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EasyREG: Easy Depth-Based Markerless Registration and Tracking using Augmented Reality Device for Surgical Guidance.
IEEE Transactions on Visualization and Computer Graphics
|April 7, 2026
Summary
This study introduces a novel markerless surgical guidance framework using Augmented Reality (AR) depth sensors. It achieves accurate, real-time patient anatomy tracking without cumbersome markers, enhancing surgical navigation.
Area of Science:
- Medical Technology
- Computer-Aided Surgery
- Augmented Reality
Background:
- Traditional surgical guidance relies on fiducial markers, posing clinical challenges.
- Existing markerless AR solutions struggle with accuracy due to occlusions and sensor data outliers.
Purpose of the Study:
- To develop a robust, markerless framework for precise surgical guidance using AR devices.
- To overcome limitations of current marker-based and markerless tracking systems in medical applications.
Main Methods:
- A two-module system: registration for accurate anatomy localization and tracking for real-time pose estimation.
- Utilizes AR depth sensors, depth error correction, human-in-the-loop filtering, and curvature-aware feature sampling.
- Incorporates Iterative Closest Point (ICP) refinement for precise alignment.
Main Results:
- The markerless system demonstrates superior registration accuracy compared to industrial solutions.
- Tracking performance is comparable to existing commercial systems.
- The framework effectively handles both static and moving target anatomy.
Conclusions:
- The proposed markerless framework offers a high-precision, outlier-robust solution for surgical guidance.
- It provides a comprehensive, one-stop system for diverse surgical scenarios.
- This technology has the potential to improve the safety and efficiency of AR-assisted surgery.

