Metric Surface Reconstruction of Neurosurgical Scenes from Monocular Operating Microscope Images and Microscope Pose
Authors: Thomas Bucher, Didier Neuenschwander, Thomas Petutschnigg, Michael Murek, David Bervini, Andreas Raabe, Manuela Eugster
Organizations: Neuro Robotics Group, ARTORG Center, University of Bern, Bern, Switzerland · Department of Neurosurgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Abstract
Objective: We evaluated whether metric 3D geometry of neurosurgical operative exposure can be recovered from standard monocular operating-microscope images combined with microscope pose data. Methods: In a phantom-based laboratory study, two aneurysm training phantoms were imaged with a ZEISS Pentero 800 microscope integrated with Brainlab Cranial Navigation. Microscope images from the standard composite video output were stored with synchronous microscope poses. After intrinsic and extrinsic calibration, depth was estimated with the pretrained Depth Anything 3 model without task-specific fine-tuning. Fused point clouds were converted to meshes using Poisson surface reconstruction. Reconstructions were compared with reference surfaces from structured-light scanning and fine-slice CT. Results: For phantom A, representing a deeper surgical corridor, reconstruction accuracy ranged from 1.95 ± 1.70 mm to 2.33 ± 2.15 mm. For phantom B, representing a directly exposed surface, accuracy ranged from 1.02 ± 0.93 mm to 1.52 ± 1.21 mm. Larger image sets mainly improved completeness, while accuracy remained within a narrower range. Corridor analysis showed preservation of overall geometry with local deviations in incompletely reconstructed regions. Conclusions: Standard monocular microscope images combined with navigation-derived pose data can reconstruct millimeter-range 3D surfaces using a foundation-model-based pipeline. These results show technical feasibility in a controlled phantom setting and support further development toward objective quantification of operative exposure, image fusion, and characterization of working spaces for future surgical instrumentation.
We introduce MetricHMSR, a novel framework for recovering metric human meshes and 3D scenes from a single monocular image. Existing methods struggle to recover metric scale due to monocular scale ambiguity and weak-perspective camera assumptions. Moreover, their fully coupled feature representations make it difficult to disentangle local pose from global translation, often requiring multi-stage pipelines that introduce accumulated errors. To address these challenges, we propose MetricHMR (Metric Human Mesh Recovery), which incorporates a bounding camera ray map representation to provide explicit metric cues for human reconstruction,together with a Human Mixture-of-Experts (HumanMoE) that dynamically routes image features to specialized experts, enabling the disentangled perception of local human pose and global metric position. Leveraging the recovered metric human as a geometric anchor, we further refine monocular metric depth estimation to achieve more accurate 3D alignment between humans and scenes.Comprehensive experiments demonstrate that our method achieves state-of-the-art performance on both human mesh recovery and metric human-scene reconstruction. Project Page: https://Metaverse-AI-Lab-THU.github.io/MetricHMSR.
Significance. Accurate intraoperative depth perception is important for autonomous and semi-autonomous robotic laparoscopic surgery. Conventional fringe projection profilometry can achieve millimeter-scale accuracy but often requires multi-shot acquisition, digital-micromirror-device projection, and projector-camera synchronization, complicating integration into compact laparoscopic systems. Aim. To develop a synchronization-free, single-shot depth-sensing platform using a passive LED-illuminated binary mask and a VQ-VAE prior with a custom U-Net depth head. Approach. A compact projection module was coupled to one channel of a dual-channel laparoscope, while the second channel imaged the fringe-illuminated target. A Zivid 3D camera acquired reference depth for 722 paired phantom images. Zivid depth maps were reprojected into the SSLE image frame for supervised training and evaluation. The VQ-VAE encoded each input into a discrete latent representation, and a latent-space U-Net predicted depth without a separate mask-prediction branch. Results. Using a fixed train/validation/test split, the proposed model achieved an MAE of 3.70 mm, AbsRel of 0.0326, delta=1.1 accuracy of 0.962, and delta=1.1^2 accuracy of 0.970. It achieved lower MAE than the dual U-Net MaskNet + DepthNet baseline and outperformed off-the-shelf monocular depth models in MAE, AbsRel, and threshold accuracy. The pipeline operated at 26.0 Hz over 301 consecutive frames on an NVIDIA A100 GPU. Conclusions. The LED-illuminated binary-pattern platform with latent-space depth reconstruction enables synchronization-free, video-rate endoscopic depth estimation. Results demonstrate Zivid-referenced phantom reconstruction without an explicit segmentation stage, while emphasizing the importance of dataset size and SSLE-Zivid calibration accuracy.
Wayne Wonseok Rodgers, Xiangyi Le, Seonghoon Jang +5
Dermatological practice routinely involves measuring and tracking lesion size, morphology and texture, as critical components of wound or skin cancer screening, monitoring and diagnosis. To accomplish this task, practitioners often image the skin surface with commonly available off-the-shelf camera sensors. This has led to an overwhelming research focus on 2D methods while these objectives naturally benefit from 3D information. In this paper, we demonstrate that dense monocular 3D reconstructions, metric scale measurements and rich surface normal texture estimates are achievable for both dermoscopic and macroscopic cases without the need for additional hardware or multiple captures. We present DermDepth, the first single-view metric scale 3D model for the dermatological domain and D-Synth, the first synthetic dermoscopic dataset with pixel-perfect 3D information. Our experiments show training DermDepth on D-Synth corrects metric scale error from over 16x to under 1.1x for real dermoscopic data, while preserving geometric quality and increasing texture richness. Fine-tuning on a small amount of real clinical samples generalizes our method across three real-world benchmarks spanning the few mm to hundred cm range, diverse skin-tones, chronic wound cases and produces measurements broadly consistent with disease size reported in medical literature. All code, data and models are available at https://github.com/hectorcarrion/dermdepth.