Augmented Reality for Depth Cues in Monocular Minimally Invasive Surgery

One of the major challenges in Minimally Invasive Surgery (MIS) such as laparoscopy is the lack of depth perception. In recent years, laparoscopic scene tracking and surface reconstruction has been a focus of investigation to provide rich additional information to aid the surgical process and compensate for the depth perception issue. However, robust 3D surface reconstruction and augmented reality with depth perception on the reconstructed scene are yet to be reported. This paper presents our work in this area. First, we adopt a state-ofthe-art visual simultaneous localization and mapping (SLAM) framework ORB–SLAM and extend the algorithm for use in MIS scenes for reliable endoscopic camera tracking and salient point mapping. We then develop a robust global 3D surface reconstruction framework based on the sparse point clouds extracted from the SLAM framework. Our approach is to combine an outlier removal filter within a Moving Least Squares smoothing algorithm and then employ Poisson surface reconstruction to obtain smooth surfaces from the unstructured sparse point cloud. Our proposed method has been quantitatively evaluated compared with ground-truth camera trajectories and the organ model surface we used to render the synthetic simulation videos. In vivo laparoscopic videos used in the tests have demonstrated the robustness and accuracy of our proposed framework on both camera tracking and surface reconstruction, illustrating the potential of our algorithm for depth augmentation and depth-correct augmented reality in MIS with monocular endoscopes.