Endoscopic Depth Estimation Based on Deep Learning: A Survey
Authors: Ke Niu, Zeyun Liu, Xue Feng, Heng Li, Naian Xiao, Binghua Su, Qika Lin, Kaize Shi
Organizations: School of Computer Science, Beijing Information Science and Technology University, Beijing, China · Faculty of Biomedical Engineering, Shenzhen University of Advanced Technology, Shenzhen, China · Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
Abstract
Endoscopic depth estimation is a critical technology for improving the safety and precision of minimally invasive surgery. It has attracted considerable attention from researchers in medical imaging, computer vision, and robotics. Over the past decade, a large number of methods have been developed. Despite the existence of several related surveys, a comprehensive overview focusing on recent deep learning-based techniques is still limited. This paper endeavors to bridge this gap by comprehensively reviewing the state-of-the-art literature. Specifically, we provide a thorough survey of the field from three key perspectives: data, methods, and applications. Firstly, at the data level, we describe the acquisition process of publicly available datasets. Secondly, at the methodological level, we introduce both monocular and stereo deep learning-based approaches for endoscopic depth estimation. Thirdly, at the application level, we identify the specific challenges and corresponding solutions for the clinical implementation of depth estimation technology, situated within concrete clinical scenarios. Finally, we outline potential directions for future research, such as domain adaptation, real-time implementation, and the synergistic fusion of depth information with sensor technologies, thereby providing a valuable starting point for researchers to engage with and advance the field toward clinical translation.
Depth estimation is a foundational component for 3D reconstruction in minimally invasive endoscopic surgeries. However, existing monocular depth estimation techniques often exhibit limited performance to the varying illumination and complex textures of the surgical environment. While applying foundation models offers a promising approach to enhance the depth estimation performance, the domain gap between the natural images used for pre-training and the target endoscopic images leads to significant semantic perception deficiencies. In this study, EndoUFM is introduced as an unsupervised monocular depth estimation framework that innovatively \underline{U}tilizes dual Foundation Models for Endoscopic images, thereby enhancing the depth estimation performance by leveraging the powerful pre-learned priors. The framework features a novel adaptive fine-tuning strategy that incorporates Random Vector Low-Rank Adaptation (RVLoRA) to enhance model adaptability, and a Residual block based on Depthwise Separable Convolution (Res-DSC) to improve the capture of fine-grained local features. A mask-guided smoothness loss is also introduced to enforce depth consistency within anatomical structures. Extensive experiments on the SCARED, Hamlyn, SERV-CT, and EndoNeRF datasets confirm that our method achieves state-of-the-art performance while maintaining an efficient model size. This work contributes to augmenting surgeons' spatial perception during minimally invasive procedures, thereby enhancing surgical precision and safety, with crucial implications for augmented reality and navigation systems. Our code is available at https://github.com/RealMindyY/EndoUFM.
Monocular depth estimation has long stood as a fundamental challenge in computer vision, enabling a wide range of applications including 3D reconstruction, robotics, autonomous driving, and augmented reality. This survey traces the field's evolution from early learning-based methods to the emergence of transformative foundation models. We begin by framing the problem, distinguishing between relative and metric depth estimation, and highlighting the key challenges that have shaped a decade of research. We then present common problem formulations and introduce the most widely used datasets, covering indoor, outdoor, and synthetic data. Following this, we review major advances prior to the foundation model era, distilling core insights from influential methods that contributed to improvements in accuracy, efficiency, and robustness. The survey then turns to the recent surge of foundation-model-based approaches, categorizing them into discriminative and generative paradigms and emphasizing the critical roles of large-scale pretraining (e.g., DINOv3) and synthetic data. We compare representative models using both quantitative benchmarks and qualitative examples, and discuss natural extensions to video-based depth estimation. Further, to illustrate real-world impact, we highlight the integration of depth estimation into applications such as visual SLAM, content generation, and robot perception. Finally, we outline open challenges and promising research directions as the field advances further into the era of foundation models.
Depth estimation is a significant task for 3D perception in endoscopic surgeries. However, illumination interference and feature diversity in various endoscopic scenes are still challenges for generalizable depth estimation and ego-motion estimation. Based on this, a novel self-supervised framework, EndoMINI, is proposed for depth estimation in endoscopic scenes. Specifically, mixture of low-rank experts (MiLoRE) is proposed to perform parameter-efficient fine-tuning, which can also boost the model adaptation to scenes with different characteristics. Meanwhile, an intrinsic image alignment (IIA) is introduced into the training loss to alleviate the influence of light reflectance in endoscopy with a novel intrinsic image decomposition network. The proposed method is evaluated on SCARED datasets for supervised depth estimation, and two endoscopic datasets, Hamlyn and SERV-CT, for zero-shot depth estimation, compared with state-of-the-art works as well. The experimental results demonstrate outstanding performance of the proposed model and the effects of the main contributions.