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Paper · arXiv

Virtual Intraoperative CT (viCT): Sequential Anatomic Updates for Modeling Tissue Resection Throughout Endoscopic Sinus Surgery

Purpose: Incomplete dissection is a common cause of persistent disease and revision endoscopic sinus surgery (ESS) in chronic rhinosinusitis. Current image-guided surgery systems typically reference static preoperative CT (pCT), and do not model evolving resection boundaries. We present Virtual Intraoperative CT (viCT), a method for sequentially updating pCT throughout ESS using intraoperative 3D reconstructions from monocular endoscopic video to enable visualization of evolving anatomy in CT format. Methods: Monocular endoscopic video is processed using a depth-supervised NeRF framework with virtual stereo synthesis to generate metrically scaled 3D reconstructions at multiple surgical in...

AuthorsNicole M. Gunderson, Graham J. Harris, Jeremy S. Ruthberg et al.
Primary categorycs.CV
Published7 March 2026
Last updated at source7 March 2026
cs.CV
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