An Efficient Model-Driven Groupwise Approach for Atlas Construction

πŸ“… 2025-08-14
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Medical image atlas construction faces dual challenges: data-driven methods suffer from poor generalizability and heavy reliance on large-scale annotated data, while model-driven approaches exhibit limited scalability and suboptimal optimization efficiency. This paper proposes DARCβ€”a training-free, differentiable diffeomorphic model-driven group registration framework. Its core innovations include: (i) a coordinate descent optimization strategy coupled with a centrality activation function, enabling memory-efficient, one-stage registration of arbitrary-scale 3D images; and (ii) inverse deformation-based precise label propagation and novel anatomical shape synthesis. Evaluated across multiple 3D medical imaging datasets, DARC generates high-fidelity population atlases that significantly outperform state-of-the-art methods in few-shot segmentation tasks and enable high-quality anatomical shape generation. The framework achieves computational efficiency, clinical scalability, and robust performance without requiring supervised training.

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πŸ“ Abstract
Atlas construction is fundamental to medical image analysis, offering a standardized spatial reference for tasks such as population-level anatomical modeling. While data-driven registration methods have recently shown promise in pairwise settings, their reliance on large training datasets, limited generalizability, and lack of true inference phases in groupwise contexts hinder their practical use. In contrast, model-driven methods offer training-free, theoretically grounded, and data-efficient alternatives, though they often face scalability and optimization challenges when applied to large 3D datasets. In this work, we introduce DARC (Diffeomorphic Atlas Registration via Coordinate descent), a novel model-driven groupwise registration framework for atlas construction. DARC supports a broad range of image dissimilarity metrics and efficiently handles arbitrary numbers of 3D images without incurring GPU memory issues. Through a coordinate descent strategy and a centrality-enforcing activation function, DARC produces unbiased, diffeomorphic atlases with high anatomical fidelity. Beyond atlas construction, we demonstrate two key applications: (1) One-shot segmentation, where labels annotated only on the atlas are propagated to subjects via inverse deformations, outperforming state-of-the-art few-shot methods; and (2) shape synthesis, where new anatomical variants are generated by warping the atlas mesh using synthesized diffeomorphic deformation fields. Overall, DARC offers a flexible, generalizable, and resource-efficient framework for atlas construction and applications.
Problem

Research questions and friction points this paper is trying to address.

Develops efficient model-driven groupwise atlas construction method
Addresses scalability and optimization in 3D medical image registration
Enables one-shot segmentation and shape synthesis applications
Innovation

Methods, ideas, or system contributions that make the work stand out.

Model-driven groupwise registration framework DARC
Coordinate descent strategy for unbiased atlases
Supports diverse metrics without GPU memory issues
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