arXiv subjects

Septimiu E. Salcudean

Publications and source records attributed to Septimiu E. Salcudean.

At least 19 recordsLinked to original sources

arXiv2026

Measurement and Potential Field-Based Patient Modeling for Model-Mediated Tele-ultrasound

Teleoperated ultrasound can improve diagnostic medical imaging access for remote communities. Having accurate force feedback is important for enabling sonographers to apply the appropriate probe contact force to optimize ultrasound image quality. However, large time delays in communication make direct force feedback impractical. Prior work investigated using point cloud-based model-mediated teleoperation and internal potential field models to estimate contact forces and torques. We expand on this by introducing a method to update the internal potential field model of the patient with measured positions, forces and torques for more transparent model-mediated tele-ultrasound. We first generate a point cloud model of the patient's surface and transmit this to the sonographer in a compact data structure. This is converted to a static voxelized volume where each voxel contains a potential field value. These values determine the forces and torques, which are rendered based on overlap between the voxelized volume and a point shell model of the ultrasound transducer. We solve for the potential field using a convex quadratic that combines the spatial Laplace operator with measured forces and torques. This was evaluated on volunteers ($n=4$) by assessing the accuracy of rendered forces and torques. Results showed the addition of measurements to the model reduced the force magnitude RMSE by an average of 7.42~N, the force vector angle error by an average of 3.71$^{\circ}$, and the torque vector angle error by an average of 64.0$^{\circ}$ compared to using only Laplace's equation.

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arXiv2026

Towards Automated Initial Probe Placement in Transthoracic Teleultrasound Using Human Mesh and Skeleton Recovery

Cardiac and lung ultrasound are technically demanding because operators must identify patient-specific intercostal acoustic windows and then navigate between standard views by adjusting probe position, rotation, and force across different imaging planes. These challenges are amplified in teleultrasound, where the examination proceeds without in-person expert assistance: once the probe is approximately positioned, the expert can navigate in ultrasound image space, but guiding the initial placement remotely remains difficult given the limited 3D perception of the patient. We present a framework for automating patient registration and anatomy-informed initial probe placement guidance (PIPG) using RGB images obtained from a calibrated camera and a point cloud accumulated from depth images. The novice first captures the patient using the camera on a mixed reality (MR) head-mounted display (HMD), and an edge server then infers a patient-specific body-surface and skeleton model. By leveraging the patient's spatial and temporal consistency across multiview and point cloud data, we achieved robust, training-free human registration, verified in a healthcare setting. Using bony landmarks from the predicted skeleton, we estimate the intercostal region and project the guidance back onto the reconstructed body surface. To validate the framework, we rendered the reconstructed body mesh and the virtual probe pose guidance in the MR headset across multiple transthoracic echocardiography scan planes in situ and measured the quantitative placement error. Pilot experiments with five healthy volunteers suggest that the proposed probe placement prediction and MR guidance yield consistent initial placement, with a mean surface error of 15 mm, positional error to palpated anatomical landmarks of 41.0 mm, and torso orientation errors within 9 deg, acceptable for the teleultrasound setup.

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arXiv2026

SemICP: Semantic Non-Rigid Point Cloud Registration with Elastic Energy Regularization

Purpose: Accurate point cloud registration is essential in computer-aided interventions (CAI) to align multi-modal medical images for intraoperative guidance. Classical methods, such as Iterative Closest Point (ICP), remain attractive for their explainability and minimal training requirements, but typically ignore anatomical semantics and biomechanical properties during regularization. Methods: We present Semantic ICP (SemICP), a novel non-rigid point cloud registration framework that combines semantically informed point matching with deformation regularization. Semantic labels are used to improve correspondence matching by constraining correspondences to be anatomically consistent. A novel control-point deformation representation with linear-elastic energy regularization is introduced to encourage biomechanically plausible deformations. SemICP was evaluated on four datasets on US-CT, MR-CT, MR-MR and MR-US registration against established baselines. It was also tested with labels from AI-based segmentation in a fully automatic segmentation-registration pipeline. Results: Across all datasets, SemICP achieves lower Hausdorff distance, mean surface distance, and target registration error than competing methods. The fully automatic registration pipeline was shown to be effective for US-MR registration and to improve the alignment of expert-annotated structures. Conclusion: SemICP improves deformable point cloud registration accuracy and robustness by combining semantic correspondence constraints and linear energy regularization. Combined with AI-based segmentation, SemICP provides an effective pipeline for multi-modal registration in CAI.

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arXiv2026

SegSTRONG-C: Segmenting Surgical Tools Robustly On Non-adversarial Generated Corruptions -- An EndoVis'24 Challenge

Surgical data science has seen rapid advancement with the excellent performance of end-to-end deep neural networks (DNNs). Despite their successes, DNNs have been proven susceptible to minor "corruptions," introducing a major concern for the translation of cutting-edge technology, especially in high-stakes scenarios. We introduce the SegSTRONG-C challenge dedicated to better understanding model deterioration under unforeseen but plausible non-adversarial "corruption" and the capabilities of contemporary methods that seek to improve it. Built on a dataset generated through counterfactual robotic replay, SegSTRONG-C provides paired clean and "corrupted" samples, enabling reproducible evaluation of model robustness. Participants are challenged to train tool segmentation algorithms on "uncorrupted" data and evaluate them on "corrupted" test domains for the binary robot tool segmentation task. Through comprehensive baseline experiments and participating submissions from widespread community engagement, SegSTRONG-C reveals key themes for model failure and identifies promising directions for improving robustness. The performance of challenge winners, achieving an average 0.9394 DSC and 0.9301 NSD across the unreleased test sets with "corruption" types: bleeding, smoke, and low brightness. This highlights how prior knowledge, customized training strategies, and architectural choice can be leveraged to improve robustness. In conclusion, the SegSTRONG-C challenge has identified practical approaches for enhancing model robustness. However, most approaches rely on conventional techniques that have known limitations. Looking ahead, we advocate for expanding intellectual diversity and creativity in non-adversarial robustness beyond data augmentation, calling for new paradigms that enhance universal robustness to unforeseen "corruptions" to facilitate richer applications in surgical data science.

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arXiv2026

Instrument-Splatting++: Towards Controllable Surgical Instrument Digital Twin Using Gaussian Splatting

High-quality and controllable digital twins of surgical instruments are critical for Real2Sim in robot-assisted surgery, as they enable realistic simulation, synthetic data generation, and perception learning under novel poses. We present Instrument-Splatting++, a monocular 3D Gaussian Splatting (3DGS) framework that reconstructs surgical instruments as a fully controllable Gaussian asset with high fidelity. Our pipeline starts with part-wise geometry pretraining that injects CAD priors into Gaussian primitives and equips the representation with part-aware semantic rendering. Built on the pretrained model, we propose a semantics-aware pose estimation and tracking (SAPET) method to recover per-frame 6-DoF pose and joint angles from unposed endoscopic videos, where a gripper-tip network trained purely from synthetic semantics provides robust supervision and a loose regularization suppresses singular articulations. Finally, we introduce Robust Texture Learning (RTL), which alternates pose refinement and robust appearance optimization, mitigating pose noise during texture learning. The proposed framework can perform pose estimation and learn realistic texture from unposed videos. We validate our method on sequences extracted from EndoVis17/18, SAR-RARP, and an in-house dataset, showing superior photometric quality and improved geometric accuracy over state-of-the-art baselines. We further demonstrate a downstream keypoint detection task where unseen-pose data augmentation from our controllable instrument Gaussian improves performance.

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arXiv2026

SurgCalib: Gaussian Splatting-Based Hand-Eye Calibration for Robot-Assisted Minimally Invasive Surgery

We present a Gaussian Splatting-based framework for hand-eye calibration of the da Vinci surgical robot. In a vision-guided robotic system, accurate estimation of the rigid transformation between the robot base and the camera frame is essential for reliable closed-loop control. For cable-driven surgical robots, this task faces unique challenges. The encoders of surgical instruments often produce inaccurate proprioceptive measurements due to cable stretch and backlash. Conventional hand-eye calibration approaches typically rely on known fiducial patterns and solve the AX = XB formulation. While effective, introducing additional markers into the operating room (OR) environment can violate sterility protocols and disrupt surgical workflows. In this study, we propose SurgCalib, an automatic, markerless framework that has the potential to be used in the OR. SurgCalib first initializes the pose of the surgical instrument using raw kinematic measurements and subsequently refines this pose through a two-phase optimization procedure under the RCM constraint within a Gaussian Splatting-based differentiable rendering pipeline. We evaluate the proposed method on the public dVRK benchmark, SurgPose. The results demonstrate average 2D tool-tip reprojection errors of 12.24 px (2.06 mm) and 11.33 px (1.9 mm), and 3D tool-tip Euclidean distance errors of 5.98 mm and 4.75 mm, for the left and right instruments, respectively.

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arXiv2025

Mixed Reality Tele-Ultrasound over 750 km: A Feasibility Study

To address the lack of access to ultrasound in remote communities, previous work introduced human teleoperation, a mixed reality and haptics-based tele-ultrasound system. In this approach, a novice takes the role of a cognitive robot controlled remotely by an expert through mixed reality. In this manuscript we summarize new developments to this system and describe a feasibility study assessing its use for long-distance remote abdominal ultrasound examinations. To provide simple but effective haptic feedback, we used an ellipsoid model of the patient with its parameters calibrated using our system's position and force sensors. We tested the system in Skidegate, Haida Gwaii, Canada, with the experts positioned 754 km away in Vancouver, Canada. We performed 11 total scans with 10 novices and 2 sonographers. The sonographers were tasked with acquiring 5 target images in the epigastric region. The image acquisition quality was assessed by 2 radiologists. We collected alignment data and the novices completed task load and usability questionnaires. Both the novices and sonographers provided written and verbal feedback to inform future design iterations. 92% of the acquired images had sufficient quality for interpretation by both radiologists. The mean task load reported by the novices was below reference values reported in literature and the usability was unanimously positive. No correlation was found between image quality and the follower's alignment error with the virtual transducer. Overall, we show that human teleoperation enables sonographers to perform remote abdominal ultrasound imaging with high performance, even across large distances and with novice followers. Future work will compare human teleoperation to conventional, robotic and tele-mentored ultrasound.

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arXiv2025

AutoCam: Hierarchical Path Planning for an Autonomous Auxiliary Camera in Surgical Robotics

Incorporating an autonomous auxiliary camera into robot-assisted minimally invasive surgery (RAMIS) enhances spatial awareness and eliminates manual viewpoint control. Existing path planning methods for auxiliary cameras track two-dimensional surgical features but do not simultaneously account for camera orientation, workspace constraints, and robot joint limits. This study presents AutoCam: an automatic auxiliary camera placement method to improve visualization in RAMIS. Implemented on the da Vinci Research Kit, the system uses a priority-based, workspace-constrained control algorithm that combines heuristic geometric placement with nonlinear optimization to ensure robust camera tracking. A user study (N=6) demonstrated that the system maintained 99.84% visibility of a salient feature and achieved a pose error of 4.36 $\pm$ 2.11 degrees and 1.95 $\pm$ 5.66 mm. The controller was computationally efficient, with a loop time of 6.8 $\pm$ 12.8 ms. An additional pilot study (N=6), where novices completed a Fundamentals of Laparoscopic Surgery training task, suggests that users can teleoperate just as effectively from AutoCam's viewpoint as from the endoscope's while still benefiting from AutoCam's improved visual coverage of the scene. These results indicate that an auxiliary camera can be autonomously controlled using the da Vinci patient-side manipulators to track a salient feature, laying the groundwork for new multi-camera visualization methods in RAMIS.

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arXiv2025

Setup-Invariant Augmented Reality for Teaching by Demonstration with Surgical Robots

Augmented reality (AR) is an effective tool in robotic surgery education as it combines exploratory learning with three-dimensional guidance. However, existing AR systems require expert supervision and do not account for differences in the mentor and mentee robot configurations. To enable novices to train outside the operating room while receiving expert-informed guidance, we present dV-STEAR: an open-source system that plays back task-aligned expert demonstrations without assuming identical setup joint positions between expert and novice. Pose estimation was rigorously quantified, showing a registration error of 3.86 (SD=2.01)mm. In a user study (N=24), dV-STEAR significantly improved novice performance on tasks from the Fundamentals of Laparoscopic Surgery. In a single-handed ring-over-wire task, dV-STEAR increased completion speed (p=0.03) and reduced collision time (p=0.01) compared to dry-lab training alone. During a pick-and-place task, it improved success rates (p=0.004). Across both tasks, participants using dV-STEAR exhibited significantly more balanced hand use and reported lower frustration levels. This work presents a novel educational tool implemented on the da Vinci Research Kit, demonstrates its effectiveness in teaching novices, and builds the foundation for further AR integration into robot-assisted surgery.

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arXiv2025

Point Tracking in Surgery--The 2024 Surgical Tattoos in Infrared (STIR) Challenge

Understanding tissue motion in surgery is crucial to enable applications in downstream tasks such as segmentation, 3D reconstruction, virtual tissue landmarking, autonomous probe-based scanning, and subtask autonomy. Labeled data are essential to enabling algorithms in these downstream tasks since they allow us to quantify and train algorithms. This paper introduces a point tracking challenge to address this, wherein participants can submit their algorithms for quantification. The submitted algorithms are evaluated using a dataset named surgical tattoos in infrared (STIR), with the challenge aptly named the STIR Challenge 2024. The STIR Challenge 2024 comprises two quantitative components: accuracy and efficiency. The accuracy component tests the accuracy of algorithms on in vivo and ex vivo sequences. The efficiency component tests the latency of algorithm inference. The challenge was conducted as a part of MICCAI EndoVis 2024. In this challenge, we had 8 total teams, with 4 teams submitting before and 4 submitting after challenge day. This paper details the STIR Challenge 2024, which serves to move the field towards more accurate and efficient algorithms for spatial understanding in surgery. In this paper we summarize the design, submissions, and results from the challenge. The challenge dataset is available here: https://zenodo.org/records/14803158 , and the code for baseline models and metric calculation is available here: https://github.com/athaddius/STIRMetrics

cs.CV↗

arXiv2025

Instrument-Splatting: Controllable Photorealistic Reconstruction of Surgical Instruments Using Gaussian Splatting

Real2Sim is becoming increasingly important with the rapid development of surgical artificial intelligence (AI) and autonomy. In this work, we propose a novel Real2Sim methodology, Instrument-Splatting, that leverages 3D Gaussian Splatting to provide fully controllable 3D reconstruction of surgical instruments from monocular surgical videos. To maintain both high visual fidelity and manipulability, we introduce a geometry pre-training to bind Gaussian point clouds on part mesh with accurate geometric priors and define a forward kinematics to control the Gaussians as flexible as real instruments. Afterward, to handle unposed videos, we design a novel instrument pose tracking method leveraging semantics-embedded Gaussians to robustly refine per-frame instrument poses and joint states in a render-and-compare manner, which allows our instrument Gaussian to accurately learn textures and reach photorealistic rendering. We validated our method on 2 publicly released surgical videos and 4 videos collected on ex vivo tissues and green screens. Quantitative and qualitative evaluations demonstrate the effectiveness and superiority of the proposed method.

cs.CV↗

arXiv2025

SurgPose: a Dataset for Articulated Robotic Surgical Tool Pose Estimation and Tracking

Accurate and efficient surgical robotic tool pose estimation is of fundamental significance to downstream applications such as augmented reality (AR) in surgical training and learning-based autonomous manipulation. While significant advancements have been made in pose estimation for humans and animals, it is still a challenge in surgical robotics due to the scarcity of published data. The relatively large absolute error of the da Vinci end effector kinematics and arduous calibration procedure make calibrated kinematics data collection expensive. Driven by this limitation, we collected a dataset, dubbed SurgPose, providing instance-aware semantic keypoints and skeletons for visual surgical tool pose estimation and tracking. By marking keypoints using ultraviolet (UV) reactive paint, which is invisible under white light and fluorescent under UV light, we execute the same trajectory under different lighting conditions to collect raw videos and keypoint annotations, respectively. The SurgPose dataset consists of approximately 120k surgical instrument instances (80k for training and 40k for validation) of 6 categories. Each instrument instance is labeled with 7 semantic keypoints. Since the videos are collected in stereo pairs, the 2D pose can be lifted to 3D based on stereo-matching depth. In addition to releasing the dataset, we test a few baseline approaches to surgical instrument tracking to demonstrate the utility of SurgPose. More details can be found at surgpose.github.io.

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arXiv2024

Image Retrieval with Intra-Sweep Representation Learning for Neck Ultrasound Scanning Guidance

Purpose: Intraoperative ultrasound (US) can enhance real-time visualization in transoral robotic surgery. The surgeon creates a mental map with a pre-operative scan. Then, a surgical assistant performs freehand US scanning during the surgery while the surgeon operates at the remote surgical console. Communicating the target scanning plane in the surgeon's mental map is difficult. Automatic image retrieval can help match intraoperative images to preoperative scans, guiding the assistant to adjust the US probe toward the target plane. Methods: We propose a self-supervised contrastive learning approach to match intraoperative US views to a preoperative image database. We introduce a novel contrastive learning strategy that leverages intra-sweep similarity and US probe location to improve feature encoding. Additionally, our model incorporates a flexible threshold to reject unsatisfactory matches. Results: Our method achieves 92.30% retrieval accuracy on simulated data and outperforms state-of-the-art temporal-based contrastive learning approaches. Our ablation study demonstrates that using probe location in the optimization goal improves image representation, suggesting that semantic information can be extracted from probe location. We also present our approach on real patient data to show the feasibility of the proposed US probe localization system despite tissue deformation from tongue retraction. Conclusion: Our contrastive learning method, which utilizes intra-sweep similarity and US probe location, enhances US image representation learning. We also demonstrate the feasibility of using our image retrieval method to provide neck US localization on real patient US after tongue retraction.

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arXiv2024

A-MFST: Adaptive Multi-Flow Sparse Tracker for Real-Time Tissue Tracking Under Occlusion

Purpose: Tissue tracking is critical for downstream tasks in robot-assisted surgery. The Sparse Efficient Neural Depth and Deformation (SENDD) model has previously demonstrated accurate and real-time sparse point tracking, but struggled with occlusion handling. This work extends SENDD to enhance occlusion detection and tracking consistency while maintaining real-time performance. Methods: We use the Segment Anything Model2 (SAM2) to detect and mask occlusions by surgical tools, and we develop and integrate into SENDD an Adaptive Multi-Flow Sparse Tracker (A-MFST) with forward-backward consistency metrics, to enhance occlusion and uncertainty estimation. A-MFST is an unsupervised variant of the Multi-Flow Dense Tracker (MFT). Results: We evaluate our approach on the STIR dataset and demonstrate a significant improvement in tracking accuracy under occlusion, reducing average tracking errors by 12 percent in Mean Endpoint Error (MEE) and showing a 6 percent improvement in the averaged accuracy over thresholds of 4, 8, 16, 32, and 64 pixels. The incorporation of forward-backward consistency further improves the selection of optimal tracking paths, reducing drift and enhancing robustness. Notably, these improvements were achieved without compromising the model's real-time capabilities. Conclusions: Using A-MFST and SAM2, we enhance SENDD's ability to track tissue in real time under instrument and tissue occlusions.

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arXiv2024

Augmenting Efficient Real-time Surgical Instrument Segmentation in Video with Point Tracking and Segment Anything

The Segment Anything Model (SAM) is a powerful vision foundation model that is revolutionizing the traditional paradigm of segmentation. Despite this, a reliance on prompting each frame and large computational cost limit its usage in robotically assisted surgery. Applications, such as augmented reality guidance, require little user intervention along with efficient inference to be usable clinically. In this study, we address these limitations by adopting lightweight SAM variants to meet the efficiency requirement and employing fine-tuning techniques to enhance their generalization in surgical scenes. Recent advancements in Tracking Any Point (TAP) have shown promising results in both accuracy and efficiency, particularly when points are occluded or leave the field of view. Inspired by this progress, we present a novel framework that combines an online point tracker with a lightweight SAM model that is fine-tuned for surgical instrument segmentation. Sparse points within the region of interest are tracked and used to prompt SAM throughout the video sequence, providing temporal consistency. The quantitative results surpass the state-of-the-art semi-supervised video object segmentation method XMem on the EndoVis 2015 dataset with 84.8 IoU and 91.0 Dice. Our method achieves promising performance that is comparable to XMem and transformer-based fully supervised segmentation methods on ex vivo UCL dVRK and in vivo CholecSeg8k datasets. In addition, the proposed method shows promising zero-shot generalization ability on the label-free STIR dataset. In terms of efficiency, we tested our method on a single GeForce RTX 4060/4090 GPU respectively, achieving an over 25/90 FPS inference speed. Code is available at: https://github.com/wuzijian1997/SIS-PT-SAM

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arXiv2024

Tracking and Mapping in Medical Computer Vision: A Review

As computer vision algorithms increase in capability, their applications in clinical systems will become more pervasive. These applications include: diagnostics, such as colonoscopy and bronchoscopy; guiding biopsies, minimally invasive interventions, and surgery; automating instrument motion; and providing image guidance using pre-operative scans. Many of these applications depend on the specific visual nature of medical scenes and require designing algorithms to perform in this environment. In this review, we provide an update to the field of camera-based tracking and scene mapping in surgery and diagnostics in medical computer vision. We begin with describing our review process, which results in a final list of 515 papers that we cover. We then give a high-level summary of the state of the art and provide relevant background for those who need tracking and mapping for their clinical applications. After which, we review datasets provided in the field and the clinical needs that motivate their design. Then, we delve into the algorithmic side, and summarize recent developments. This summary should be especially useful for algorithm designers and to those looking to understand the capability of off-the-shelf methods. We maintain focus on algorithms for deformable environments while also reviewing the essential building blocks in rigid tracking and mapping since there is a large amount of crossover in methods. With the field summarized, we discuss the current state of the tracking and mapping methods along with needs for future algorithms, needs for quantification, and the viability of clinical applications. We then provide some research directions and questions. We conclude that new methods need to be designed or combined to support clinical applications in deformable environments, and more focus needs to be put into collecting datasets for training and evaluation.

cs.CV↗

arXiv2024

Surgical Tattoos in Infrared: A Dataset for Quantifying Tissue Tracking and Mapping

Quantifying performance of methods for tracking and mapping tissue in endoscopic environments is essential for enabling image guidance and automation of medical interventions and surgery. Datasets developed so far either use rigid environments, visible markers, or require annotators to label salient points in videos after collection. These are respectively: not general, visible to algorithms, or costly and error-prone. We introduce a novel labeling methodology along with a dataset that uses said methodology, Surgical Tattoos in Infrared (STIR). STIR has labels that are persistent but invisible to visible spectrum algorithms. This is done by labelling tissue points with IR-fluorescent dye, indocyanine green (ICG), and then collecting visible light video clips. STIR comprises hundreds of stereo video clips in both in-vivo and ex-vivo scenes with start and end points labelled in the IR spectrum. With over 3,000 labelled points, STIR will help to quantify and enable better analysis of tracking and mapping methods. After introducing STIR, we analyze multiple different frame-based tracking methods on STIR using both 3D and 2D endpoint error and accuracy metrics. STIR is available at https://dx.doi.org/10.21227/w8g4-g548

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arXiv2023

SENDD: Sparse Efficient Neural Depth and Deformation for Tissue Tracking

Deformable tracking and real-time estimation of 3D tissue motion is essential to enable automation and image guidance applications in robotically assisted surgery. Our model, Sparse Efficient Neural Depth and Deformation (SENDD), extends prior 2D tracking work to estimate flow in 3D space. SENDD introduces novel contributions of learned detection, and sparse per-point depth and 3D flow estimation, all with less than half a million parameters. SENDD does this by using graph neural networks of sparse keypoint matches to estimate both depth and 3D flow anywhere. We quantify and benchmark SENDD on a comprehensively labelled tissue dataset, and compare it to an equivalent 2D flow model. SENDD performs comparably while enabling applications that 2D flow cannot. SENDD can track points and estimate depth at 10fps on an NVIDIA RTX 4000 for 1280 tracked (query) points and its cost scales linearly with an increasing/decreasing number of points. SENDD enables multiple downstream applications that require estimation of 3D motion in stereo endoscopy.

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