Deformable image registration (DIR) remains a fundamental yet challenging problem in medical image analysis, largely due to the prohibitively high-dimensional deformation space of dense displacement fields and the scarcity of voxel-level supervision. Existing reinforcement learning frameworks often project this space into coarse, low-dimensional representations, limiting their ability to capture spatially variant deformations. We propose MorphSeek, a fine-grained representation-level policy optimization paradigm that reformulates DIR as a spatially continuous optimization process in the latent feature space. MorphSeek introduces a stochastic Gaussian policy head atop the encoder to model a distribution over latent features, facilitating efficient exploration and coarse-to-fine refinement. The framework integrates unsupervised warm-up with weakly supervised fine-tuning through Group Relative Policy Optimization, where multi-trajectory sampling stabilizes training and improves label efficiency. Across three 3D registration benchmarks (OASIS brain MRI, LiTS liver CT, and Abdomen MR-CT), MorphSeek achieves consistent Dice improvements over competitive baselines while maintaining high label efficiency with minimal parameter cost and low step-level latency overhead. Beyond optimizer specifics, MorphSeek advances a representation-level policy learning paradigm that achieves spatially coherent and data-efficient deformation optimization, offering a principled, backbone-agnostic, and optimizer-agnostic solution for scalable visual alignment in high-dimensional settings.
Fraunhofer MEVIS（弗劳恩霍夫医学图像计算研究所）；Radboud UMC（拉德堡德大学医学中心）；University of Lübeck（吕贝克大学）
While deep learning has achieved significant advances in accuracy for medical image segmentation, its benefits for deformable image registration have so far remained limited to reduced computation times. Previous work has either focused on replacing the iterative optimization of distance and smoothness terms with CNN-layers or using supervised approaches driven by labels. Our method is the first to combine the complementary strengths of global semantic information (represented by segmentation labels) and local distance metrics that help align surrounding structures. We demonstrate significant …
Image Sciences Institute, University Medical Center Utrecht and Utrecht University（乌得勒支大学医学中心与乌得勒支大学影像科学研究所）；Division of Image Processing of the Leiden University Medical Center（莱顿大学医学中心图像处理部）
Image registration, the process of aligning two or more images, is the core technique of many (semi-)automatic medical image analysis tasks. Recent studies have shown that deep learning methods, notably convolutional neural networks (ConvNets), can be used for image registration. Thus far training of ConvNets for registration was supervised using predefined example registrations. However, obtaining example registrations is not trivial. To circumvent the need for predefined examples, and thereby to increase convenience of training ConvNets for image registration, we propose the Deep Learning Im…
Image Sciences Institute, University Medical Center Utrecht（乌得勒支大学医学中心图像科学研究所）；Division of Image Processing, Leiden University Medical Center（莱顿大学医学中心图像处理部）
In this work we propose a deep learning network for deformable image registration (DIRNet). The DIRNet consists of a convolutional neural network (ConvNet) regressor, a spatial transformer, and a resampler. The ConvNet analyzes a pair of fixed and moving images and outputs parameters for the spatial transformer, which generates the displacement vector field that enables the resampler to warp the moving image to the fixed image. The DIRNet is trained end-to-end by unsupervised optimization of a similarity metric between input image pairs. A trained DIRNet can be applied to perform registration …
University College London（伦敦大学学院）；Massachusetts General Hospital（马萨诸塞总医院）；Harvard Medical School（哈佛医学院）；Massachusetts Institute of Technology（麻省理工学院）
Landmark correspondences are a widely used type of gold standard in image registration. However, the manual placement of corresponding points is subject to high inter-user variability in the chosen annotated locations and in the interpretation of visual ambiguities. In this paper, we introduce a principled strategy for the construction of a gold standard in deformable registration. Our framework: (i) iteratively suggests the most informative location to annotate next, taking into account its redundancy with previous annotations; (ii) extends traditional pointwise annotations by accounting for …
Deformable image registration, i.e., the task of aligning multiple images into one coordinate system by non-linear transformation, serves as an essential preprocessing step for neuroimaging data. Recent research on deformable image registration is mainly focused on improving the registration accuracy using multi-stage alignment methods, where the source image is repeatedly deformed in stages by a same neural network until it is well-aligned with the target image. Conventional methods for multi-stage registration can often blur the source image as the pixel/voxel values are repeatedly interpola…
University of North Carolina（北卡罗来纳大学）；Shanghai Jiao Tong University（上海交通大学）
Deformable image registration is fundamental to longitudinal and population analysis. Geometric alignment of the infant brain MR images is challenging, owing to rapid changes in image appearance in association with brain development. In this paper, we propose an infant-dedicated deep registration network that uses the auto-context strategy to gradually refine the deformation fields to obtain highly accurate correspondences. Instead of training multiple registration networks, our method estimates the deformation fields by invoking a single network multiple times for iterative deformation refine…
Domain-Shift Immunity in Deep Deformable Registration via Local Feature Representations
Kahlert School of Computing（卡尔伯特计算学校）；Scientific Computing and Imaging Institute（科学计算与成像研究所）；University of Utah（犹他大学）；Department of Biomedical Engineering（生物医学工程系）
Fraunhofer Institute for Medical Image Computing (MEVIS)（弗劳恩霍夫医学图像计算研究所（MEVIS））；Universität zu Lübeck（吕贝克大学）
We present a highly parallel method for accurate and efficient variational deformable 3D image registration on a consumer-grade graphics processing unit (GPU). We build on recent matrix-free variational approaches and specialize the concepts to the massively-parallel manycore architecture provided by the GPU. Compared to a parallel and optimized CPU implementation, this allows us to achieve an average speedup of 32.53 on 986 real-world CT thorax-abdomen follow-up scans. At a resolution of approximately $256^3$ voxels, the average runtime is 1.99 seconds for the full registration. On the public…
Robarts Research Institute（罗巴茨研究所）；Western University（韦仕敦大学）
Optimization techniques have been widely used in deformable registration, allowing for the incorporation of similarity metrics with regularization mechanisms. These regularization mechanisms are designed to mitigate the effects of trivial solutions to ill-posed registration problems and to otherwise ensure the resulting deformation fields are well-behaved. This paper introduces a novel deformable registration algorithm, RANCOR, which uses iterative convexification to address deformable registration problems under total-variation regularization. Initial comparative results against four state-of…
University of Lübeck（吕贝克大学）；Fraunhofer MEVIS（弗劳恩霍夫医学影像计算研究所）
Low-rank and sparse decompositions and robust PCA (RPCA) are highly successful techniques in image processing and have recently found use in groupwise image registration. In this paper, we investigate the drawbacks of the most common RPCA-dissimi\-larity metric in image registration and derive an improved version. In particular, this new metric models low-rank requirements through explicit constraints instead of penalties and thus avoids the pitfalls of the established metric. Equipped with total variation regularization, we present a theoretically justified multilevel scheme based on first-or…
Deformable image registration is a fundamental task in medical image analysis, aiming to establish a dense and non-linear correspondence between a pair of images. Previous deep-learning studies usually employ supervised neural networks to directly learn the spatial transformation from one image to another, requiring task-specific ground-truth registration for model training. Due to the difficulty in collecting precise ground-truth registration, implementation of these supervised methods is practically challenging. Although several unsupervised networks have been recently developed, these metho…
We present INSPIRE, a top-performing general-purpose method for deformable image registration. INSPIRE brings distance measures which combine intensity and spatial information into an elastic B-splines-based transformation model and incorporates an inverse inconsistency penalization supporting symmetric registration performance. We introduce several theoretical and algorithmic solutions which provide high computational efficiency and thereby applicability of the proposed framework in a wide range of real scenarios. We show that INSPIRE delivers highly accurate, as well as stable and robust reg…
Research institute for signals, systems and computational intelligence, sinc(i), FICH-UNL/CONICET（信号、系统与计算智能研究所 sinc(i)，FICH-UNL/CONICET）；University of Oxford（牛津大学）；TheraPanacea；CentraleSupelec（中央理工-高等电力学院）；Universite Paris-Saclay（巴黎-萨克雷大学）
Deformable registration has been one of the pillars of biomedical image computing. Conventional approaches refer to the definition of a similarity criterion that, once endowed with a deformation model and a smoothness constraint, determines the optimal transformation to align two given images. The definition of this metric function is among the most critical aspects of the registration process. We argue that incorporating semantic information (in the form of anatomical segmentation maps) into the registration process will further improve the accuracy of the results. In this paper, we propose a…
Deformable image registration is able to achieve fast and accurate alignment between a pair of images and thus plays an important role in many medical image studies. The current deep learning (DL)-based image registration approaches directly learn the spatial transformation from one image to another by leveraging a convolutional neural network, requiring ground truth or similarity metric. Nevertheless, these methods only use a global similarity energy function to evaluate the similarity of a pair of images, which ignores the similarity of regions of interest (ROIs) within images. Moreover, DL-…
Dalian University of Technology（大连理工大学）；Guilin University of Electronic Technology（桂林电子科技大学）；Children’s Hospital of Philadelphia（费城儿童医院）；University of Pennsylvania（宾夕法尼亚大学）
Conventional deformable registration methods aim at solving an optimization model carefully designed on image pairs and their computational costs are exceptionally high. In contrast, recent deep learning based approaches can provide fast deformation estimation. These heuristic network architectures are fully data-driven and thus lack explicit geometric constraints, e.g., topology-preserving, which are indispensable to generate plausible deformations. We design a new deep learning based framework to optimize a diffeomorphic model via multi-scale propagation in order to integrate advantages and …
Technion – Israel Institute of Technology（以色列理工学院）
Unsupervised deep-learning (DL) models were recently proposed for deformable image registration tasks. In such models, a neural-network is trained to predict the best deformation field by minimizing some dissimilarity function between the moving and the target images. After training on a dataset without reference deformation fields available, such a model can be used to rapidly predict the deformation field between newly seen moving and target images. Currently, the training process effectively provides a point-estimate of the network weights rather than characterizing their entire posterior d…
Deformable image registration (DIR), aiming to find spatial correspondence between images, is one of the most critical problems in the domain of medical image analysis. In this paper, we present a novel, generic, and accurate diffeomorphic image registration framework that utilizes neural ordinary differential equations (NODEs). We model each voxel as a moving particle and consider the set of all voxels in a 3D image as a high-dimensional dynamical system whose trajectory determines the targeted deformation field. Our method leverages deep neural networks for their expressive power in modeling…
Vector Field Attention for Deformable Image Registration
Johns Hopkins University（约翰斯·霍普金斯大学）；Johns Hopkins School of Medicine（约翰斯·霍普金斯医学院）；National Institute on Aging（美国国家老龄化研究所）；National Institute of Health（美国国立卫生研究院）
Deformable surface tracking from monocular images is well-known to be under-constrained. Occlusions often make the task even more challenging, and can result in failure if the surface is not sufficiently textured. In this work, we explicitly address the problem of 3D reconstruction of poorly textured, occluded surfaces, proposing a framework based on a template-matching approach that scales dense robust features by a relevancy score. Our approach is extensively compared to current methods employing both local feature matching and dense template alignment. We test on standard datasets as well a…
Evaluation of Deformable Image Registration under Alignment-Regularity Trade-off
Technical University of Munich (TUM)（慕尼黑技术大学）；TUM University Hospital, Munich, Germany（慕尼黑技术大学医院）；Munich Center for Machine Learning (MCML)（慕尼黑机器学习中心）；Department of Computing, Imperial College London（伦敦帝国理工学院计算机系）
Recursive Deformable Image Registration Network with Mutual Attention
The Kennedy Institute of Rheumatology（肯尼迪风湿病学研究所）；University of Oxford（牛津大学）；Big Data Institute（大数据研究所）；Imperial College London（伦敦帝国学院）；Nuffield Department of Population Health, University of Oxford（牛津大学纳菲尔德人口健康系）
Progressive Retinal Image Registration via Global and Local Deformable Transformations
School of Computer Science Wuhan University Wuhan, China；School of Computer Science The University of Sydney Sydney, Australia；School of Computer Science Wuhan University Wuhan, China yuliang\；Institute for Infocomm Research A STAR Singapore cheng\
University of Bern（伯尔尼大学）；CentraleSupélec（中央理工-高等电力学院）；Université Paris-Saclay（巴黎-萨克雷大学）；Groupe Hospitalier Cochin-Hôtel Dieu（科钦-主宫医院集团）；Université Paris Descartes（巴黎笛卡尔大学）；TheraPanacea
Image registration and in particular deformable registration methods are pillars of medical imaging. Inspired by the recent advances in deep learning, we propose in this paper, a novel convolutional neural network architecture that couples linear and deformable registration within a unified architecture endowed with near real-time performance. Our framework is modular with respect to the global transformation component, as well as with respect to the similarity function while it guarantees smooth displacement fields. We evaluate the performance of our network on the challenging problem of MRI …
University of Cambridge（剑桥大学）；Cancer Research UK Cambridge Centre（英国癌症研究中心剑桥中心）；Medical University Vienna（维也纳医科大学）；Cambridge University Hospitals National Health Service (NHS) Foundation Trust（剑桥大学医院国民保健服务基金会信托）；Eindhoven University of Technology（埃因霍温理工大学）；Leiden University（莱顿大学）；University College London（伦敦大学学院）；Cancer Research UK Cambridge Institute（英国癌症研究中心剑桥研究所）
This study investigates the use of the unsupervised deep learning framework VoxelMorph for deformable registration of longitudinal abdominopelvic CT images acquired in patients with bone metastases from breast cancer. The CT images were refined prior to registration by automatically removing the CT table and all other extra-corporeal components. To improve the learning capabilities of VoxelMorph when only a limited amount of training data is available, a novel incremental training strategy is proposed based on simulated deformations of consecutive CT images. In a 4-fold cross-validation scheme…
Tsinghua University（清华大学）；Brigham and Women’s Hospital（布莱根妇女医院）；Harvard Medical School（哈佛医学院）
Deformable image registration (DIR) is essential for many image-guided therapies. Recently, deep learning approaches have gained substantial popularity and success in DIR. Most deep learning approaches use the so-called mono-stream "high-to-low, low-to-high" network structure, and can achieve satisfactory overall registration results. However, accurate alignments for some severely deformed local regions, which are crucial for pinpointing surgical targets, are often overlooked. Consequently, these approaches are not sensitive to some hard-to-align regions, e.g., intra-patient registration of de…
Johns Hopkins Medical Institutes（约翰斯·霍普金斯医学研究所）；Johns Hopkins University（约翰斯·霍普金斯大学）；NVIDIA Corporation（英伟达公司）
Transformers have recently shown promise for medical image applications, leading to an increasing interest in developing such models for medical image registration. Recent advancements in designing registration Transformers have focused on using cross-attention (CA) to enable a more precise understanding of spatial correspondences between moving and fixed images. Here, we propose a novel CA mechanism that computes windowed attention using deformable windows. In contrast to existing CA mechanisms that require intensive computational complexity by either computing CA globally or locally with a f…
The Hong Kong University of Science and Technology（香港科技大学）
Registration of pre-operative and post-recurrence brain images is often needed to evaluate the effectiveness of brain gliomas treatment. While recent deep learning-based deformable registration methods have achieved remarkable success with healthy brain images, most of them would be unable to accurately align images with pathologies due to the absent correspondences in the reference image. In this paper, we propose a deep learning-based deformable registration method that jointly estimates regions with absent correspondence and bidirectional deformation fields. A forward-backward consistency c…
The Hong Kong University of Science and Technology（香港科技大学）
Recent deep learning-based methods have shown promising results and runtime advantages in deformable image registration. However, analyzing the effects of hyperparameters and searching for optimal regularization parameters prove to be too prohibitive in deep learning-based methods. This is because it involves training a substantial number of separate models with distinct hyperparameter values. In this paper, we propose a conditional image registration method and a new self-supervised learning paradigm for deep deformable image registration. By learning the conditional features that are correla…
Fraunhofer MEVIS（弗劳恩霍夫医学图像计算研究所）；University of Lübeck（吕贝克大学）
We present a novel computational approach to fast and memory-efficient deformable image registration. In the variational registration model, the computation of the objective function derivatives is the computationally most expensive operation, both in terms of runtime and memory requirements. In order to target this bottleneck, we analyze the matrix structure of gradient and Hessian computations for the case of the normalized gradient fields distance measure and curvature regularization. Based on this analysis, we derive equivalent matrix-free closed-form expressions for derivative computation…
Fraunhofer MEVIS（弗劳恩霍夫医学图像计算研究所（MEVIS））；University of Lübeck（吕贝克大学）；Anthropics Technology Ltd.（Anthropics科技有限公司）
We present a novel algorithm for the registration of pulmonary CT scans. Our method is designed for large respiratory motion by integrating sparse keypoint correspondences into a dense continuous optimization framework. The detection of keypoint correspondences enables robustness against large deformations by jointly optimizing over a large number of potential discrete displacements, whereas the dense continuous registration achieves subvoxel alignment with smooth transformations. Both steps are driven by the same normalized gradient fields data term. We employ curvature regularization and a v…
Multi-modality image registration is one of the most underlined processes in medical image analysis. Recently, convolutional neural networks (CNNs) have shown significant potential in deformable registration. However, the lack of voxel-wise ground truth challenges the training of CNNs for an accurate registration. In this work, we propose a cross-modality similarity metric, based on the KL-divergence of image variables, and implement an efficient estimation method using a CNN. This estimation network, referred to as KLDivNet, can be trained unsupervisedly. We then embed the KLDivNet into a reg…
Korea Advanced Institute of Science and Technology (KAIST)（韩国科学技术院）
Deformable image registration is one of the fundamental tasks in medical imaging. Classical registration algorithms usually require a high computational cost for iterative optimizations. Although deep-learning-based methods have been developed for fast image registration, it is still challenging to obtain realistic continuous deformations from a moving image to a fixed image with less topological folding problem. To address this, here we present a novel diffusion-model-based image registration method, called DiffuseMorph. DiffuseMorph not only generates synthetic deformed images through revers…
New York University（纽约大学）；Hyperfine Research（Hyperfine研究公司）；Yale University（耶鲁大学）
Establishing voxelwise semantic correspondence across distinct imaging modalities is a foundational yet formidable computer vision task. Current multi-modality registration techniques maximize hand-crafted inter-domain similarity functions, are limited in modeling nonlinear intensity-relationships and deformations, and may require significant re-engineering or underperform on new tasks, datasets, and domain pairs. This work presents ContraReg, an unsupervised contrastive representation learning approach to multi-modality deformable registration. By projecting learned multi-scale local patch fe…
Johns Hopkins University（约翰斯·霍普金斯大学）；National Institute on Aging（国家老龄化研究所）；National Institute of Health（美国国立卫生研究院）
The majority of deep learning (DL) based deformable image registration methods use convolutional neural networks (CNNs) to estimate displacement fields from pairs of moving and fixed images. This, however, requires the convolutional kernels in the CNN to not only extract intensity features from the inputs but also understand image coordinate systems. We argue that the latter task is challenging for traditional CNNs, limiting their performance in registration tasks. To tackle this problem, we first introduce Coordinate Translator, a differentiable module that identifies matched features between…
Johns Hopkins University（约翰斯·霍普金斯大学）；PAII Inc.（PAII公司）；Ping An Technology（平安科技）；The First Affiliated Hospital Zhejiang University（浙江大学医学院附属第一医院）
In this work, we introduce a fast and accurate method for unsupervised 3D medical image registration. This work is built on top of a recent algorithm SAM, which is capable of computing dense anatomical/semantic correspondences between two images at the pixel level. Our method is named SAME, which breaks down image registration into three steps: affine transformation, coarse deformation, and deep deformable registration. Using SAM embeddings, we enhance these steps by finding more coherent correspondences, and providing features and a loss function with better semantic guidance. We collect a mu…
Deformable templates are essential to large-scale medical image registration, segmentation, and population analysis. Current conventional and deep network-based methods for template construction use only regularized registration objectives and often yield templates with blurry and/or anatomically implausible appearance, confounding downstream biomedical interpretation. We reformulate deformable registration and conditional template estimation as an adversarial game wherein we encourage realism in the moved templates with a generative adversarial registration framework conditioned on flexible i…
Unsupervised Deformable Image Registration with Local-Global Attention and Image Decomposition
Institute of Medical Technology, Peking University Health Science Center（北京大学医学部医学技术研究所）；National Institute of Health Data Science, Peking University（北京大学国家健康数据科学研究院）；Department of Radiology, Peking University Third Hospital（北京大学第三医院放射科）；Department of Pediatrics, Peking University First Hospital（北京大学第一医院儿科）；Pediatric Epilepsy Center, Peking University First Hospital（北京大学第一医院儿童癫痫中心）；School of Biological Science and Medical Engineering, Southeast University（东南大学生物科学与医学工程学院）；Institute for Artificial Intelligence, Peking University（北京大学人工智能研究院）
Huazhong University of Science and Technology（华中科技大学）；College of Life Science and Technology, Huazhong University of Science and Technology（华中科技大学生命科学与技术学院）
Deformable medical image registration plays an important role in clinical diagnosis and treatment. Recently, the deep learning (DL) based image registration methods have been widely investigated and showed excellent performance in computational speed. However, these methods cannot provide enough registration accuracy because of insufficient ability in representing both the global and local features of the moving and fixed images. To address this issue, this paper has proposed the transformer based image registration method. This method uses the distinctive transformer to extract the global and…
Korea Advanced Institute of Science and Technology（韩国科学技术院）；University of Ulsan College of Medicine（蔚山大学医学院）；Asan Medical Center（峨山医学中心）
Medical image registration is one of the key processing steps for biomedical image analysis such as cancer diagnosis. Recently, deep learning based supervised and unsupervised image registration methods have been extensively studied due to its excellent performance in spite of ultra-fast computational time compared to the classical approaches. In this paper, we present a novel unsupervised medical image registration method that trains deep neural network for deformable registration of 3D volumes using a cycle-consistency. Thanks to the cycle consistency, the proposed deep neural networks can t…
Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院保罗·C·劳特伯生物医学成像研究中心）；Pengcheng Laboratory（鹏城实验室）；Pazhou Lab（琶洲实验室）；Guizhou Provincial People’s Hospital（贵州省人民医院）
Multi-contrast magnetic resonance (MR) image registration is useful in the clinic to achieve fast and accurate imaging-based disease diagnosis and treatment planning. Nevertheless, the efficiency and performance of the existing registration algorithms can still be improved. In this paper, we propose a novel unsupervised learning-based framework to achieve accurate and efficient multi-contrast MR image registrations. Specifically, an end-to-end coarse-to-fine network architecture consisting of affine and deformable transformations is designed to improve the robustness and achieve end-to-end reg…
University of Edinburgh（爱丁堡大学）；Imperial College London（帝国理工学院）
Deep learning-based image registration approaches have shown competitive performance and run-time advantages compared to conventional image registration methods. However, existing learning-based approaches mostly require to train separate models with respect to different regularization hyperparameters for manual hyperparameter searching and often do not allow spatially-variant regularization. In this work, we propose a learning-based registration approach based on a novel conditional spatially adaptive instance normalization (CSAIN) to address these challenges. The proposed method introduces a…
