Ivo A. M. J. Broeders

Beerend G. A. Gerats, Jelmer M. Wolterink, Ivo A. M. J. Broeders

3D human pose estimation in multi-view operating room (OR) videos is a relevant asset for person tracking and action recognition. However, the surgical environment makes it challenging to find poses due to sterile clothing, frequent occlusions, and limited public data. Methods specifically designed for the OR are generally based on the fusion of detected poses in multiple camera views. Typically, a 2D pose estimator such as a convolutional neural network (CNN) detects joint locations. Then, the detected joint locations are projected to 3D and fused over all camera views. However, accurate detection in 2D does not guarantee accurate localisation in 3D space. In this work, we propose to directly optimise for localisation in 3D by training 2D CNNs end-to-end based on a 3D loss that is backpropagated through each camera's projection parameters. Using videos from the MVOR dataset, we show that this end-to-end approach outperforms optimisation in 2D space.

Beerend G. A. Gerats, Jelmer M. Wolterink, Ivo A. M. J. Broeders

The operating room (OR) is an environment of interest for the development of sensing systems, enabling the detection of people, objects, and their semantic relations. Due to frequent occlusions in the OR, these systems often rely on input from multiple cameras. While increasing the number of cameras generally increases algorithm performance, there are hard limitations to the number and locations of cameras in the OR. Neural Radiance Fields (NeRF) can be used to render synthetic views from arbitrary camera positions, virtually enlarging the number of cameras in the dataset. In this work, we explore the use of NeRF for view synthesis of dynamic scenes in the OR, and we show that regularisation with depth supervision from RGB-D sensor data results in higher image quality. We optimise a dynamic depth-supervised NeRF with up to six synchronised cameras that capture the surgical field in five distinct phases before and during a knee replacement surgery. We qualitatively inspect views rendered by a virtual camera that moves 180 degrees around the surgical field at differing time values. Quantitatively, we evaluate view synthesis from an unseen camera position in terms of PSNR, SSIM and LPIPS for the colour channels and in MAE and error percentage for the estimated depth. We find that NeRFs can be used to generate geometrically consistent views, also from interpolated camera positions and at interpolated time intervals. Views are generated from an unseen camera pose with an average PSNR of 18.2 and a depth estimation error of 2.0%. Our results show the potential of a dynamic NeRF for view synthesis in the OR and stress the relevance of depth supervision in a clinical setting.

Beerend G. A. Gerats, Jelmer M. Wolterink, Seb P. Mol et al.

Laparoscopic video tracking primarily focuses on two target types: surgical instruments and anatomy. The former could be used for skill assessment, while the latter is necessary for the projection of virtual overlays. Where instrument and anatomy tracking have often been considered two separate problems, in this paper, we propose a method for joint tracking of all structures simultaneously. Based on a single 2D monocular video clip, we train a neural field to represent a continuous spatiotemporal scene, used to create 3D tracks of all surfaces visible in at least one frame. Due to the small size of instruments, they generally cover a small part of the image only, resulting in decreased tracking accuracy. Therefore, we propose enhanced class weighting to improve the instrument tracks. We evaluate tracking on video clips from laparoscopic cholecystectomies, where we find mean tracking accuracies of 92.4% for anatomical structures and 87.4% for instruments. Additionally, we assess the quality of depth maps obtained from the method's scene reconstructions. We show that these pseudo-depths have comparable quality to a state-of-the-art pre-trained depth estimator. On laparoscopic videos in the SCARED dataset, the method predicts depth with an MAE of 2.9 mm and a relative error of 9.2%. These results show the feasibility of using neural fields for monocular 3D reconstruction of laparoscopic scenes.