EgoExOR: An Ego-Exo-Centric Operating Room Dataset for Surgical Activity Understanding

Operating rooms (ORs) demand precise coordination among surgeons, nurses, and equipment in a fast-paced, occlusion-heavy environment, necessitating advanced perception models to enhance safety and efficiency. Existing datasets either provide partial egocentric views or sparse exocentric multi-view context, but do not explore the comprehensive combination of both. We introduce EgoExOR, the first OR dataset and accompanying benchmark to fuse first-person and third-person perspectives. Spanning 94 minutes (84,553 frames at 15 FPS) of two emulated spine procedures, Ultrasound-Guided Needle Insertion and Minimally Invasive Spine Surgery, EgoExOR integrates egocentric data (RGB, gaze, hand tracking, audio) from wearable glasses, exocentric RGB and depth from RGB-D cameras, and ultrasound imagery. Its detailed scene graph annotations, covering 36 entities and 22 relations (568,235 triplets), enable robust modeling of clinical interactions, supporting tasks like action recognition and human-centric perception. We evaluate the surgical scene graph generation performance of two adapted state-of-the-art models and offer a new baseline that explicitly leverages EgoExOR's multimodal and multi-perspective signals. This new dataset and benchmark set a new foundation for OR perception, offering a rich, multimodal resource for next-generation clinical perception.

MM-OR: A Large Multimodal Operating Room Dataset for Semantic Understanding of High-Intensity Surgical Environments

Operating rooms (ORs) are complex, high-stakes environments requiring precise understanding of interactions among medical staff, tools, and equipment for enhancing surgical assistance, situational awareness, and patient safety. Current datasets fall short in scale, realism and do not capture the multimodal nature of OR scenes, limiting progress in OR modeling. To this end, we introduce MM-OR, a realistic and large-scale multimodal spatiotemporal OR dataset, and the first dataset to enable multimodal scene graph generation. MM-OR captures comprehensive OR scenes containing RGB-D data, detail views, audio, speech transcripts, robotic logs, and tracking data and is annotated with panoptic segmentations, semantic scene graphs, and downstream task labels. Further, we propose MM2SG, the first multimodal large vision-language model for scene graph generation, and through extensive experiments, demonstrate its ability to effectively leverage multimodal inputs. Together, MM-OR and MM2SG establish a new benchmark for holistic OR understanding, and open the path towards multimodal scene analysis in complex, high-stakes environments. Our code, and data is available at https://github.com/egeozsoy/MM-OR.

FLex: Joint Pose and Dynamic Radiance Fields Optimization for Stereo Endoscopic Videos

Reconstruction of endoscopic scenes is an important asset for various medical applications, from post-surgery analysis to educational training. Neural rendering has recently shown promising results in endoscopic reconstruction with deforming tissue. However, the setup has been restricted to a static endoscope, limited deformation, or required an external tracking device to retrieve camera pose information of the endoscopic camera. With FLex we adress the challenging setup of a moving endoscope within a highly dynamic environment of deforming tissue. We propose an implicit scene separation into multiple overlapping 4D neural radiance fields (NeRFs) and a progressive optimization scheme jointly optimizing for reconstruction and camera poses from scratch. This improves the ease-of-use and allows to scale reconstruction capabilities in time to process surgical videos of 5,000 frames and more; an improvement of more than ten times compared to the state of the art while being agnostic to external tracking information. Extensive evaluations on the StereoMIS dataset show that FLex significantly improves the quality of novel view synthesis while maintaining competitive pose accuracy.

Re-Nerfing: Enforcing Geometric Constraints on Neural Radiance Fields through Novel Views Synthesis

Neural Radiance Fields (NeRFs) have shown remarkable novel view synthesis capabilities even in large-scale, unbounded scenes, albeit requiring hundreds of views or introducing artifacts in sparser settings. Their optimization suffers from shape-radiance ambiguities wherever only a small visual overlap is available. This leads to erroneous scene geometry and artifacts. In this paper, we propose Re-Nerfing, a simple and general multi-stage approach that leverages NeRF's own view synthesis to address these limitations. With Re-Nerfing, we increase the scene's coverage and enhance the geometric consistency of novel views as follows: First, we train a NeRF with the available views. Then, we use the optimized NeRF to synthesize pseudo-views next to the original ones to simulate a stereo or trifocal setup. Finally, we train a second NeRF with both original and pseudo views while enforcing structural, epipolar constraints via the newly synthesized images. Extensive experiments on the mip-NeRF 360 dataset show the effectiveness of Re-Nerfing across denser and sparser input scenarios, bringing improvements to the state-of-the-art Zip-NeRF, even when trained with all views.