Nicole Gunderson

Pengcheng Chen, Yue Hu, Wenhao Li et al.

In modern dense 3D reconstruction, feed-forward systems (e.g., VGGT, pi3) focus on end-to-end matching and geometry prediction but do not explicitly output the novel view synthesis (NVS). Neural rendering-based approaches offer high-fidelity NVS and detailed geometry from posed images, yet they typically assume fixed camera poses and can be sensitive to pose errors. As a result, it remains non-trivial to obtain a single framework that can offer accurate poses, reliable depth, high-quality rendering, and accurate 3D surfaces from casually captured views. We present NeVStereo, a NeRF-driven NVS-stereo architecture that aims to jointly deliver camera poses, multi-view depth, novel view synthesis, and surface reconstruction from multi-view RGB-only inputs. NeVStereo combines NeRF-based NVS for stereo-friendly renderings, confidence-guided multi-view depth estimation, NeRF-coupled bundle adjustment for pose refinement, and an iterative refinement stage that updates both depth and the radiance field to improve geometric consistency. This design mitigated the common NeRF-based issues such as surface stacking, artifacts, and pose-depth coupling. Across indoor, outdoor, tabletop, and aerial benchmarks, our experiments indicate that NeVStereo achieves consistently strong zero-shot performance, with up to 36% lower depth error, 10.4% improved pose accuracy, 4.5% higher NVS fidelity, and state-of-the-art mesh quality (F1 91.93%, Chamfer 4.35 mm) compared to existing prestigious methods.

Nicole M. Gunderson, Graham J. Harris, Jeremy S. Ruthberg et al.

Purpose: Incomplete dissection is a common cause of persistent disease and revision endoscopic sinus surgery (ESS) in chronic rhinosinusitis. Current image-guided surgery systems typically reference static preoperative CT (pCT), and do not model evolving resection boundaries. We present Virtual Intraoperative CT (viCT), a method for sequentially updating pCT throughout ESS using intraoperative 3D reconstructions from monocular endoscopic video to enable visualization of evolving anatomy in CT format. Methods: Monocular endoscopic video is processed using a depth-supervised NeRF framework with virtual stereo synthesis to generate metrically scaled 3D reconstructions at multiple surgical intervals. Reconstructions undergo rigid, landmark-based registration in 3D Slicer guided by anatomical correspondences, and are then voxelized into the pCT grid. viCT volumes were generated using a ray-based occupancy comparison between pCT and reconstruction to delete outdated voxels and remap preserved anatomy and updated boundaries. Performance is evaluated in a cadaveric feasibility study of four specimens across four ESS stages using volumetric overlap (DSC, Jaccard) and surface metrics (HD95, Chamfer, MSD, RMSD), and qualitative comparisons to ground-truth CT. Results: viCT updates show agreement with ground-truth anatomy across surgical stages, with submillimeter mean surface errors. Dice Similarity Coefficient (DSC) = 0.88 +/- 0.05 and Jaccard Index = 0.79 +/- 0.07, and Hausdorff Distance 95% (HD95) = 0.69 +/- 0.28 mm, Chamfer Distance = 0.09 +/- 0.05 mm, Mean Surface Distance (MSD) = 0.11 +/- 0.05 mm, and Root Mean Square Distance (RMSD) = 0.32 +/- 0.10 mm. Conclusion: viCT enables CT-format anatomic updating in an ESS setting without ancillary hardware. Future work will focus on fully automating registration, validation in live cases, and optimizing runtime for real-time deployment.