Surgical Neural Radiance Fields from One Image

Purpose: Neural Radiance Fields (NeRF) offer exceptional capabilities for 3D reconstruction and view synthesis, yet their reliance on extensive multi-view data limits their application in surgical intraoperative settings where only limited data is available. In particular, collecting such extensive data intraoperatively is impractical due to time constraints. This work addresses this challenge by leveraging a single intraoperative image and preoperative data to train NeRF efficiently for surgical scenarios. Methods: We leverage preoperative MRI data to define the set of camera viewpoints and images needed for robust and unobstructed training. Intraoperatively, the appearance of the surgical image is transferred to the pre-constructed training set through neural style transfer, specifically combining WTC2 and STROTSS to prevent over-stylization. This process enables the creation of a dataset for instant and fast single-image NeRF training. Results: The method is evaluated with four clinical neurosurgical cases. Quantitative comparisons to NeRF models trained on real surgical microscope images demonstrate strong synthesis agreement, with similarity metrics indicating high reconstruction fidelity and stylistic alignment. When compared with ground truth, our method demonstrates high structural similarity, confirming good reconstruction quality and texture preservation. Conclusion: Our approach demonstrates the feasibility of single-image NeRF training in surgical settings, overcoming the limitations of traditional multi-view methods.

Compressive Image Scanning Microscope

We present a novel approach to implement compressive sensing in laser scanning microscopes (LSM), specifically in image scanning microscopy (ISM), using a single-photon avalanche diode (SPAD) array detector. Our method addresses two significant limitations in applying compressive sensing to LSM: the time to compute the sampling matrix and the quality of reconstructed images. We employ a fixed sampling strategy, skipping alternate rows and columns during data acquisition, which reduces the number of points scanned by a factor of four and eliminates the need to compute different sampling matrices. By exploiting the parallel images generated by the SPAD array, we improve the quality of the reconstructed compressive-ISM images compared to standard compressive confocal LSM images. Our results demonstrate the effectiveness of our approach in producing higher-quality images with reduced data acquisition time and potential benefits in reducing photobleaching.

Learning-Based Keypoint Registration for Fetoscopic Mosaicking

In Twin-to-Twin Transfusion Syndrome (TTTS), abnormal vascular anastomoses in the monochorionic placenta can produce uneven blood flow between the two fetuses. In the current practice, TTTS is treated surgically by closing abnormal anastomoses using laser ablation. This surgery is minimally invasive and relies on fetoscopy. Limited field of view makes anastomosis identification a challenging task for the surgeon. To tackle this challenge, we propose a learning-based framework for in-vivo fetoscopy frame registration for field-of-view expansion. The novelties of this framework relies on a learning-based keypoint proposal network and an encoding strategy to filter (i) irrelevant keypoints based on fetoscopic image segmentation and (ii) inconsistent homographies. We validate of our framework on a dataset of 6 intraoperative sequences from 6 TTTS surgeries from 6 different women against the most recent state of the art algorithm, which relies on the segmentation of placenta vessels. The proposed framework achieves higher performance compared to the state of the art, paving the way for robust mosaicking to provide surgeons with context awareness during TTTS surgery.

FetReg: Placental Vessel Segmentation and Registration in Fetoscopy Challenge Dataset

Fetoscopy laser photocoagulation is a widely used procedure for the treatment of Twin-to-Twin Transfusion Syndrome (TTTS), that occur in mono-chorionic multiple pregnancies due to placental vascular anastomoses. This procedure is particularly challenging due to limited field of view, poor manoeuvrability of the fetoscope, poor visibility due to fluid turbidity, variability in light source, and unusual position of the placenta. This may lead to increased procedural time and incomplete ablation, resulting in persistent TTTS. Computer-assisted intervention may help overcome these challenges by expanding the fetoscopic field of view through video mosaicking and providing better visualization of the vessel network. However, the research and development in this domain remain limited due to unavailability of high-quality data to encode the intra- and inter-procedure variability. Through the \textit{Fetoscopic Placental Vessel Segmentation and Registration (FetReg)} challenge, we present a large-scale multi-centre dataset for the development of generalized and robust semantic segmentation and video mosaicking algorithms for the fetal environment with a focus on creating drift-free mosaics from long duration fetoscopy videos. In this paper, we provide an overview of the FetReg dataset, challenge tasks, evaluation metrics and baseline methods for both segmentation and registration. Baseline methods results on the FetReg dataset shows that our dataset poses interesting challenges, offering large opportunity for the creation of novel methods and models through a community effort initiative guided by the FetReg challenge.

Towards a Magnetically Actuated Laser Scanner for Endoscopic Microsurgeries

This article presents the design and assembly of a novel magnetically actuated endoscopic laser scanner device. The device is designed to perform 2D position control and high speed scanning of a fiber-based laser for operation in narrow workspaces. The device includes laser focusing optics to allow non-contact incisions and tablet-based control interface for intuitive teleoperation. The performance of the proof-of-concept device is analysed through controllability and the usability studies. The computer-controlled high-speed scanning demonstrates repeatable results with 21 um precision and a stable response up to 48 Hz. Teleoperation user trials, were performed for trajectory-following tasks with 12 subjects, show an accuracy of 39 um. The innovative design of the device can be applied to both surgical and diagnostic (imaging) applications in endoscopic systems.