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Neural digital twins: reconstructing complex medical environments for spatial planning in virtual reality
Constantin Kleinbeck1,2,3, Han Zhang4, Benjamin D Killeen4
1TUM School of Medicine and Health, Department Clinical Medicine, Orthopedics, Technical University of Munich, Munich, Germany. constantin.kleinbeck@tum.de.
Summary
Neural rendering creates digital twins for virtual operating room planning, enhancing utility and presence. This technically approachable method aids complex surgical scenario preparation without specialized hardware.
Area of Science:
- Medical technology
- Virtual reality
- Computer vision
Background:
- Operating room (OR) complexity is increasing due to specialized robotic and surgical tools.
- Optimizing OR space utilization for new techniques is challenging due to limited physical availability.
- Digital twins are needed for immersive spatial planning in virtual reality (VR).
Purpose of the Study:
- To present a neural rendering-based method for creating immersive digital twins of medical environments and devices.
- To enable spatial planning of surgical scenarios using these digital twins.
- To evaluate the feasibility and benefits of this approach for complex OR planning.
Main Methods:
- Developed a neural rendering technique to generate digital twins from casual video capture.
- Reconstructed two operating rooms and ten objects using neural reconstruction.
- Conducted a user study with 21 participants performing planning tasks in VR environments.
Main Results:
- Neural reconstruction significantly increased perceived utility and presence compared to low-complexity versions.
- Users exhibited higher perceived workload and exploratory behavior in the neural reconstruction environments.
- No significant difference in interactivity was observed between the environments.
Conclusions:
- Modern reconstruction techniques can create digital twins of complex medical environments and objects.
- Users can create, explore, and interact with virtual objects without expert knowledge or specialized hardware.
- The approach shows promise for spatial planning due to high perceived utility and technical accessibility.

