OpenPros: A Large-Scale Dataset for Limited View Prostate Ultrasound Computed Tomography

Prostate cancer is one of the most common and lethal cancers among men, making its early detection critically important. Although ultrasound imaging offers greater accessibility and cost-effectiveness compared to MRI, traditional transrectal ultrasound (TRUS) methods suffer from low sensitivity, especially in detecting anteriorly located tumors. Ultrasound computed tomography (USCT) provides quantitative tissue characterization, but its clinical implementation faces significant challenges, particularly under anatomically constrained limited-angle acquisition conditions specific to prostate imaging. To address these unmet needs, we introduce OpenPros, the first large-scale benchmark dataset for limited-angle prostate USCT designed to systematically evaluate ML methods for inverse problems. Our dataset includes over 280,000 paired samples of realistic 2D speed-of-sound (SOS) phantoms and corresponding ultrasound full-waveform data, generated from anatomically accurate 3D digital prostate models derived from real clinical MRI/CT scans and ex vivo ultrasound measurements, annotated by medical experts. Simulations are conducted under clinically realistic configurations using advanced finite-difference time-domain (FDTD) and Runge-Kutta acoustic wave solvers, both provided as open-source components. Through comprehensive benchmarking, we find that deep learning methods significantly outperform traditional physics-based algorithms in inference efficiency and reconstruction accuracy. However, our results also reveal that current machine learning methods fail to deliver clinically acceptable, high-resolution reconstructions, underscoring critical gaps in generalization, robustness, and uncertainty quantification. By publicly releasing OpenPros, we provide the community with a rigorous benchmark that not only enables fair method comparison but also motivates new advances in physics-informed learning, foundation models for scientific imaging, and uncertainty-aware reconstruction—bridging the gap between academic ML research and real-world clinical deployment.