OsteoFlow: Lyapunov-Guided Flow Distillation for Predicting Bone Remodeling after Mandibular Reconstruction

Predicting long-term bone remodeling after mandibular reconstruction would be of great clinical benefit, yet standard generative models struggle to maintain trajectory-level consistency and anatomical fidelity over long horizons. We introduce OsteoFlow, a flow-based framework predicting Year-1 post-operative CT scans from Day-5 scans. Our core contribution is Lyapunov-guided trajectory distillation: Unlike one-step distillation, our method distills a continuous trajectory over transport time from a registration-derived stationary velocity field teacher. Combined with a resection-aware image loss, this enforces geometric correspondence without sacrificing generative capacity. Evaluated on 344 paired regions of interest, OsteoFlow significantly outperforms state of-the-art baselines, reducing mean absolute error in the surgical resection zone by ~20%. This highlights the promise of trajectory distillation for long-term prediction. Code is available on GitHub: OsteoFlow.

VertDetect: Fully End-to-End 3D Vertebral Instance Segmentation Model

Vertebral detection and segmentation are critical steps for treatment planning in spine surgery and radiation therapy. Accurate identification and segmentation are complicated in imaging that does not include the full spine, in cases with variations in anatomy (T13 and/or L6 vertebrae), and in the presence of fracture or hardware. This paper proposes VertDetect, a fully automated end-to-end 3D vertebral instance segmentation Convolutional Neural Network (CNN) model to predict vertebral level labels and segmentations for all vertebrae present in a CT scan. The utilization of a shared CNN backbone provides the detection and segmentation branches of the network with feature maps containing both spinal and vertebral level information. A Graph Convolutional Network (GCN) layer is used to improve vertebral labelling by using the known structure of the spine. This model achieved a Dice Similarity Coefficient (DSC) of 0.883 (95% CI, 0.843-0.906) and 0.882 (95% CI, 0.835-0.909) in the VerSe 2019 and 0.868 (95\% CI, 0.834-0.890) and 0.869 (95\% CI, 0.832-0.891) in the VerSe 2020 public and hidden test sets, respectively. This model achieved state-of-the-art performance for an end-to-end architecture, whose design facilitates the extraction of features that can be subsequently used for downstream tasks.

Recurrence With Correlation Network for Medical Image Registration

We present Recurrence with Correlation Network (RWCNet), a medical image registration network with multi-scale features and a cost volume layer. We demonstrate that these architectural features improve medical image registration accuracy in two image registration datasets prepared for the MICCAI 2022 Learn2Reg Workshop Challenge. On the large-displacement National Lung Screening Test (NLST) dataset, RWCNet is able to achieve a total registration error (TRE) of 2.11mm between corresponding keypoints without instance fine-tuning. On the OASIS brain MRI dataset, RWCNet is able to achieve an average dice overlap of 81.7% for 35 different anatomical labels. It outperforms another multi-scale network, the Laplacian Image Registration Network (LapIRN), on both datasets. Ablation experiments are performed to highlight the contribution of the various architectural features. While multi-scale features improved validation accuracy for both datasets, the cost volume layer and number of recurrent steps only improved performance on the large-displacement NLST dataset. This result suggests that cost volume layer and iterative refinement using RNN provide good support for optimization and generalization in large-displacement medical image registration. The code for RWCNet is available at https://github.com/vigsivan/optimization-based-registration.