A Deep Network for Joint Registration and Reconstruction of Images with Pathologies
This addresses the challenge of image registration in the presence of pathologies like brain tumors, which is crucial for medical imaging analysis, though it is an incremental improvement over existing methods.
The paper tackled the problem of registering medical images with brain tumors to an atlas by developing a deep learning model that jointly learns appearance mapping and transformation prediction, outperforming cost function masking and enabling better longitudinal registrations.
Registration of images with pathologies is challenging due to tissue appearance changes and missing correspondences caused by the pathologies. Moreover, mass effects as observed for brain tumors may displace tissue, creating larger deformations over time than what is observed in a healthy brain. Deep learning models have successfully been applied to image registration to offer dramatic speed up and to use surrogate information (e.g., segmentations) during training. However, existing approaches focus on learning registration models using images from healthy patients. They are therefore not designed for the registration of images with strong pathologies for example in the context of brain tumors, and traumatic brain injuries. In this work, we explore a deep learning approach to register images with brain tumors to an atlas. Our model learns an appearance mapping from images with tumors to the atlas, while simultaneously predicting the transformation to atlas space. Using separate decoders, the network disentangles the tumor mass effect from the reconstruction of quasi-normal images. Results on both synthetic and real brain tumor scans show that our approach outperforms cost function masking for registration to the atlas and that reconstructed quasi-normal images can be used for better longitudinal registrations.