# E-DSSR: Efficient Dynamic Surgical Scene Reconstruction with Transformer-based Stereoscopic Depth Perception

arXiv: https://arxiv.org/abs/2107.00229 · HTML: https://mlsanity.com/paper/2107.00229/

## Key facts

- Cited by 46 papers in the map (data through 14 Oct 2026).
- Builds on 17 of its 30 references that are in the map.
- First posted on arXiv 1 Jul 2021.

## Builds on (most cited first, 17 of 17)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [A Large Dataset to Train Convolutional Networks for Disparity, Optical Flow, and Scene Flow Estimation](https://mlsanity.com/paper/1512.02134/) (2015)
- [Unsupervised Monocular Depth Estimation with Left-Right Consistency](https://mlsanity.com/paper/1609.03677/) (2016)
- [Revisiting Stereo Depth Estimation From a Sequence-to-Sequence Perspective with Transformers](https://mlsanity.com/paper/2011.02910/) (2020)
- [2017 Robotic Instrument Segmentation Challenge](https://mlsanity.com/paper/1902.06426/) (2019)
- [Hierarchical Deep Stereo Matching on High-resolution Images](https://mlsanity.com/paper/1912.06704/) (2019)
- [Incorporating Temporal Prior from Motion Flow for Instrument Segmentation in Minimally Invasive Surgery Video](https://mlsanity.com/paper/1907.07899/) (2019)
- [SuPer: A Surgical Perception Framework for Endoscopic Tissue Manipulation with Surgical Robotics](https://mlsanity.com/paper/1909.05405/) (2019)
- [DefSLAM: Tracking and Mapping of Deforming Scenes from Monocular Sequences](https://mlsanity.com/paper/1908.08918/) (2019)
- [Self-Supervised Siamese Learning on Stereo Image Pairs for Depth Estimation in Robotic Surgery](https://mlsanity.com/paper/1705.08260/) (2017)
- [SurfelWarp: Efficient Non-Volumetric Single View Dynamic Reconstruction](https://mlsanity.com/paper/1904.13073/) (2019)
- [MIS-SLAM: Real-time Large Scale Dense Deformable SLAM System in Minimal Invasive Surgery Based on Heterogeneous Computing](https://mlsanity.com/paper/1803.02009/) (2018)
- [SuPer Deep: A Surgical Perception Framework for Robotic Tissue Manipulation using Deep Learning for Feature Extraction](https://mlsanity.com/paper/2003.03472/) (2020)
- [Reconstructing Sinus Anatomy from Endoscopic Video -- Towards a Radiation-free Approach for Quantitative Longitudinal Assessment](https://mlsanity.com/paper/2003.08502/) (2020)

## Built on by (most cited first, 30 of 46)

- [Transformers in Medical Imaging: A Survey](https://mlsanity.com/paper/2201.09873/) (2022)
- [Neural Rendering for Stereo 3D Reconstruction of Deformable Tissues in Robotic Surgery](https://mlsanity.com/paper/2206.15255/) (2022)
- [EndoSurf: Neural Surface Reconstruction of Deformable Tissues with Stereo Endoscope Videos](https://mlsanity.com/paper/2307.11307/) (2023)
- [Advances in Medical Image Analysis with Vision Transformers: A Comprehensive Review](https://mlsanity.com/paper/2301.03505/) (2023)
- [Neural LerPlane Representations for Fast 4D Reconstruction of Deformable Tissues](https://mlsanity.com/paper/2305.19906/) (2023)
- [Endo-4DGS: Endoscopic Monocular Scene Reconstruction with 4D Gaussian Splatting](https://mlsanity.com/paper/2401.16416/) (2024)
- [Transformers in Medical Image Analysis: A Review](https://mlsanity.com/paper/2202.12165/) (2022)
- [TraSeTR: Track-to-Segment Transformer with Contrastive Query for Instance-level Instrument Segmentation in Robotic Surgery](https://mlsanity.com/paper/2202.08453/) (2022)
- [Tracking and Mapping in Medical Computer Vision: A Review](https://mlsanity.com/paper/2310.11475/) (2023)
- [EndoGS: Deformable Endoscopic Tissues Reconstruction with Gaussian Splatting](https://mlsanity.com/paper/2401.11535/) (2024)
- [Temporally Consistent Online Depth Estimation in Dynamic Scenes](https://mlsanity.com/paper/2111.09337/) (2021)
- [EndoGaussian: Real-time Gaussian Splatting for Dynamic Endoscopic Scene Reconstruction](https://mlsanity.com/paper/2401.12561/) (2024)
- [FUN-SIS: a Fully UNsupervised approach for Surgical Instrument Segmentation](https://mlsanity.com/paper/2202.08141/) (2022)
- [Efficient Deformable Tissue Reconstruction via Orthogonal Neural Plane](https://mlsanity.com/paper/2312.15253/) (2023)
- [CaRTS: Causality-driven Robot Tool Segmentation from Vision and Kinematics Data](https://mlsanity.com/paper/2203.09475/) (2022)
- [EndoSparse: Real-Time Sparse View Synthesis of Endoscopic Scenes using Gaussian Splatting](https://mlsanity.com/paper/2407.01029/) (2024)
- [SurgicalGS: Dynamic 3D Gaussian Splatting for Accurate Robotic-Assisted Surgical Scene Reconstruction](https://mlsanity.com/paper/2410.09292/) (2024)
- [Stereo Dense Scene Reconstruction and Accurate Localization for Learning-Based Navigation of Laparoscope in Minimally Invasive Surgery](https://mlsanity.com/paper/2110.03912/) (2021)
- [SurgicalGaussian: Deformable 3D Gaussians for High-Fidelity Surgical Scene Reconstruction](https://mlsanity.com/paper/2407.05023/) (2024)
- [3D Perception based Imitation Learning under Limited Demonstration for Laparoscope Control in Robotic Surgery](https://mlsanity.com/paper/2204.03195/) (2022)
- [Deep Laparoscopic Stereo Matching with Transformers](https://mlsanity.com/paper/2207.12152/) (2022)
- [Integrating Artificial Intelligence and Augmented Reality in Robotic Surgery: An Initial dVRK Study Using a Surgical Education Scenario](https://mlsanity.com/paper/2201.00383/) (2022)
- [Markerless Suture Needle 6D Pose Tracking with Robust Uncertainty Estimation for Autonomous Minimally Invasive Robotic Surgery](https://mlsanity.com/paper/2109.12722/) (2021)
- [BASED: Bundle-Adjusting Surgical Endoscopic Dynamic Video Reconstruction using Neural Radiance Fields](https://mlsanity.com/paper/2309.15329/) (2023)
- [BDIS: Bayesian Dense Inverse Searching Method for Real-Time Stereo Surgical Image Matching](https://mlsanity.com/paper/2205.03133/) (2022)
- [Enhancing Efficiency in Vision Transformer Networks: Design Techniques and Insights](https://mlsanity.com/paper/2403.19882/) (2024)
- [EndoWave: 4D Gaussian Splatting with Rational Wavelet for Endoscopic Reconstruction](https://mlsanity.com/paper/2510.23087/) (2025)
- [3D endoscopic depth estimation using 3D surface-aware constraints](https://mlsanity.com/paper/2203.02131/) (2022)
- [A comprehensive survey on recent deep learning-based methods applied to surgical data](https://mlsanity.com/paper/2209.01435/) (2022)
- [TAToo: Vision-based Joint Tracking of Anatomy and Tool for Skull-base Surgery](https://mlsanity.com/paper/2212.14131/) (2022)

## Abstract (arXiv)

Reconstructing the scene of robotic surgery from the stereo endoscopic video is an important and promising topic in surgical data science, which potentially supports many applications such as surgical visual perception, robotic surgery education and intra-operative context awareness. However, current methods are mostly restricted to reconstructing static anatomy assuming no tissue deformation, tool occlusion and de-occlusion, and camera movement. However, these assumptions are not always satisfied in minimal invasive robotic surgeries. In this work, we present an efficient reconstruction pipeline for highly dynamic surgical scenes that runs at 28 fps. Specifically, we design a transformer-based stereoscopic depth perception for efficient depth estimation and a light-weight tool segmentor to handle tool occlusion. After that, a dynamic reconstruction algorithm which can estimate the tissue deformation and camera movement, and aggregate the information over time is proposed for surgical scene reconstruction. We evaluate the proposed pipeline on two datasets, the public Hamlyn Centre Endoscopic Video Dataset and our in-house DaVinci robotic surgery dataset. The results demonstrate that our method can recover the scene obstructed by the surgical tool and handle the movement of camera in realistic surgical scenarios effectively at real-time speed.
