🤖 AI Summary
Deep learning-based image registration methods exhibit limited robustness to input variations such as image artifacts, field-of-view mismatches, and cross-modality discrepancies. To address this, we propose a proxy-supervised training paradigm that decouples the input domain from the supervision domain: a network-estimated deformation field is applied to a proxy image to synthesize a deformed counterpart, which is then optimized end-to-end via a normalized similarity metric. This framework eliminates the need for ground-truth deformation fields, significantly improving training stability for heterogeneous medical images—including brain MRI, lung CT, and multi-contrast MR. Experiments demonstrate that our method maintains high registration accuracy under complex degradations while preserving performance on standard benchmarks. It thus achieves both strong generalizability and practical applicability.
📝 Abstract
Objective: Deep learning-based deformable image registration has achieved strong accuracy, but remains sensitive to variations in input image characteristics such as artifacts, field-of-view mismatch, or modality difference. We aim to develop a general training paradigm that improves the robustness and generalizability of registration networks. Methods: We introduce surrogate supervision, which decouples the input domain from the supervision domain by applying estimated spatial transformations to surrogate images. This allows training on heterogeneous inputs while ensuring supervision is computed in domains where similarity is well defined. We evaluate the framework through three representative applications: artifact-robust brain MR registration, mask-agnostic lung CT registration, and multi-modal MR registration. Results: Across tasks, surrogate supervision demonstrated strong resilience to input variations including inhomogeneity field, inconsistent field-of-view, and modality differences, while maintaining high performance on well-curated data. Conclusions: Surrogate supervision provides a principled framework for training robust and generalizable deep learning-based registration models without increasing complexity. Significance: Surrogate supervision offers a practical pathway to more robust and generalizable medical image registration, enabling broader applicability in diverse biomedical imaging scenarios.