Geometry-Conditioned Diffusion for Occlusion-Robust In-Bed Pose Estimation

Robust in-bed human pose estimation under blanket occlusion remains challenging due to the scarcity of reliable labeled training data for heavily covered poses. Existing approaches rely on multi-modal sensing or image-to-image translation frameworks that remain conditioned on visible source imagery, limiting scalability and pose diversity. In this work, we reformulate occlusion-aware augmentation as a geometry-conditioned generative modeling task. We conduct a systematic comparison of deterministic masking, unpaired translation, paired diffusion-based translation, and a proposed pose-conditioned Latent Diffusion Model (Pose-LDM). Unlike image-guided methods, Pose-LDM synthesizes blanket-covered images directly from skeletal keypoints, eliminating dependence on paired supervision and pixel-level source-image conditioning while enabling generation from arbitrary pose inputs. All augmentation strategies are evaluated through their impact on downstream pose estimation under a fixed backbone. Pose- LDM achieves the highest strict localization accuracy under severe occlusion while maintaining overall detection performance comparable to paired diffusion models, approaching the performance of fully supervised training. These results demonstrate that geometry-conditioned diffusion provides an effective and supervision-efficient pathway toward occlusion-robust inbed pose estimation without modifying the sensing pipeline. The code is available at: github.com/navidTerraNova/ GeoDiffPose.