  Various deep learning models have been proposed for 3D bone shape
reconstruction from two orthogonal (biplanar) X-ray images. However, it is
unclear how these models compare against each other since they are evaluated on
different anatomy, cohort and (often privately held) datasets. Moreover, the
impact of the commonly optimized image-based segmentation metrics such as dice
score on the estimation of clinical parameters relevant in 2D-3D bone shape
reconstruction is not well known. To move closer toward clinical translation,
we propose a benchmarking framework that evaluates tasks relevant to real-world
clinical scenarios, including reconstruction of fractured bones, bones with
implants, robustness to population shift, and error in estimating clinical
parameters. Our open-source platform provides reference implementations of 8
models (many of whose implementations were not publicly available), APIs to
easily collect and preprocess 6 public datasets, and the implementation of
automatic clinical parameter and landmark extraction methods. We present an
extensive evaluation of 8 2D-3D models on equal footing using 6 public datasets
comprising images for four different anatomies. Our results show that
attention-based methods that capture global spatial relationships tend to
perform better across all anatomies and datasets; performance on clinically
relevant subgroups may be overestimated without disaggregated reporting; ribs
are substantially more difficult to reconstruct compared to femur, hip and
spine; and the dice score improvement does not always bring a corresponding
improvement in the automatic estimation of clinically relevant parameters.
