# HMD-EgoPose: Head-Mounted Display-Based Egocentric Marker-Less Tool and Hand Pose Estimation for Augmented Surgical Guidance

arXiv: https://arxiv.org/abs/2202.11891 · HTML: https://mlsanity.com/paper/2202.11891/

## Key facts

- Cited by 5 papers in the map (data through 14 Oct 2026).
- Builds on 32 of its 66 references that are in the map.
- First posted on arXiv 24 Feb 2022.

## Builds on (most cited first, 30 of 32)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [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)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [You Only Look Once: Unified, Real-Time Object Detection](https://mlsanity.com/paper/1506.02640/) (2015)
- [YOLOv4: Optimal Speed and Accuracy of Object Detection](https://mlsanity.com/paper/2004.10934/) (2020)
- [YOLO9000: Better, Faster, Stronger](https://mlsanity.com/paper/1612.08242/) (2016)
- [EfficientDet: Scalable and Efficient Object Detection](https://mlsanity.com/paper/1911.09070/) (2019)
- [PoseCNN: A Convolutional Neural Network for 6D Object Pose Estimation in Cluttered Scenes](https://mlsanity.com/paper/1711.00199/) (2017)
- [PVNet: Pixel-wise Voting Network for 6DoF Pose Estimation](https://mlsanity.com/paper/1812.11788/) (2018)
- [Learning joint reconstruction of hands and manipulated objects](https://mlsanity.com/paper/1904.05767/) (2019)
- [Total Capture: A 3D Deformation Model for Tracking Faces, Hands, and Bodies](https://mlsanity.com/paper/1801.01615/) (2018)
- [BB8: A Scalable, Accurate, Robust to Partial Occlusion Method for Predicting the 3D Poses of Challenging Objects without Using Depth](https://mlsanity.com/paper/1703.10896/) (2017)
- [Pix2Pose: Pixel-Wise Coordinate Regression of Objects for 6D Pose Estimation](https://mlsanity.com/paper/1908.07433/) (2019)
- [Real-Time Seamless Single Shot 6D Object Pose Prediction](https://mlsanity.com/paper/1711.08848/) (2017)
- [PVN3D: A Deep Point-wise 3D Keypoints Voting Network for 6DoF Pose Estimation](https://mlsanity.com/paper/1911.04231/) (2019)
- [DPOD: 6D Pose Object Detector and Refiner](https://mlsanity.com/paper/1902.11020/) (2019)
- [Embodied Hands: Modeling and Capturing Hands and Bodies Together](https://mlsanity.com/paper/2201.02610/) (2022)
- [GANerated Hands for Real-time 3D Hand Tracking from Monocular RGB](https://mlsanity.com/paper/1712.01057/) (2017)
- [Leveraging Photometric Consistency over Time for Sparsely Supervised Hand-Object Reconstruction](https://mlsanity.com/paper/2004.13449/) (2020)
- [Hand Pose Estimation via Latent 2.5D Heatmap Regression](https://mlsanity.com/paper/1804.09534/) (2018)
- [HybridPose: 6D Object Pose Estimation under Hybrid Representations](https://mlsanity.com/paper/2001.01869/) (2020)
- [Cross-modal Deep Variational Hand Pose Estimation](https://mlsanity.com/paper/1803.11404/) (2018)
- [Real-time Hand Tracking under Occlusion from an Egocentric RGB-D Sensor](https://mlsanity.com/paper/1704.02201/) (2017)
- [EfficientPose: An efficient, accurate and scalable end-to-end 6D multi object pose estimation approach](https://mlsanity.com/paper/2011.04307/) (2020)
- [Disentangling Latent Hands for Image Synthesis and Pose Estimation](https://mlsanity.com/paper/1812.01002/) (2018)
- [Deep Learning of Local RGB-D Patches for 3D Object Detection and 6D Pose Estimation](https://mlsanity.com/paper/1607.06038/) (2016)
- [Global Hypothesis Generation for 6D Object Pose Estimation](https://mlsanity.com/paper/1612.02287/) (2016)
- [SurgeonAssist-Net: Towards Context-Aware Head-Mounted Display-Based Augmented Reality for Surgical Guidance](https://mlsanity.com/paper/2107.06397/) (2021)

## Built on by (most cited first, 5 of 5)

- [Creating a Digital Twin of Spinal Surgery: A Proof of Concept](https://mlsanity.com/paper/2403.16736/) (2024)
- [The HoloLens in Medicine: A systematic Review and Taxonomy](https://mlsanity.com/paper/2209.03245/) (2022)
- [SurgeoNet: Realtime 3D Pose Estimation of Articulated Surgical Instruments from Stereo Images using a Synthetically-trained Network](https://mlsanity.com/paper/2410.01293/) (2024)
- [SenseShift6D: Multimodal RGB-D Benchmarking for Robust 6D Pose Estimation across Environment and Sensor Variations](https://mlsanity.com/paper/2507.05751/) (2025)
- [SurgNavAR: An Augmented Reality Surgical Navigation Framework for Optical See-Through Head Mounted Displays](https://mlsanity.com/paper/2603.29990/) (2026)

## Abstract (arXiv)

The success or failure of modern computer-assisted surgery procedures hinges on the precise six-degree-of-freedom (6DoF) position and orientation (pose) estimation of tracked instruments and tissue. In this paper, we present HMD-EgoPose, a single-shot learning-based approach to hand and object pose estimation and demonstrate state-of-the-art performance on a benchmark dataset for monocular red-green-blue (RGB) 6DoF marker-less hand and surgical instrument pose tracking. Further, we reveal the capacity of our HMD-EgoPose framework for performant 6DoF pose estimation on a commercially available optical see-through head-mounted display (OST-HMD) through a low-latency streaming approach. Our framework utilized an efficient convolutional neural network (CNN) backbone for multi-scale feature extraction and a set of subnetworks to jointly learn the 6DoF pose representation of the rigid surgical drill instrument and the grasping orientation of the hand of a user. To make our approach accessible to a commercially available OST-HMD, the Microsoft HoloLens 2, we created a pipeline for low-latency video and data communication with a high-performance computing workstation capable of optimized network inference. HMD-EgoPose outperformed current state-of-the-art approaches on a benchmark dataset for surgical tool pose estimation, achieving an average tool 3D vertex error of 11.0 mm on real data and furthering the progress towards a clinically viable marker-free tracking strategy. Through our low-latency streaming approach, we achieved a round trip latency of 199.1 ms for pose estimation and augmented visualization of the tracked model when integrated with the OST-HMD. Our single-shot learned approach was robust to occlusion and complex surfaces and improved on current state-of-the-art approaches to marker-less tool and hand pose estimation.