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EndoLRMGS: Combining Large Reconstruction Modelling and Gaussian Splatting for Complete Endoscopic Scene

Xu Wang, Shuai Zhang, Baoru Huang

    IEEE Transactions on Medical Imaging
    |June 25, 2026
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces EndoLRMGS, a novel framework for 3D reconstruction of surgical scenes, accurately modeling both deformable tissues and articulated instruments from endoscopic videos.

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    Area of Science:

    • Computer Vision
    • Medical Robotics
    • 3D Reconstruction

    Background:

    • Reconstructing dynamic surgical scenes from endoscopic videos is challenging.
    • Existing methods often neglect articulated instruments, focusing only on deformable tissues.

    Purpose of the Study:

    • To present EndoLRMGS, the first unified framework for reconstructing both deformable tissue and articulated instruments from monocular video and depth priors.
    • To improve the accuracy and completeness of 3D surgical scene reconstruction.

    Main Methods:

    • Frequency-Modulated Gaussian Splatting (FMGS) for high-fidelity deformable tissue reconstruction.
    • Large Reconstruction Model (LRM) combined with Orthographic and Perspective joint Projection Optimization (OPjPO) for instrument reconstruction, scale recovery, and spatial alignment.

    Main Results:

    • EndoLRMGS achieves high PSNR and low Chamfer distance for tissue reconstruction (PSNR: 28.4981–38.4179, CD: 1.43–4.71 mm).
    • Instrument reconstruction shows competitive PSNR values and high IoU (71.56%–85.82%) for spatial alignment.
    • Demonstrates accurate, complete, and photorealistic 3D reconstruction of surgical scenes.

    Conclusions:

    • EndoLRMGS offers a powerful and versatile solution for comprehensive 3D surgical scene reconstruction.
    • The modular approach effectively handles both deformable tissues and articulated instruments.
    • Enables more accurate and detailed analysis and planning in robot-assisted surgery.