# Shape-guided Gaussian Splatting for Sparse-View X-ray 3D Reconstruction

arXiv: https://arxiv.org/abs/2609.10376 · HTML: https://mlsanity.com/paper/2609.10376/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 11 of its 31 references that are in the map.
- First posted on arXiv 9 Sep 2026.

## Builds on (most cited first, 11 of 11)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [3D Gaussian Splatting for Real-Time Radiance Field Rendering](https://mlsanity.com/paper/2308.04079/) (2023)
- [VoxelMorph: A Learning Framework for Deformable Medical Image Registration](https://mlsanity.com/paper/1809.05231/) (2018)
- [SuGaR: Surface-Aligned Gaussian Splatting for Efficient 3D Mesh Reconstruction and High-Quality Mesh Rendering](https://mlsanity.com/paper/2311.12775/) (2023)
- [TotalSegmentator: robust segmentation of 104 anatomical structures in CT images](https://mlsanity.com/paper/2208.05868/) (2022)
- [GaussianAvatars: Photorealistic Head Avatars with Rigged 3D Gaussians](https://mlsanity.com/paper/2312.02069/) (2023)
- [NAF: Neural Attenuation Fields for Sparse-View CBCT Reconstruction](https://mlsanity.com/paper/2209.14540/) (2022)
- [Structure-Aware Sparse-View X-ray 3D Reconstruction](https://mlsanity.com/paper/2311.10959/) (2023)
- [R2-Gaussian: Rectifying Radiative Gaussian Splatting for Tomographic Reconstruction](https://mlsanity.com/paper/2405.20693/) (2024)
- [Radiative Gaussian Splatting for Efficient X-ray Novel View Synthesis](https://mlsanity.com/paper/2403.04116/) (2024)
- [PSAvatar: A Point-based Shape Model for Real-Time Head Avatar Animation with 3D Gaussian Splatting](https://mlsanity.com/paper/2401.12900/) (2024)

## Abstract (arXiv)

Sparse-view X-ray 3D reconstruction is essential for reducing radiation exposure, but recovering a density field from a handful of X-ray projections is severely ill-posed. Recently, 3D Gaussian Splatting has achieved state-of-the-art performance in sparse-view reconstruction by representing the volume using explicit, optimized primitives, but it requires dozens of projected views. With fewer views, reconstruction quality degrades severely since the explicit primitives are optimized freely without any anatomical information. Anatomical structures, in contrast, share similar geometry and density across a population. Their variations are bounded within a limited range that statistical shape models can capture. This paper proposes a shape-guided Gaussian splatting framework for sparse-view X-ray 3D reconstructions. Our contribution lies in driving Gaussian positions toward anatomically valid configurations, alongside atlas-based density regularization. Our method ensures anatomically consistent reconstruction and improves PSNR by 2.83 dB over a state-of-the-art Gaussian splatting baseline with as few as 5 views. Code Available: https://github.com/polyshape-lab/ShapeGuidedGaussian