# SAGS: Self-Adaptive Alias-Free Gaussian Splatting for Dynamic Surgical Endoscopic Reconstruction

arXiv: https://arxiv.org/abs/2510.27318 · HTML: https://mlsanity.com/paper/2510.27318/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 31 of its 46 references that are in the map.
- First posted on arXiv 31 Oct 2025.

## Builds on (most cited first, 30 of 31)

- [The Unreasonable Effectiveness of Deep Features as a Perceptual Metric](https://mlsanity.com/paper/1801.03924/) (2018)
- [Instant Neural Graphics Primitives with a Multiresolution Hash Encoding](https://mlsanity.com/paper/2201.05989/) (2022)
- [Plenoxels: Radiance Fields without Neural Networks](https://mlsanity.com/paper/2112.05131/) (2021)
- [D-NeRF: Neural Radiance Fields for Dynamic Scenes](https://mlsanity.com/paper/2011.13961/) (2020)
- [Depth Anything: Unleashing the Power of Large-Scale Unlabeled Data](https://mlsanity.com/paper/2401.10891/) (2024)
- [Nerfies: Deformable Neural Radiance Fields](https://mlsanity.com/paper/2011.12948/) (2020)
- [4D Gaussian Splatting for Real-Time Dynamic Scene Rendering](https://mlsanity.com/paper/2310.08528/) (2023)
- [HexPlane: A Fast Representation for Dynamic Scenes](https://mlsanity.com/paper/2301.09632/) (2023)
- [BlendedMVS: A Large-scale Dataset for Generalized Multi-view Stereo Networks](https://mlsanity.com/paper/1911.10127/) (2019)
- [Pay Attention to MLPs](https://mlsanity.com/paper/2105.08050/) (2021)
- [Fast Dynamic Radiance Fields with Time-Aware Neural Voxels](https://mlsanity.com/paper/2205.15285/) (2022)
- [ResMLP: Feedforward networks for image classification with data-efficient training](https://mlsanity.com/paper/2105.03404/) (2021)
- [Gaussian Opacity Fields: Efficient Adaptive Surface Reconstruction in Unbounded Scenes](https://mlsanity.com/paper/2404.10772/) (2024)
- [Revisiting Stereo Depth Estimation From a Sequence-to-Sequence Perspective with Transformers](https://mlsanity.com/paper/2011.02910/) (2020)
- [Point-Based Multi-View Stereo Network](https://mlsanity.com/paper/1908.04422/) (2019)
- [Multi-Scale 3D Gaussian Splatting for Anti-Aliased Rendering](https://mlsanity.com/paper/2311.17089/) (2023)
- [Neural Rendering for Stereo 3D Reconstruction of Deformable Tissues in Robotic Surgery](https://mlsanity.com/paper/2206.15255/) (2022)
- [Stereo Correspondence and Reconstruction of Endoscopic Data Challenge](https://mlsanity.com/paper/2101.01133/) (2021)
- [EndoSurf: Neural Surface Reconstruction of Deformable Tissues with Stereo Endoscope Videos](https://mlsanity.com/paper/2307.11307/) (2023)
- [MedNeRF: Medical Neural Radiance Fields for Reconstructing 3D-aware CT-Projections from a Single X-ray](https://mlsanity.com/paper/2202.01020/) (2022)
- [SpotlessSplats: Ignoring Distractors in 3D Gaussian Splatting](https://mlsanity.com/paper/2406.20055/) (2024)
- [E-DSSR: Efficient Dynamic Surgical Scene Reconstruction with Transformer-based Stereoscopic Depth Perception](https://mlsanity.com/paper/2107.00229/) (2021)
- [Neural LerPlane Representations for Fast 4D Reconstruction of Deformable Tissues](https://mlsanity.com/paper/2305.19906/) (2023)
- [Deform3DGS: Flexible Deformation for Fast Surgical Scene Reconstruction with Gaussian Splatting](https://mlsanity.com/paper/2405.17835/) (2024)
- [EndoGS: Deformable Endoscopic Tissues Reconstruction with Gaussian Splatting](https://mlsanity.com/paper/2401.11535/) (2024)
- [SurfelWarp: Efficient Non-Volumetric Single View Dynamic Reconstruction](https://mlsanity.com/paper/1904.13073/) (2019)
- [Dynamic Reconstruction of Deformable Soft-tissue with Stereo Scope in Minimal Invasive Surgery](https://mlsanity.com/paper/2003.10867/) (2020)
- [Real-time Dense Reconstruction of Tissue Surface from Stereo Optical Video](https://mlsanity.com/paper/2007.12623/) (2020)
- [A Survey on Deep Generative 3D-aware Image Synthesis](https://mlsanity.com/paper/2210.14267/) (2022)
- [HFGS: 4D Gaussian Splatting with Emphasis on Spatial and Temporal High-Frequency Components for Endoscopic Scene Reconstruction](https://mlsanity.com/paper/2405.17872/) (2024)

## Abstract (arXiv)

Surgical reconstruction of dynamic tissues from endoscopic videos is a crucial technology in robot-assisted surgery. The development of Neural Radiance Fields (NeRFs) has greatly advanced deformable tissue reconstruction, achieving high-quality results from video and image sequences. However, reconstructing deformable endoscopic scenes remains challenging due to aliasing and artifacts caused by tissue movement, which can significantly degrade visualization quality. The introduction of 3D Gaussian Splatting (3DGS) has improved reconstruction efficiency by enabling a faster rendering pipeline. Nevertheless, existing 3DGS methods often prioritize rendering speed while neglecting these critical issues. To address these challenges, we propose SAGS, a self-adaptive alias-free Gaussian splatting framework. We introduce an attention-driven, dynamically weighted 4D deformation decoder, leveraging 3D smoothing filters and 2D Mip filters to mitigate artifacts in deformable tissue reconstruction and better capture the fine details of tissue movement. Experimental results on two public benchmarks, EndoNeRF and SCARED, demonstrate that our method achieves superior performance in all metrics of PSNR, SSIM, and LPIPS compared to the state of the art while also delivering better visualization quality.