Learning-based techniques have significantly improved the accuracy and speed of deformable image registration. However, challenges such as reducing computational complexity and handling large deformations persist. To address these challenges, we analyze how convolutional neural networks (ConvNets) influence registration performance using the Horn-Schunck optical flow equation. Supported by prior studies and our empirical experiments, we observe that ConvNets play two key roles in registration: linearizing local intensities and harmonizing global contrast variations. Guided by these insights, we propose the Encoder-Only Image Registration (EOIR) framework comprising five modifications to existing approaches, to achieve a better accuracy-efficiency trade-off. EOIR separates feature learning from flow estimation, employing only a 3-layer ConvNet for feature extraction and a set of 3-layer flow estimators to construct a Laplacian feature pyramid, progressively composing diffeomorphic deformations under a large-deformation model. Results on six datasets across different modalities and anatomical regions demonstrate EOIR’s effectiveness, achieving superior accuracy-efficiency and accuracy-smoothness trade-offs. With comparable accuracy, EOIR provides better efficiency and smoothness, and vice versa. The source code of EOIR is available on Github.

Conventional registration approaches frequently underperform when applied to sparse feature alignment (e.g., retinal vessels and filamentous collagen fibers in second-harmonic generation (SHG) and bright-field (BF) images), as these tasks demand simultaneous handling of global affine registration and local deformation correction. End-to-end learning-based approaches struggle with minimal effective gradients from loss back-propagation of these sparse features, while descriptor matching methods, though helpful, lack fidelity loss and fail to adapt to local deformation. To address these issues, we propose Neural Affine Optimization (NeOn), which implicitly approximates discrete optimization using a few neural network layers, combined with a sampling-regression layer to handle affine transformations. NeOn allows iterative refinement with fidelity loss and provides a flexible transition between a purely affine configuration and a linear weighted blend of affine and deformation fields. NeOn's performance was validated on four public datasets. In multi-modal SHG-BF microscopy registration, NeOn achieved top rankings on the validation leaderboard for Task 3 of the Learn2Reg Challenge 2024. For retinal image registration, NeOn outperformed existing methods on both mono-modal and multi-modal datasets, reducing target registration error from 6.3 to 2.1 pixels in mono-modal and from 2.6 to 1.8 pixels in multi-modal registration. Furthermore, NeOn demonstrates strong generalization and can be effectively extended to 3D multi-modality image registration scenarios.

Medical images are often characterized by their structured anatomical representations and spatially inhomogeneous contrasts. Leveraging anatomical priors in neural networks can greatly enhance their utility in resource-constrained clinical settings. Prior research has harnessed such information for image segmentation, yet progress in deformable image registration has been modest. Our work introduces textSCF, a novel method that integrates spatially covariant filters and textual anatomical prompts encoded by visual-language models, to fill this gap. This approach optimizes an implicit function that correlates text embeddings of anatomical regions to filter weights. textSCF not only boosts computational efficiency but can also retain or improve registration accuracy. By capturing the contextual interplay between anatomical regions, it offers impressive interregional transferability and the ability to preserve structural discontinuities during registration. textSCF's performance has been rigorously tested on intersubject brain magnetic resonance imaging (MRI) and abdominal computerized tomography (CT) registration tasks, outperforming existing state-of-the-art models in the MICCAI Learn2Reg 2021 challenge and leading the leaderboard. In abdominal registrations, textSCF's larger model variant improved the Dice score by 11.3% over the second-best model, while its smaller variant maintained similar accuracy but with an 89.13% reduction in network parameters and a 98.34% decrease in computational operations.