A Mixed Reality System for Robust Manikin Localization in Childbirth Training

Opportunities for medical students to gain practical experience in vaginal births are increasingly constrained by shortened clinical rotations, patient reluctance, and the unpredictable nature of labour. To alleviate clinicians' instructional burden and enhance trainees' learning efficiency, we introduce a mixed reality (MR) system for childbirth training that combines virtual guidance with tactile manikin interaction, thereby preserving authentic haptic feedback while enabling independent practice without continuous on-site expert supervision. The system extends the passthrough capability of commercial head-mounted displays (HMDs) by spatially calibrating an external RGB-D camera, allowing real-time visual integration of physical training objects. Building on this capability, we implement a coarse-to-fine localization pipeline that first aligns the maternal manikin with fiducial markers to define a delivery region and then registers the pre-scanned neonatal head within this area. This process enables spatially accurate overlay of virtual guiding hands near the manikin, allowing trainees to follow expert trajectories reinforced by haptic interaction. Experimental evaluations demonstrate that the system achieves accurate and stable manikin localization on a standalone headset, ensuring practical deployment without external computing resources. A large-scale user study involving 83 fourth-year medical students was subsequently conducted to compare MR-based and virtual reality (VR)-based childbirth training. Four senior obstetricians independently assessed performance using standardized criteria. Results showed that MR training achieved significantly higher scores in delivery, post-delivery, and overall task performance, and was consistently preferred by trainees over VR training.

EgoPoseVR: Spatiotemporal Multi-Modal Reasoning for Egocentric Full-Body Pose in Virtual Reality

Immersive virtual reality (VR) applications demand accurate, temporally coherent full-body pose tracking. Recent head-mounted camera-based approaches show promise in egocentric pose estimation, but encounter challenges when applied to VR head-mounted displays (HMDs), including temporal instability, inaccurate lower-body estimation, and the lack of real-time performance. To address these limitations, we present EgoPoseVR, an end-to-end framework for accurate egocentric full-body pose estimation in VR that integrates headset motion cues with egocentric RGB-D observations through a dual-modality fusion pipeline. A spatiotemporal encoder extracts frame- and joint-level representations, which are fused via cross-attention to fully exploit complementary motion cues across modalities. A kinematic optimization module then imposes constraints from HMD signals, enhancing the accuracy and stability of pose estimation. To facilitate training and evaluation, we introduce a large-scale synthetic dataset of over 1.8 million temporally aligned HMD and RGB-D frames across diverse VR scenarios. Experimental results show that EgoPoseVR outperforms state-of-the-art egocentric pose estimation models. A user study in real-world scenes further shows that EgoPoseVR achieved significantly higher subjective ratings in accuracy, stability, embodiment, and intention for future use compared to baseline methods. These results show that EgoPoseVR enables robust full-body pose tracking, offering a practical solution for accurate VR embodiment without requiring additional body-worn sensors or room-scale tracking systems.