Diff-ANO: Towards Fast High-Resolution Ultrasound Computed Tomography via Conditional Consistency Models and Adjoint Neural Operators

Abstract: Ultrasound Computed Tomography (USCT) constitutes a nonlinear inverse problem with inherent ill-posedness that can benefit from regularization through diffusion generative priors. However, traditional approaches for solving Helmholtz equation-constrained USCT face three fundamental challenges when integrating these priors: PDE-constrained gradient computation, discretization-induced approximation errors, and computational imbalance between neural networks and numerical PDE solvers. In this work, we introduce \textbf{Diff-ANO} (\textbf{Diff}usion-based Models with \textbf{A}djoint \textbf{N}eural \textbf{O}perators), a novel framework that combines conditional consistency models with adjoint operator learning to address these limitations. Our two key innovations include: (1) a \textit{conditional consistency model} that enables measurement-conditional few-step sampling by directly learning a self-consistent mapping from diffusion trajectories, and (2) an \textit{adjoint operator learning} module that replaces traditional PDE solvers with neural operator surrogates for efficient adjoint-based gradient computation. To enable practical deployment, we introduce the batch-based Convergent Born Series (BCBS)--a memory-efficient strategy for online generation of neural operator training pairs. Comprehensive experiments demonstrate that Diff-ANO significantly improves both computational efficiency and reconstruction quality, especially under sparse-view and partial-view measurement scenarios.