On the Ambiguity of Registration Uncertainty

Estimating the uncertainty in image registration is an area of current research that is aimed at providing information that will enable surgeons to assess the operative risk based on registered image data and the estimated registration uncertainty. If they receive inaccurately calculated registration uncertainty and misplace confidence in the alignment solutions, severe consequences may result. For probabilistic image registration (PIR), most research quantifies the registration uncertainty using summary statistics of the transformation distributions. In this paper, we study a rarely examined topic: whether those summary statistics of the transformation distribution truly represent the registration uncertainty. Using concrete examples, we show that there are two types of uncertainties: the transformation uncertainty, Ut, and label uncertainty Ul. Ut indicates the doubt concerning transformation parameters and can be estimated by conventional uncertainty measures, while Ul is strongly linked to the goal of registration. Further, we show that using Ut to quantify Ul is inappropriate and can be misleading. In addition, we present some potentially critical findings regarding PIR.

A Feature-Driven Active Framework for Ultrasound-Based Brain Shift Compensation

A reliable Ultrasound (US)-to-US registration method to compensate for brain shift would substantially improve Image-Guided Neurological Surgery. Developing such a registration method is very challenging, due to factors such as missing correspondence in images, the complexity of brain pathology and the demand for fast computation. We propose a novel feature-driven active framework. Here, landmarks and their displacement are first estimated from a pair of US images using corresponding local image features. Subsequently, a Gaussian Process (GP) model is used to interpolate a dense deformation field from the sparse landmarks. Kernels of the GP are estimated by using variograms and a discrete grid search method. If necessary, the user can actively add new landmarks based on the image context and visualization of the uncertainty measure provided by the GP to further improve the result. We retrospectively demonstrate our registration framework as a robust and accurate brain shift compensation solution on clinical data acquired during neurosurgery.