🤖 AI Summary
In medical image registration, existing deep learning methods often suffer from rigid regularization designs, leading to non-robust deformations, anatomically implausible alignments, and folding artifacts. To address these issues, we propose DARE—a novel framework featuring learnable dynamic elastic regularization that adaptively balances strain and shear energy weights based on the gradient norm of the deformation field. DARE further introduces a Jacobian-determinant-based folding prevention mechanism that explicitly penalizes regions with negative Jacobian values. By integrating gradient-aware modulation with biophysically grounded constraints, DARE ensures diffeomorphic and anatomically plausible transformations. Extensive experiments on multimodal medical images demonstrate that DARE significantly improves registration accuracy (2.1% Dice score gain) and anatomical consistency while effectively eliminating folding artifacts—outperforming state-of-the-art unsupervised registration methods.
📝 Abstract
Deformable medical image registration is a fundamental task in medical image analysis. While deep learning-based methods have demonstrated superior accuracy and computational efficiency compared to traditional techniques, they often overlook the critical role of regularization in ensuring robustness and anatomical plausibility. We propose DARE (Deformable Adaptive Regularization Estimator), a novel registration framework that dynamically adjusts elastic regularization based on the gradient norm of the deformation field. Our approach integrates strain and shear energy terms, which are adaptively modulated to balance stability and flexibility. To ensure physically realistic transformations, DARE includes a folding-prevention mechanism that penalizes regions with negative deformation Jacobian. This strategy mitigates non-physical artifacts such as folding, avoids over-smoothing, and improves both registration accuracy and anatomical plausibility