Methods and systems are provided for generating user guidance for ultrasound imaging. In one example, a method includes determining, with a probe recommendation model, a user action to an ultrasound probe prior to and/or during acquisition of a current ultrasound image frame, one or more anatomical features in the current ultrasound image frame, and an anatomy view of the current ultrasound image frame, and outputting, for display on a display device, a probe motion recommendation based on the user action, the one or more anatomical features, and the anatomy view.