LightNeuS: Neural Surface Reconstruction in Endoscopy using Illumination Decline

We propose a new approach to 3D reconstruction from sequences of images acquired by monocular endoscopes. It is based on two key insights. First, endoluminal cavities are watertight, a property naturally enforced by modeling them in terms of a signed distance function. Second, the scene illumination is variable. It comes from the endoscope's light sources and decays with the inverse of the squared distance to the surface. To exploit these insights, we build on NeuS, a neural implicit surface reconstruction technique with an outstanding capability to learn appearance and a SDF surface model from multiple views, but currently limited to scenes with static illumination. To remove this limitation and exploit the relation between pixel brightness and depth, we modify the NeuS architecture to explicitly account for it and introduce a calibrated photometric model of the endoscope's camera and light source. Our method is the first one to produce watertight reconstructions of whole colon sections. We demonstrate excellent accuracy on phantom imagery. Remarkably, the watertight prior combined with illumination decline, allows to complete the reconstruction of unseen portions of the surface with acceptable accuracy, paving the way to automatic quality assessment of cancer screening explorations, measuring the global percentage of observed mucosa.Comment: 12 pages, 7 figures, 1 table, submitted to MICCAI 202

The Challenge of Augmented Reality in Surgery

Imaging has revolutionized surgery over the last 50 years. Diagnostic imaging is a key tool for deciding to perform surgery during disease management; intraoperative imaging is one of the primary drivers for minimally invasive surgery (MIS), and postoperative imaging enables effective follow-up and patient monitoring. However, notably, there is still relatively little interchange of information or imaging modality fusion between these different clinical pathway stages. This book chapter provides a critique of existing augmented reality (AR) methods or application studies described in the literature using relevant examples. The aim is not to provide a comprehensive review, but rather to give an indication of the clinical areas in which AR has been proposed, to begin to explain the lack of clinical systems and to provide some clear guidelines to those intending pursue research in this area

An augmented reality platform for interactive aerodynamic design and analysis

While modern CFD tools are able to provide the user with reliable and accurate simulations, there is a strong need for interactive design and analysis tools. State-of-the-art CFD software employs massive resources in terms of CPU time, user interaction, and also GPU time for rendering and analysis. In this work, we develop an innovative tool able to provide a seamless bridge between artistic design and engineering analysis. This platform has three main ingredients: computer vision to avoid long user interaction at the pre-processing stage, machine learning to avoid costly CFD simulations, and augmented reality for an agile and interactive post-processing of the results

Artificial intelligence and automation in endoscopy and surgery

Modern endoscopy relies on digital technology, from high-resolution imaging sensors and displays to electronics connecting configurable illumination and actuation systems for robotic articulation. In addition to enabling more effective diagnostic and therapeutic interventions, the digitization of the procedural toolset enables video data capture of the internal human anatomy at unprecedented levels. Interventional video data encapsulate functional and structural information about a patient’s anatomy as well as events, activity and action logs about the surgical process. This detailed but difficult-to-interpret record from endoscopic procedures can be linked to preoperative and postoperative records or patient imaging information. Rapid advances in artificial intelligence, especially in supervised deep learning, can utilize data from endoscopic procedures to develop systems for assisting procedures leading to computer-assisted interventions that can enable better navigation during procedures, automation of image interpretation and robotically assisted tool manipulation. In this Perspective, we summarize state-of-the-art artificial intelligence for computer-assisted interventions in gastroenterology and surgery

SERV-CT: A disparity dataset from cone-beam CT for validation of endoscopic 3D reconstruction

In computer vision, reference datasets from simulation and real outdoor scenes have been highly successful in promoting algorithmic development in stereo reconstruction. Endoscopic stereo reconstruction for surgical scenes gives rise to specific problems, including the lack of clear corner features, highly specular surface properties and the presence of blood and smoke. These issues present difficulties for both stereo reconstruction itself and also for standardised dataset production. Previous datasets have been produced using computed tomography (CT) or structured light reconstruction on phantom or ex vivo models. We present a stereo-endoscopic reconstruction validation dataset based on cone-beam CT (SERV-CT). Two ex vivo small porcine full torso cadavers were placed within the view of the endoscope with both the endoscope and target anatomy visible in the CT scan. Subsequent orientation of the endoscope was manually aligned to match the stereoscopic view and benchmark disparities, depths and occlusions are calculated. The requirement of a CT scan limited the number of stereo pairs to 8 from each ex vivo sample. For the second sample an RGB surface was acquired to aid alignment of smooth, featureless surfaces. Repeated manual alignments showed an RMS disparity accuracy of around 2 pixels and a depth accuracy of about 2 mm. A simplified reference dataset is provided consisting of endoscope image pairs with corresponding calibration, disparities, depths and occlusions covering the majority of the endoscopic image and a range of tissue types, including smooth specular surfaces, as well as significant variation of depth. We assessed the performance of various stereo algorithms from online available repositories. There is a significant variation between algorithms, highlighting some of the challenges of surgical endoscopic images. The SERV-CT dataset provides an easy to use stereoscopic validation for surgical applications with smooth reference disparities and depths covering the majority of the endoscopic image. This complements existing resources well and we hope will aid the development of surgical endoscopic anatomical reconstruction algorithms