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4D monocular surgical reconstruction under arbitrary camera motions.

Jiwei Shan1, Zeyu Cai2, Cheng-Tai Hsieh3

  • 1Department of Mechanical and Automation Engineering, T Stone Robotics Institute, The Chinese University of Hong Kong, Hong Kong; Shenyang Institute of Automation, Chinese Academy of Sciences, Shenyang, China; State Key Laboratory of Robotics and Intelligent Systems, Shenyang, China.

Medical Image Analysis
|February 20, 2026
PubMed
Summary

Local-EndoGS reconstructs deformable surgical scenes from monocular endoscopic videos, even with large camera movements. This framework improves 4D scene reconstruction quality and geometric accuracy for clinical applications.

Keywords:
3D Gaussian splitting4D surgical reconstructionEndoscopyMonocular

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Area of Science:

  • Computer Vision
  • Medical Imaging
  • Surgical Robotics

Background:

  • Reconstructing deformable surgical scenes from endoscopic videos is crucial for clinical applications.
  • Current methods struggle with monocular sequences and significant camera motion due to reliance on stereo depth or accurate structure-from-motion.
  • Existing approaches are limited to fixed endoscope viewpoints, restricting real-world clinical utility.

Purpose of the Study:

  • To develop a high-quality 4D reconstruction framework for monocular endoscopic sequences with arbitrary camera motion.
  • To address limitations of existing methods in handling large camera movements and lack of stereo depth priors.
  • To enable scalable and robust reconstruction of deformable surgical scenes.

Main Methods:

  • Proposed Local-EndoGS, a progressive, window-based global scene representation framework.
  • Introduced a coarse-to-fine initialization strategy integrating multi-view geometry, cross-window information, and monocular depth priors.
  • Incorporated long-range 2D pixel trajectory constraints and physical motion priors for enhanced deformation plausibility.

Main Results:

  • Local-EndoGS achieved superior performance in appearance quality and geometric accuracy on deformable endoscopic datasets.
  • Consistently outperformed state-of-the-art methods in reconstructing scenes with varying camera motions.
  • Ablation studies validated the effectiveness of the proposed framework's key components.

Conclusions:

  • Local-EndoGS offers a robust and scalable solution for 4D reconstruction of deformable surgical scenes from monocular endoscopic videos.
  • The framework effectively handles arbitrary camera motion and overcomes initialization challenges.
  • This advancement holds significant potential for improving surgical planning and navigation.