The content of these slides by John Galeotti, © 2012 - 2013 Carnegie Mellon University (CMU), was made possible in part by NIH NLM contract# HHSN276201000580P,

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The content of these slides by John Galeotti, © Carnegie Mellon University (CMU), was made possible in part by NIH NLM contract# HHSN P, and is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. To view a copy of this license, visit or send a letter to Creative Commons, 171 2nd Street, Suite 300, San Francisco, California, 94105, USA. Permissions beyond the scope of this license may be available either from CMU or by ing The most recent version of these slides may be accessed online via Lecture 21 Deformable / Non-Rigid Registration ch. 11 of Insight into Images edited by Terry Yoo, et al. Methods in Medical Image Analysis - Spring 2013 BioE 2630 (Pitt) : (CMU RI) (CMU ECE) : (CMU BME) Dr. John Galeotti

Registration: “Rigid” vs. Deformable  Rigid Registration:  Uses a simple transform, uniformly applied  Rotations, translations, etc.  Deformable Registration:  Allows a non-uniform mapping between images  Measure and/or correct small, varying discrepancies by deforming one image to match the other  Usually only tractable for deformations of small spatial extent! 2

 Vector field (aka deformation field) T is computed from A to B  Inverse warp transforms B into A’s coordinate system  Not only do we get correspondences, but…  We also get shape differences (from T) 3 Deformable, i.e. Non-Rigid, Registration (NRR) A B B(T)

NRR Clinical Background  Internal organs are non-rigid  The body can change posture  Even skeletal arrangement can change  Single-patient variations:  Normal  Pathological  Treatment-related  Inter-subject mapping: People are different!  Atlas-based segmentation typically requires NRR 4

More Clinical Examples  Physical brain deformation during neurosurgery  Normal squishing, shifting and emptying of abdominal/pelvic organs and soft tissues  Digestion, excretion, heart-beat, breathing, etc.  Lung motion during respiration can be huge!  Patient motion during image scanning 5

Optical Flow  Traditionally for determining motion in video—assumes 2 sequential images  Detects small shifts of small intensity patterns from one image to the next  Output is a vector field, one vector for each small image patch/intensity pattern  Basic gradient-based formulation assumes intensity values are conserved over time 6

Optical Flow Assumptions  Images are a function of space and time  After short time dt, the image has moved dx  Velocity vector v = dx/dt is the optical flow I(x, t) = I(x+dx, t+dt) = I(x+v  dt, t+dt)  Resulting optical flow constraint: C of = I x  v + I t = 0 7 Image spatial gradient Image temporal derivative

Optical Flow Constraint  Optical flow constraint dictates that when an image patch is spatially shifted over time, that it will retain its intensity values  Let image A = I(x, t =0) and let B = I(x, t =1)  Then I t = A(T) – B  This alone is not a sufficient constraint! 8

NRR Is Ill-Posed  Review of well-posed problems:  A solution exists, is unique, and depends continuously on the data  Otherwise, a problem is ill-posed  Ambiguity within homogenous regions: 9 A B ?

Very Ill-Posed Problem  NRR answer is not unique, and…  NRR Search-space is often ∞-dimensional!  Solution: Regularization  Adding a regularization term can provide provable uniqueness and a computable subspace  Regularization usually based on continuum mechanics  T is restricted to be physically admissible  We’re typically deforming physical anatomy, after all  Optimum T should deform “just enough” for alignment 10

NRR Regularization Methods  Numerous continuum mechanical models available for regularization priors  Elastic  Diffusion  Viscous  Flow  Curvature  Optimization is then physical simulation over time, t, of trying to deform one image shape to match another  This optimization has 3 equivalent formulations:  Global potential energy minimization  Variational or weak form, as used in finite-element methods  Euler-Lagrangian (E-L) equations, as used in finite-difference techniques 11

 Elastic physical model:  How much have we stretched, etc., from our original image coordinates?  Simulation calculates the physical model’s resistance to deformation based on the total deformation from time t =0 to t =now.  T is the final vector field ū f : ū f = ū( t=t final ) A(X + ū f ) ~ B(x) X = x - ū f  Deformation at time t :  Deformation at time t + dt : 12 Langrangian View A( X ) A( X+ū(t) ) A( X ) A( X+ū(t+dt) )

A( x+v(t) )  Viscous-flow physical model:  How much have we flowed from our immediately previous simulation state?  Simulation calculates the physical model’s resistance to deformation based on the incremental deformation from time t =(now- 1 ) to t =now.  T is the aggregate flow of x(t), based on accumulated optical flow (i.e. velocity) v(t): x(t) = x + v(t) A( x(t=t final ) ) ~ B(x)  Deformation at time t :  Deformation at time t + dt : 13 Eulerian View A( x ) A( x+v(t) ) A( x+v(t+dt) )

Comparison of Regularization Reference Frames  Langrangian  The entire deformation is regularized  Well constrained for “normal” physical deformation  Too constrained to achieve “large” deformations  Not ideal for many inter-subject mapping tasks  Eulerian  Only the incremental updates are regularized  Underconstrained for “normal” physical deformation  Readily achieves large, inter-subject deformations  Unrealistic transformations can result 14

Transient Quadratic (TQ) Approach  Enables better-constrained large deformations  Uses Lagrangian regularization for specified time interval, followed by a re-gridding strategy  After an interval’s deformation reaches a threshold, we begin a new interval for which the last deformation becomes the new starting point  TQ thus resets the coordinate system while permanently storing the past state of the algorithm  Results in a hybrid E+L physical model, resembling soft, stretchable plastic  Maintains the elastic regularization for a given time then takes on a new shape until new stresses are applied 15

 Goal: Minimize global potential energy, E D  First term adjusts v to make the images match (wants C of = 0 within the bounded domain Ω )  Second term adds a stabilizing function Ψ, typically a regulator operator L applied to v 16 Optical Flow Regularized

Optical Flow E-L Regularized  After deriving the E-L equations & setting their derivative = 0, we find that the…  Potential energy minimum will occur when:  First term minimizes optical flow constraint  Second term minimizes Laplacian (i.e. roughness) of velocity field v  Note that this equation is evaluated locally  Allows for efficient implementation 17

Demons Algorithm: Math  Very efficient gradient-descent NRR algorithm  Originally conceived as having “demons” push image level sets around, but is also…  Based on E-L regularized optical flow  Alternates between minimizing each half of the previous equation:  Descent in optical flow direction, based on:  Smoothing, which estimates v xx =0 with a difference- of-Gaussian filter, by applying a Gaussian on each iteration 18

Demons Algorithm: Code  Initialize solution (i.e. total vector field) = Identity  Loop:  Estimate vector field update  Use (stabilized) optical flow  Add update to total vector field  Blur total vector field (for regularization)  Allows much larger deformation fields than optical flow alone.  Langrangian registration: blur the total vector field (as above)  Eulerian registration: blur the individual vector-field updates

Choices & Details  There are many more NRR algorithms available  Almost all of them are slower than demons, but they may give you better results  See the text for details, and lots of helpful pictures 20