Monocular pose estimation of articulated surgical instruments in open surgery

This work presents a novel approach to monocular 6D pose estimation of surgical instruments in open surgery, addressing challenges such as object articulations, symmetries, occlusions, and lack of annotated real-world data. The method leverages synthetic data generation and domain adaptation techniques to overcome these obstacles. The proposed approach consists of three main components: (1) synthetic data generation using 3D modeling of surgical tools with articulation rigging and physically-based rendering; (2) a tailored pose estimation framework combining object detection with pose estimation and a hybrid geometric fusion strategy; and (3) a training strategy that utilizes both synthetic and real unannotated data, employing domain adaptation on real video data using automatically generated pseudo-labels. Evaluations conducted on videos of open surgery demonstrate the good performance and real-world applicability of the proposed method, highlighting its potential for integration into medical augmented reality and robotic systems. The approach eliminates the need for extensive manual annotation of real surgical data.