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

Abstract: 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.