Patient4D: Temporally Consistent Patient Body Mesh Recovery from Monocular Operating Room Video

Recovering a dense 3D body mesh from monocular video remains challenging under occlusion from draping and continuously moving camera viewpoints. This configuration arises in surgical augmented reality (AR), where an anesthetized patient lies under surgical draping while a surgeon's head-mounted camera continuously changes viewpoint. Existing human mesh recovery (HMR) methods are typically trained on upright, moving subjects captured from relatively stable cameras, leading to performance degradation under such conditions. To address this, we present Patient4D, a stationarity-constrained reconstruction pipeline that explicitly exploits the stationarity prior. The pipeline combines image-level foundation models for perception with lightweight geometric mechanisms that enforce temporal consistency across frames. Two key components enable robust reconstruction: Pose Locking, which anchors pose parameters using stable keyframes, and Rigid Fallback, which recovers meshes under severe occlusion through silhouette-guided rigid alignment. Together, these mechanisms stabilize predictions while remaining compatible with off-the-shelf HMR models. We evaluate Patient4D on 4,680 synthetic surgical sequences and three public HMR video benchmarks. Under surgical drape occlusion, Patient4D achieves a 0.75 mean IoU, reducing failure frames from 30.5% to 1.3% compared to the best baseline. Our findings demonstrate that exploiting stationarity priors can substantially improve monocular reconstruction in clinical AR scenarios.

Multi-modal 3D Pose and Shape Estimation with Computed Tomography

In perioperative care, precise in-bed 3D patient pose and shape estimation (PSE) can be vital in optimizing patient positioning in preoperative planning, enabling accurate overlay of medical images for augmented reality-based surgical navigation, and mitigating risks of prolonged immobility during recovery. Conventional PSE methods relying on modalities such as RGB-D, infrared, or pressure maps often struggle with occlusions caused by bedding and complex patient positioning, leading to inaccurate estimation that can affect clinical outcomes. To address these challenges, we present the first multi-modal in-bed patient 3D PSE network that fuses detailed geometric features extracted from routinely acquired computed tomography (CT) scans with depth maps (mPSE-CT). mPSE-CT incorporates a shape estimation module that utilizes probabilistic correspondence alignment, a pose estimation module with a refined neural network, and a final parameters mixing module. This multi-modal network robustly reconstructs occluded body regions and enhances the accuracy of the estimated 3D human mesh model. We validated mPSE-CT using proprietary whole-body rigid phantom and volunteer datasets in clinical scenarios. mPSE-CT outperformed the best-performing prior method by 23% and 49.16% in pose and shape estimation respectively, demonstrating its potential for improving clinical outcomes in challenging perioperative environments.