The Illusion of Fit: Spatially Resolved Assessment of Constitutive Model Validity in Elastography and Physics-Based Inverse Problems
Vincent C. Scholz, P.S. Koutsourelakis

TL;DR
This paper introduces a probabilistic, spatially resolved method to assess the validity of constitutive models in elastography, improving detection of model inaccuracies and robustness to noise.
Contribution
It transforms constitutive model validation into an explicit inference problem, enabling spatial maps of model support without relying on traditional assumptions.
Findings
Successfully identified inclusions with high contrast in synthetic experiments.
Robustly detected model violations across various noise levels and data sparsity.
Accurately recovered true stiffness contrast in a phantom experiment.
Abstract
Inferring the mechanical properties of soft tissues from measured deformations is a fundamental challenge in elastography. A rarely examined assumption underlying existing approaches is that the assumed constitutive law correctly describes the imaged material. When it fails, inversion still yields plausible-looking estimates - an illusion of fit with no indication of local model invalidity, which can mislead clinical interpretation. We propose a probabilistic framework that transforms constitutive model validity from an implicit assumption into an explicit, spatially resolved inference target. The key is to treat the stress field as an independent latent variable rather than deriving it from the constitutive law. This enables a pointwise comparison between the stress required by mechanical equilibrium and the stress predicted by the assumed constitutive model. Both governing equations…
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