Explicit–implicit symmetric diffeomorphic deformable image registration with convolutional neural network

Deformable image registration is a basic image processing task, especially widely used in medical image processing and analysis. Different from rigid registration, its purpose is to find the optimal nonlinear transformation between two images and establish corresponding relationship, so as to achieve image consistency. In recent years, deformable registration methods based on deep learning have been studied a lot. Compared with traditional methods, they show great advantages in registration performance. This paper proposes an attention-based residual neural network for deformable image registration, which utilizes the U-Net encoder-decoder structure to design a convolutional neural network to predict the deformation field, and uses the residual module and attention mechanism enhances the ability of the model to extract features, and finally uses the spatial transformation function to obtain the registered image, and the entire network is trained in an unsupervised manner. We conducted experiments on the MNIST dataset and 2D brain magnetic resonance images (MRI) respectively. The experimental results show that the deformable registration network proposed in this paper has good performance and shows good results in registration accuracy.

Landmark-guided deformable image registration for accurate cumulative dose evaluation in lung reirradiation.

To measure the sensitivity of deformable image registration to image noise. Deformable image registration can be used to map organ contours and other treatment planning data from one CT to another. These CT studies can be acquired with either conventional fan-beam CT systems or more novel cone-beam CT techniques. However, cone-beam CT images can have higher noise levels than fan-beam CT, which might reduce registration accuracy. We have investigated the effect of image quality differences on the deformable registration of fan-beam CTs and CTs with simulated cone-beam noise. Our study used three CT studies for each of five prostate patients. Each CT was contoured by three experienced radiation oncologists. For each patient, one CT was designated the source image and the other two were target images. A deformable image registration process was used to register each source CT to each target CT and then transfer the manually drawn treatment planning contours from the source CT to the target CTs. The accuracy of the automatically transferred contours (and thus of the deformable registration process) was assessed by comparing them to the manual contours on the target CTs, with the differences evaluated with respect to interobserver variability in the manual contours. Then each of the target CTs was modified to include increased noise characteristic of cone-beam CT and the tests were repeated. Changes in registration accuracy due to increased noise were detected by monitoring changes in the automatically transferred contours. We found that the additional noise caused no significant loss of registration accuracy at magnitudes that exceeded what would normally be found in an actual cone-beam CT. We conclude that noise levels in cone-beam CTs that might reduce manual contouring accuracy do not reduce image registration and automatic contouring accuracy.

Deformable image registration by combining uncertainty estimates from supervoxel belief propagation.

Medical image registration is an integral part of various clinical applications including image guidance, motion tracking, therapy assessment and diagnosis. We present a robust approach for mono-modal and multi-modal medical image registration. To this end, we propose the novel shape operator based local image distance (SOLID) which estimates the similarity of images by comparing their second-order curvature information. Our similarity metric is rigorously tailored to be suitable for comparing images from different medical imaging modalities or image contrasts. A critical element of our method is the extraction of local features using higher-order shape information, enabling the accurate identification and registration of smaller structures. In order to assess the efficacy of the proposed similarity metric, we have implemented a variational image registration algorithm that relies on the principle of matching the curvature information of the given images. The performance of the proposed algorithm has been evaluated against various alternative state-of-the-art variational registration algorithms. Our experiments involve mono-modal as well as multi-modal and cross-contrast co-registration tasks in a broad variety of anatomical regions. Compared to the evaluated alternative registration methods, the results indicate a very favorable accuracy, precision and robustness of the proposed SOLID method in various highly challenging registration tasks.

PurposeKilovoltage cone beam computed tomography (kVCBCT)‐guided adaptive radiation therapy (ART) uses daily deformed CT (dCT), which is generated automatically through deformable registration methods. These registration methods may perform poorly in reproducing volumes of the target organ, rectum, and bladder during treatment. We analyzed the registration errors between the daily kVCBCTs and corresponding dCTs for these organs using the default optical flow algorithm and two registration procedures. We validated the effectiveness of these registration methods in replicating the geometry for dose calculation on kVCBCT for ART.MethodsWe evaluated three deformable image registration (DIR) methods to assess their registration accuracy and dose calculation effeciency in mapping target and critical organs. The DIR methods include (1) default intensity‐based deformable registration, (2) hybrid deformable registration, and (3) a two‐step deformable registration process. Each technique was applied to a computerized imaging reference system (CIRS) phantom (Model 062 M) and to five patients who received volumetric modulated arc therapy to the prostate. Registration accuracy was assessed using the 95% Hausdorff distance (HD95) and Dice similarity coefficient (DSC), and each method was compared with the intensity‐based registration method. The improvement in the dCT image quality of the CIRS phantom and five patients was assessed by comparing dCT with kVCBCT. Image quality quantitative metrics for the phantom included the signal‐to‐noise ratio (SNR), uniformity, and contrast‐to‐noise ratio (CNR), whereas those for the patients included the mean absolute error (MAE), mean error, peak signal‐to‐noise ratio (PSNR), and structural similarity index measure (SSIM). To determine dose metric differences, we used a dose‐volume histogram (DVH) and 3.0%/0.3 mm gamma analysis to compare planning computed tomography (pCT) and kVCBCT recalculations with restimulated CT images used as a reference.ResultsThe dCT images generated by the hybrid (dCTH) and two‐step (dCTC) registration methods resulted in significant improvements compared to kVCBCT in the phantom model. Specifically, the SNR improved by 107% and 107.2%, the uniformity improved by 90% and 75%, and the CNR improved by 212.2% and 225.6 for dCTH and dCTC methods, respectively. For the patient images, the MAEs improved by 98% and 94%, the PSNRs improved by 16.3% and 22.9%, and the SSIMs improved by 1% and 1% in the dCTH and dCTC methods, respectively. For the geometric evaluation, only the two‐step registration method improved registration accuracy. The dCTH method yielded an average HD95 of 12 mm and average DSC of 0.73, whereas dCTC yielded an average HD95 of 2.9 mm and average DSC of 0.902. The DVH showed that the dCTC‐based dose calculations differed by <2% from the expected results for treatment targets and volumes of organs at risk. Additionally, gamma indices for dCTC‐based treatment plans were >95% at all points, whereas they were <95% for kVCBCT‐based treatment plans.ConclusionThe two‐step registration method outperforms the intensity‐based and hybrid registration methods. While the hybrid and two‐step‐based methods improved the image quality of kVCBCT in a linear accelerator, only the two‐step method improved the registration accuracy of the corresponding structures among the pCT and kVCBCT datasets. A two‐step registration process is recommended for applying kVCBCT to ART, which achieves better registration accuracy for local and global image structures. This method appears to be beneficial for radiotherapy dose calculation in patients with pelvic cancer.

Brain tumor detection and medical image registration are critical tasks in neuroimaging, enabling accurate diagnosis, treatment planning, and follow-up monitoring. Magnetic Resonance Imaging (MRI) remains the preferred modality for visualizing tumor morphology, while image registration facilitates the alignment of multimodal scans for enhanced clinical interpretation. This survey reviews recent advances in deep learning-based methods for brain tumor classification and medical image registration, focusing on Convolutional Neural Networks (CNNs), transfer learning architectures (e.g., VGG-19, ResNet, DenseNet201), and modern registration frameworks including supervised, unsupervised, GAN-based, and reinforcement learning approaches. A comprehensive analysis of 50+ peer-reviewed studies highlights state-of-the-art performance, with brain tumor classification achieving up to 97.5% precision (CNN + FCM) and 96.97% accuracy (DWT+PCA+DNN), while multimodal MRI registration methods report Dice Similarity Coefficient (DSC) values exceeding 0.90 and reduced Target Registration Error (TRE) compared to traditional deformable registration techniques. Trends indicate a shift toward hybrid models combining segmentation and registration, domain adaptation for cross-dataset generalization, and lightweight frameworks for real-time clinical deployment. In conclusion, deep learning approaches have significantly advanced the accuracy, efficiency, and automation of brain tumor detection and medical image registration. However, challenges such as limited annotated multimodal datasets, robust similarity measures for heterogeneous modalities, and the integration of clinically interpretable AI models remain open for future research.

Medical image segmentation and registration are two tasks to analyze the anatomical structures in clinical research. Still, deep-learning solutions utilizing the connections between segmentation and registration remain underdiscovered. This article designs a joint learning framework named RSegNet that can realize concurrent deformable registration and segmentation by minimizing an integrated loss function, including three parts: diffeomorphic registration loss, segmentation similarity loss, and dual-consistency supervision loss. The probabilistic diffeomorphic registration branch could benefit from the auxiliary segmentations available from the segmentation branch to achieve anatomical consistency and better deformation regularity by dual-consistency supervision. Simultaneously, the segmentation performance could also be improved by data augmentation based on the registration with well-behaved diffeomorphic guarantees. Experiments on the human brain 3-D magnetic resonance images have been implemented to demonstrate the effectiveness of our approach. We trained and validated RSegNet with 1000 images and tested its performances on four public datasets, which shows that our method successfully yields concurrent improvements of both segmentation and registration compared with separately trained networks. Specifically, our method can increase the accuracy of segmentation and registration by 7.0% and 1.4%, respectively, in terms of Dice scores. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Note to Practitioners</i> —Registration and segmentation of medical images are two significant tasks in medical research and clinical application. However, most existing approaches consider these two tasks independently while neglecting the potential association between them. Therefore, we suggest a new approach that combines these two tasks into one joint deep learning framework, boosting registration, and segmentation performance by introducing dual-consistency supervision. Besides, our framework could generate outputs within 1 s by taking an affinely aligned medical image pair as input, which is suitable for time-critical requirements in a clinic. We tested it on four public datasets and achieved state-of-the-art performance to demonstrate the proposed method’s feasibility and robustness. Furthermore, our proposed RSegNet is a general learning framework suitable for various image modalities and anatomical structures. Hence, we expect our framework to serve as a practical clinical tool to speed up medical image analysis procedures and improve diagnostic accuracy.

Image registration is a fundamental requirement for medical image analysis. Deep registration methods based on deep learning have been widely recognized for their capabilities to perform fast end-to-end registration. Many deep registration methods achieved state-of-the-art performance by performing coarse-to-fine registration, where multiple registration steps were iterated with cascaded networks. Recently, Non-Iterative Coarse-to-finE (NICE) registration methods have been proposed to perform coarse-to-fine registration in a single network and showed advantages in both registration accuracy and runtime. However, existing NICE registration methods mainly focus on deformable registration, while affine registration, a common prerequisite, is still reliant on time-consuming traditional optimization-based methods or extra affine registration networks. In addition, existing NICE registration methods are limited by the intrinsic locality of convolution operations. Transformers may address this limitation for their capabilities to capture long-range dependency, but the benefits of using transformers for NICE registration have not been explored. In this study, we propose a Non-Iterative Coarse-to-finE Transformer network (NICE-Trans) for image registration. Our NICE-Trans is the first deep registration method that (i) performs joint affine and deformable coarse-to-fine registration within a single network, and (ii) embeds transformers into a NICE registration framework to model long-range relevance between images. Extensive experiments with seven public datasets show that our NICE-Trans outperforms stateof-the-art registration methods on both registration accuracy and runtime.

Deformable image registration is a very important field of research in medical imaging. Recently multiple deep learning approaches were published in this area showing promising results. However, drawbacks of deep learning methods are the need for a large amount of training datasets and their inability to register unseen images different from the training datasets. One shot learning comes without the need of large training datasets and has already been proven to be applicable to 3D data. In this work we present a one shot registration approach for periodic motion tracking in 3D and 4D datasets. When applied to a 3D dataset the algorithm calculates the inverse of the registration vector field simultaneously. For registration we employed a U-Net combined with a coarse to fine approach and a differential spatial transformer module. The algorithm was thoroughly tested with multiple 4D and 3D datasets publicly available. The results show that the presented approach is able to track periodic motion and to yield a competitive registration accuracy. Possible applications are the use as a stand-alone algorithm for 3D and 4D motion tracking or in the beginning of studies until enough datasets for a separate training phase are available.

Improved Rapid Corner Detection Algorithm in Medical Image

Although a considerable amount of research has been devoted to the registration of medical images, a good proportion of this has been performed on rigid regions of the anatomy. This has tended to limit the practical value of such research. The registration of medical images which are non-rigid in nature is a seemingly difficult and not fully investigated problem. This paper presents an elastic transformation method which is used to perform matching of non-rigid medical images, that is, two-dimensional images of a region of the body such as the thorax or abdomen which exhibits a high level of elasticity. Some forms of elastic transformation may be more localized in scope than others, which leads to the categorization of elastic transformation methods into local and semi-local methods. This paper demonstrates the use of local elastic spatial transformations in matching non-rigid medical images. These transformations are illustrated by matching corresponding computed tomography and magnetic resonance images of the thorax.

Objective. This paper proposes a novel approach for the longitudinal registration of PET imaging acquired for the monitoring of patients with metastatic breast cancer. Unlike with other image analysis tasks, the use of deep learning (DL) has not significantly improved the performance of image registration. With this work, we propose a new registration approach to bridge the performance gap between conventional and DL-based methods: medical image registration method regularized by architecture (MIRRBA). Approach. MIRRBA is a subject-specific deformable registration method which relies on a deep pyramidal architecture to parametrize the deformation field. Diverging from the usual deep-learning paradigms, MIRRBA does not require a learning database, but only a pair of images to be registered that is used to optimize the network's parameters. We applied MIRRBA on a private dataset of 110 whole-body PET images of patients with metastatic breast cancer. We used different architecture configurations to produce the deformation field and studied the results obtained. We also compared our method to several standard registration approaches: two conventional iterative registration methods (ANTs and Elastix) and two supervised DL-based models (LapIRN and Voxelmorph). Registration accuracy was evaluated using the Dice score, the target registration error, the average Hausdorff distance and the detection rate, while the realism of the registration obtained was evaluated using Jacobian's determinant. The ability of the different methods to shrink disappearing lesions was also computed with the disappearing rate. Main results. MIRRBA significantly improved all metrics when compared to DL-based approaches. The organ and lesion Dice scores of Voxelmorph improved by 6% and 52% respectively, while the ones of LapIRN increased by 5% and 65%. Regarding conventional approaches, MIRRBA presented comparable results showing the feasibility of our method. Significance. In this paper, we also demonstrate the regularizing power of deep architectures and present new elements to understand the role of the architecture in DL methods used for registration.

Image registration aims to establish spatial correspondence across pairs, or groups of images, and is a cornerstone of medical image computing and computer-assisted-interventions. Currently, most deep learning-based registration methods assume that the desired deformation fields are globally smooth and continuous, which is not always valid for real-world scenarios, especially in medical image registration (e.g. cardiac imaging and abdominal imaging). Such a global constraint can lead to artefacts and increased errors at discontinuous tissue interfaces. To tackle this issue, we propose a weakly-supervised Deep Discontinuity-preserving Image Registration network (DDIR), to obtain better registration performance and realistic deformation fields. We demonstrate that our method achieves significant improvements in registration accuracy and predicts more realistic deformations, in registration experiments on cardiac magnetic resonance (MR) images from UK Biobank Imaging Study (UKBB), than state-of-the-art approaches.

We present a diffeomorphic image registration algorithm to learn spatial transformations between pairs of images to be registered using fully convolutional networks (FCNs) under a self‐supervised learning setting. Particularly, a deep neural network is trained to estimate diffeomorphic spatial transformations between pairs of images by maximizing an image‐wise similarity metric between fixed and warped moving images, similar to those adopted in conventional image registration algorithms. The network is implemented in a multi‐resolution image registration framework to optimize and learn spatial transformations at different image resolutions jointly and incrementally with deep self‐supervision in order to better handle large deformation between images. A spatial Gaussian smoothing kernel is integrated with the FCNs to yield sufficiently smooth deformation fields for diffeomorphic image registration. The spatial transformations learned at coarser resolutions are utilized to warp the moving image, which is subsequently used as input to the network for learning incremental transformations at finer resolutions. This procedure proceeds recursively to the full image resolution and the accumulated transformations serve as the final transformation to warp the moving image at the finest resolution. Experimental results for registering high‐resolution 3D structural brain magnetic resonance (MR) images have demonstrated that image registration networks trained by our method obtain robust, diffeomorphic image registration results within seconds with improved accuracy compared with state‐of‐the‐art image registration algorithms.