Evaluation Protocols and Validation for Cameras in Indoor Healthcare Monitoring
Authors: Amirhossein Dadashzadeh, Jingjing Liu, Qianhui Men, Qiushuo Cheng, Kirsty Scott, Lisa Alcock, Ian Craddock, Majid Mirmehdi
Organizations: School of Engineering Mathematics and Technology, University of Bristol, UK · School of Computer Science, University of Bristol, UK · Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK · NIHR Newcastle Biomedical Research Centre, Newcastle University and The Newcastle upon Tyne Hospitals NHS Foundation Trust, UK
Abstract
Camera-based monitoring systems are increasingly adopted in healthcare settings for the continuous assessment of patient movement and activities. However, their technical performance under real-world indoor conditions remains insufficiently characterised, preventing appropriate camera selection for clinical or home adoption and reproducibility. Existing validation studies typically assess either device metrological performance or algorithm accuracy in isolation, and often do not systematically account for practical deployment factors, such as lighting variability, occlusions, and camera positioning. We present two technical validation protocols: the first evaluates the metrological performance of RGB and RGB-D cameras, and the second assesses their use in supporting human pose estimation, validated using state-of-the-art pose estimators. The proposed protocols systematically assess five cameras, four RGB-D and one RGB, under controlled variations in lighting, camera height, viewing angle, and occlusion level within representative indoor scenarios. The experimental results show that metrological performance varies substantially across cameras, with depth bias at 5 m ranging from 50 mm to over 1400 mm depending on the device. For 2D pose estimation, all cameras achieve broadly comparable accuracy, with mean mAP between approximately 78% and 90% across cameras and estimators, whereas 3D reconstruction error differs markedly across devices, with MPJPE ranging from 104 mm to 365 mm, closely reflecting underlying depth-sensing quality. Environmental factors have a camera- and estimator-dependent effect on 3D performance, while camera mounting height has minimal influence within the evaluated range. This work provides evidence-based guidance for the selection and deployment of cameras in healthcare monitoring applications, addressing an important gap in current technical validation practice.
Monocular depth estimation has improved significantly in recent years, driven by increasingly powerful models and large-scale training data. Predicted depth is increasingly used as an input signal for downstream tasks such as Structure-from-Motion (SfM), visual localization, and SLAM. However, monocular depth estimators (MDEs) are still primarily evaluated in terms of depth accuracy. Standard metrics aggregate errors globally and may not reflect the usefulness of depth for downstream geometric tasks. We therefore propose Depth2Pose, a framework for evaluating MDEs in the context of downstream tasks. By combining depth predictions with feature correspondences in depth-aware geometric solvers, we use relative camera pose estimation accuracy as a task-driven proxy for depth quality. Traditional benchmarks require dense ground truth in the form of per-pixel depth, which is expensive to obtain. In contrast, our formulation requires only camera poses, which can be estimated efficiently, e.g., using Structure-from-Motion pipelines. As a result, our framework can be applied to scenes where ground-truth depth is difficult to obtain, for example due to large scene scale or heavy occlusions (e.g., vegetated environments). Leveraging this, we introduce the D2P dataset, which contains challenging scenes outside the distribution of commonly used training data. We show that methods performing well under standard depth error metrics on existing benchmarks also perform well under our pose-based metric when evaluated on the same datasets, but do not necessarily generalize to our more challenging dataset. Finally, we provide a simple and extensible evaluation framework. The dataset and code are available at kocurvik.github.io/depth2pose.
Depth estimation has numerous medical and surgical applications. We benchmark four depth sensors on a porcine bone specimen, a porcine belly specimen, and a silicone kidney phantom using stylus-sampled references. These objects contain several real-world challenges, including homogeneous surfaces, specular surfaces, and subsurface scattering. The comparison includes stereo, structured-light, and time-of-flight sensors at a distance of approximately 50 cm. Specifically, the Intel RealSense D405 (Intel RealSense, United States), PMD Flexx2 (pmdtechnologies, Germany), Stereolabs ZED 2i (Stereolabs, France), and Zivid 2M+ 60 (Zivid, Norway) are compared. The Zivid 2M+ 60 performed best across all objects and metrics considered in this work. The ZED ranked second for real tissue, but last on the phantom.
Pit Henrich, Maximilian Weiherer, Franziska Hansen +2
We address the challenging problem of dense dynamic scene reconstruction and camera pose estimation from multiple freely moving cameras -- a setting that arises naturally when multiple observers capture a shared event. Prior approaches either handle only single-camera input or require rigidly mounted, pre-calibrated camera rigs, limiting their practical applicability. We propose a two-stage optimization framework that decouples the task into robust camera tracking and dense depth refinement. In the first stage, we extend single-camera visual SLAM to the multi-camera setting by constructing a spatiotemporal connection graph that exploits both intra-camera temporal continuity and inter-camera spatial overlap, enabling consistent scale and robust tracking. To ensure robustness under limited overlap, we introduce a wide-baseline initialization strategy using feed-forward reconstruction models. In the second stage, we refine depth and camera poses by optimizing dense inter- and intra-camera consistency using wide-baseline optical flow. Additionally, we introduce MultiCamRobolab, a new real-world dataset with ground-truth poses from a motion capture system. Finally, we demonstrate that our method significantly outperforms state-of-the-art feed-forward models on both synthetic and real-world benchmarks, while requiring less memory.