Recon2Servo: Robotic Ultrasound Visual Servoing via Learned Image-to-Motion Inference

Ultrasound visual servoing is essential for autonomous robotic ultrasound, yet 6-DoF probe control from 2D B-mode images remains challenging due to limited and ambiguous out-of-plane motion cues. Existing methods typically rely on anatomical priors or handcrafted visual features, limiting their generalizability across imaging targets. Inspired by trackerless 3D ultrasound reconstruction, we propose Recon2Servo, a visual servoing framework that learns image-to-motion inference directly from B-mode images for 6-DoF probe control. A DINOv3 encoder with low-rank adaptation and a bidirectional relation module estimate the relative probe pose between current and target images to guide iterative closed-loop target-view alignment. The framework combines supervised relative-pose learning, reconstruction-guided closed-loop adaptation, and bounded residual pose correction to improve motion inference during servoing. Evaluations on a public dataset and an in-house dataset collected from 12 healthy volunteers using different ultrasound systems demonstrate its effectiveness in reconstructed-volume servoing. Additional real-robot demonstrations of target-view alignment and dynamic tracking on a human forearm are provided in the supplementary video: https://youtu.be/qwsOdI-GMYk.