# Advancing 6-DoF Instrument Pose Estimation in Variable X-Ray Imaging Geometries

arXiv: https://arxiv.org/abs/2405.11677 · HTML: https://mlsanity.com/paper/2405.11677/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 27 of its 59 references that are in the map.
- First posted on arXiv 19 May 2024.

## Builds on (most cited first, 27 of 27)

- [Microsoft COCO: Common Objects in Context](https://mlsanity.com/paper/1405.0312/) (2014)
- [Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networks](https://mlsanity.com/paper/1506.01497/) (2015)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [YOLOv3: An Incremental Improvement](https://mlsanity.com/paper/1804.02767/) (2018)
- [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)
- [FoundationPose: Unified 6D Pose Estimation and Tracking of Novel Objects](https://mlsanity.com/paper/2312.08344/) (2023)
- [PVNet: Pixel-wise Voting Network for 6DoF Pose Estimation](https://mlsanity.com/paper/1812.11788/) (2018)
- [CSPNet: A New Backbone that can Enhance Learning Capability of CNN](https://mlsanity.com/paper/1911.11929/) (2019)
- [SSD-6D: Making RGB-based 3D detection and 6D pose estimation great again](https://mlsanity.com/paper/1711.10006/) (2017)
- [Scaled-YOLOv4: Scaling Cross Stage Partial Network](https://mlsanity.com/paper/2011.08036/) (2020)
- [T-LESS: An RGB-D Dataset for 6D Pose Estimation of Texture-less Objects](https://mlsanity.com/paper/1701.05498/) (2017)
- [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)
- [Gen6D: Generalizable Model-Free 6-DoF Object Pose Estimation from RGB Images](https://mlsanity.com/paper/2204.10776/) (2022)
- [FS6D: Few-Shot 6D Pose Estimation of Novel Objects](https://mlsanity.com/paper/2203.14628/) (2022)
- [EPro-PnP: Generalized End-to-End Probabilistic Perspective-n-Points for Monocular Object Pose Estimation](https://mlsanity.com/paper/2303.12787/) (2023)
- [Satellite Pose Estimation Challenge: Dataset, Competition Design and Results](https://mlsanity.com/paper/1911.02050/) (2019)
- [EfficientPose: An efficient, accurate and scalable end-to-end 6D multi object pose estimation approach](https://mlsanity.com/paper/2011.04307/) (2020)
- [VI-Net: Boosting Category-level 6D Object Pose Estimation via Learning Decoupled Rotations on the Spherical Representations](https://mlsanity.com/paper/2308.09916/) (2023)
- [RNNPose: Recurrent 6-DoF Object Pose Refinement with Robust Correspondence Field Estimation and Pose Optimization](https://mlsanity.com/paper/2203.12870/) (2022)
- [Vote from the Center: 6 DoF Pose Estimation in RGB-D Images by Radial Keypoint Voting](https://mlsanity.com/paper/2104.02527/) (2021)
- [Synthetic Occlusion Augmentation with Volumetric Heatmaps for the 2018 ECCV PoseTrack Challenge on 3D Human Pose Estimation](https://mlsanity.com/paper/1809.04987/) (2018)
- [i3PosNet: Instrument Pose Estimation from X-Ray in temporal bone surgery](https://mlsanity.com/paper/1802.09575/) (2018)
- [Towards real-time 6D pose estimation of objects in single-view cone-beam X-ray](https://mlsanity.com/paper/2211.03211/) (2022)

## Built on by (most cited first, 3 of 3)

- [LAA3D: A Benchmark of Detecting and Tracking Low-Altitude Aircraft in 3D Space](https://mlsanity.com/paper/2511.19057/) (2025)
- [Toward Real-Time Surgical Scene Segmentation via a Spike-Driven Video Transformer with Spike-Informed Pretraining](https://mlsanity.com/paper/2512.21284/) (2025)
- [Yolo-Key-6D: Single Stage Monocular 6D Pose Estimation with Keypoint Enhancements](https://mlsanity.com/paper/2603.03879/) (2026)

## Abstract (arXiv)

Accurate 6-DoF pose estimation of surgical instruments during minimally invasive surgeries can substantially improve treatment strategies and eventual surgical outcome. Existing deep learning methods have achieved accurate results, but they require custom approaches for each object and laborious setup and training environments often stretching to extensive simulations, whilst lacking real-time computation. We propose a general-purpose approach of data acquisition for 6-DoF pose estimation tasks in X-ray systems, a novel and general purpose YOLOv5-6D pose architecture for accurate and fast object pose estimation and a complete method for surgical screw pose estimation under acquisition geometry consideration from a monocular cone-beam X-ray image. The proposed YOLOv5-6D pose model achieves competitive results on public benchmarks whilst being considerably faster at 42 FPS on GPU. In addition, the method generalizes across varying X-ray acquisition geometry and semantic image complexity to enable accurate pose estimation over different domains. Finally, the proposed approach is tested for bone-screw pose estimation for computer-aided guidance during spine surgeries. The model achieves a 92.41% by the 0.1 ADD-S metric, demonstrating a promising approach for enhancing surgical precision and patient outcomes. The code for YOLOv5-6D is publicly available at https://github.com/cviviers/YOLOv5-6D-Pose