# Unsupervised Deformable Image Registration with Absent Correspondences in Pre-operative and Post-Recurrence Brain Tumor MRI Scans

arXiv: https://arxiv.org/abs/2206.03900 · HTML: https://mlsanity.com/paper/2206.03900/

## Key facts

- Cited by 15 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 30 references that are in the map.
- First posted on arXiv 8 Jun 2022.

## Builds on (most cited first, 16 of 16)

- [Efficient Multi-Scale 3D CNN with Fully Connected CRF for Accurate Brain Lesion Segmentation](https://mlsanity.com/paper/1603.05959/) (2016)
- [UnFlow: Unsupervised Learning of Optical Flow with a Bidirectional Census Loss](https://mlsanity.com/paper/1711.07837/) (2017)
- [An Unsupervised Learning Model for Deformable Medical Image Registration](https://mlsanity.com/paper/1802.02604/) (2018)
- [Large Deformation Diffeomorphic Image Registration with Laplacian Pyramid Networks](https://mlsanity.com/paper/2006.16148/) (2020)
- [SelFlow: Self-Supervised Learning of Optical Flow](https://mlsanity.com/paper/1904.09117/) (2019)
- [Learn2Reg: comprehensive multi-task medical image registration challenge, dataset and evaluation in the era of deep learning](https://mlsanity.com/paper/2112.04489/) (2021)
- [Unsupervised Learning for Fast Probabilistic Diffeomorphic Registration](https://mlsanity.com/paper/1805.04605/) (2018)
- [Fast Symmetric Diffeomorphic Image Registration with Convolutional Neural Networks](https://mlsanity.com/paper/2003.09514/) (2020)
- [Occlusion Aware Unsupervised Learning of Optical Flow](https://mlsanity.com/paper/1711.05890/) (2017)
- [Conditional Deformable Image Registration with Convolutional Neural Network](https://mlsanity.com/paper/2106.12673/) (2021)
- [Dual-Stream Pyramid Registration Network](https://mlsanity.com/paper/1909.11966/) (2019)
- [Closing the Gap between Deep and Conventional Image Registration using Probabilistic Dense Displacement Networks](https://mlsanity.com/paper/1907.10931/) (2019)
- [The Brain Tumor Sequence Registration (BraTS-Reg) Challenge: Establishing Correspondence Between Pre-Operative and Follow-up MRI Scans of Diffuse Glioma Patients](https://mlsanity.com/paper/2112.06979/) (2021)
- [Unsupervised Deformable Image Registration Using Cycle-Consistent CNN](https://mlsanity.com/paper/1907.01319/) (2019)
- [A Deep Network for Joint Registration and Reconstruction of Images with Pathologies](https://mlsanity.com/paper/2008.07628/) (2020)
- [Efficient Registration of Pathological Images: A Joint PCA/Image-Reconstruction Approach](https://mlsanity.com/paper/1704.00036/) (2017)

## Built on by (most cited first, 15 of 15)

- [A survey on deep learning in medical image registration: new technologies, uncertainty, evaluation metrics, and beyond](https://mlsanity.com/paper/2307.15615/) (2023)
- [Modality-Agnostic Structural Image Representation Learning for Deformable Multi-Modality Medical Image Registration](https://mlsanity.com/paper/2402.18933/) (2024)
- [Robust Image Registration with Absent Correspondences in Pre-operative and Follow-up Brain MRI Scans of Diffuse Glioma Patients](https://mlsanity.com/paper/2210.11045/) (2022)
- [Bidirectional Recurrence for Cardiac Motion Tracking with Gaussian Process Latent Coding](https://mlsanity.com/paper/2410.20752/) (2024)
- [Towards Saner Deep Image Registration](https://mlsanity.com/paper/2307.09696/) (2023)
- [Preserving Tumor Volumes for Unsupervised Medical Image Registration](https://mlsanity.com/paper/2309.10153/) (2023)
- [AtlasMorph: Learning conditional deformable templates for brain MRI](https://mlsanity.com/paper/2511.13609/) (2025)
- [MetaRegNet: Metamorphic Image Registration Using Flow-Driven Residual Networks](https://mlsanity.com/paper/2303.09088/) (2023)
- [Co-Learning Semantic-aware Unsupervised Segmentation for Pathological Image Registration](https://mlsanity.com/paper/2310.11040/) (2023)
- [UniReg: Conditional Unified Model for Medical Image Registration](https://mlsanity.com/paper/2503.12868/) (2025)
- [PREDICT-GBM: A multi-center platform to advance personalized glioblastoma radiotherapy planning](https://mlsanity.com/paper/2509.13360/) (2025)
- [Primitive Simultaneous Optimization of Similarity Metrics for Image Registration](https://mlsanity.com/paper/2304.01601/) (2023)
- [Deep Biomechanically-Guided Interpolation for Keypoint-Based Brain Shift Registration](https://mlsanity.com/paper/2508.13762/) (2025)
- [USLR: an open-source tool for unbiased and smooth longitudinal registration of brain MR](https://mlsanity.com/paper/2311.08371/) (2023)
- [Data-driven registration and modeling of brain deformation for image-guided neurosurgery](https://mlsanity.com/paper/2602.10155/) (2026)

## Abstract (arXiv)

Registration of pre-operative and post-recurrence brain images is often needed to evaluate the effectiveness of brain gliomas treatment. While recent deep learning-based deformable registration methods have achieved remarkable success with healthy brain images, most of them would be unable to accurately align images with pathologies due to the absent correspondences in the reference image. In this paper, we propose a deep learning-based deformable registration method that jointly estimates regions with absent correspondence and bidirectional deformation fields. A forward-backward consistency constraint is used to aid in the localization of the resection and recurrence region from voxels with absence correspondences in the two images. Results on 3D clinical data from the BraTS-Reg challenge demonstrate our method can improve image alignment compared to traditional and deep learning-based registration approaches with or without cost function masking strategy. The source code is available at https://github.com/cwmok/DIRAC.
