | - |
| Khalifa et al. [34] | Breast US | 40.72 | 0.940 | - |
| Cui et al.[27] | BUID | - | - | ENL=5.71, AGM=38.57, NIQE=4.25, PIQE=31.83 |
| BUSI | - | - | ENL=2.71, AGM=33.24, NIQE=4.74, PIQE=50.61 | |
| CCA | - | - | ENL=0.76, AGM=40.27, NIQE=4.36, PIQE=64.39 | |
| US-case | - | - | ENL=3.50, AGM=65.18, NIQE=5.38, PIQE=50.57 | |
| Chen et al. [60] | US-CASE | 35.19 | 0.90 | - |
| Slimi at al. [40] | BUS-BRA | 20.60 | 0.81 | - |
| Chi at al. [29] | DDTI | 36.82 | 0.93 | - |
| Jiménez-Gaona et al. [42] | BUSI | 39.79 | 0.96 | - |
| Wei at al. [61] | BUSI | 40.03 | - | SSI=0.80 |
| Chen at al. [51] | UNS | 32.82 | 0.9358 | SSI=0.79 |
| CAMUS | 35.29 | 0.9317 | SSI=0.78 | |
| Kavand et al. [30] | BUI + MedPix | 30.50 | 0.97 | UIQ=0.54 |
| Jha et al.[31] | PCOS | 72.96 | 0.99 | UIQ=0.23 |
| Sivaanpu et al. [52] | HC18 | - | 0.965 | ENL=7.26, NIQE=4.61, MSE=13.905, SRE=32.61, UIQ=0.04, |
| Sivaanpu at al. [43] | HC18 | 33.86 | 0.91 | ISNR=23.57dB |
| BUSI | 34.16 | 0.90 | ISNR=18.52dB | |
| El-Hag at al.[32] | BUSI | 28.72 | 0.77 | NIQE=4.50, MSE=157.3, SNR=40.95dB |
| Bhute et al. [41] | BUSI | 23.64 | 0.92 | MSE=0.0048 |
| Bu et al. [53] | HC18 | 40.62 | 0.98 | RMSE=2.33 |
| Hsu et al. [36] | BUSI + US-4 | 42.27 | 0.99 | - |
| Reddy et al. [33] | INBreast + CBIS-DDSM | 64.44 | - | NIQE=0.08, MSE=0.22 |
| Vimala et al. [54] | INBreast + CBIS-DDSM | 68.70 | - | SRE=63.8 |
| Monkam et al. [38] | HC18 | - | - | ENL=15.71, CNR=1.10, SNR=39.32dB, SRE=27.46 |
| BUSI | - | - | ENL=17.04, CNR=4.20, SNR=34.54dB, SRE=17.04 | |
| CAMUS | 32.77 | 0.87 | RMSE=6.05 | |
| Scheme | Dataset | PSNR (dB) | SSIM | Other Metrics score |
|---|---|---|---|---|
| Saranya et al. [39] | Private Fetus | 44.48 | 0.935 | - |
| Cehn et al. [60] | Private (abdominal) | 32.22 | 0.89 | - |
| Sun et al. [57] | Private Thyroid | 32.89 | 0.88 | - |
| Soy et al. [28] | Private Synthetic US | 34.38 | 0.93 | MSE=0.0021 |
| Devi et al. [35] | Clinical US private | 32.22 | 0.88 | MSE=0.0008, UIQ=0.65 |
| Sivaanpu et al. [52] | Private Heart Phantom | - | - | CNR=18.78dB, MSR=3.85 |
| Basile et al. [62] | Abdominal private | - | - | ENL=55.89, MSE=0.004, SSI=0.33, CNR=4.21dB, SNR=8.57dB |
| Jiang et al. [49] | Breast private | 23.13 | 0.81 | - |
| Liu et al. [44] | Private breast, heart, lymph node | 38.13 | - | RMSE=3.25, UIQ=0.98 |
| Vimala et al. [54] | Private CTS nerve | 41.27 | 0.97 | RMSE=0.85, CNR=11.05, EPI=0.18, SRE=51.7, UIQ=0.86, MSR=1.69, |
| Private CTS nerve | 51.78 | 0.86 | RMSE=1.69 | |
| Satish et al. [37] | Private Fetal cardiac | 29.07 | 0.86 | - |
| Goudarzi et al. [59] | Private Heart | 37.27 | 0.90 | MSE=0.006 |
| Private Chicken breast | 37.11 | 0.91 | MSE=0.008 | |
| Private Bovine liver | 31.28 | 0.88 | MSE=0.017 | |
| Li et al. [48] | Private Fetal Heart | 34.31 | 0.88 | RMSE=5.10 |
| Gan et al. [45] | Private Liver | - | - | NIQE=0.58, PIQE=0.79, RMSE=0.39 |
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