# Explainable unsupervised multi-modal image registration using deep networks

arXiv: https://arxiv.org/abs/2308.01994 · HTML: https://mlsanity.com/paper/2308.01994/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 25 references that are in the map.
- First posted on arXiv 3 Aug 2023.

## Builds on (most cited first, 15 of 15)

- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Spatial Transformer Networks](https://mlsanity.com/paper/1506.02025/) (2015)
- [VoxelMorph: A Learning Framework for Deformable Medical Image Registration](https://mlsanity.com/paper/1809.05231/) (2018)
- [A review of deep learning in medical imaging: Imaging traits, technology trends, case studies with progress highlights, and future promises](https://mlsanity.com/paper/2008.09104/) (2020)
- [A Deep Learning Framework for Unsupervised Affine and Deformable Image Registration](https://mlsanity.com/paper/1809.06130/) (2018)
- [Deep Learning in Medical Image Registration: A Survey](https://mlsanity.com/paper/1903.02026/) (2019)
- [Unsupervised Learning for Fast Probabilistic Diffeomorphic Registration](https://mlsanity.com/paper/1805.04605/) (2018)
- [Quicksilver: Fast Predictive Image Registration - a Deep Learning Approach](https://mlsanity.com/paper/1703.10908/) (2017)
- [Deep Learning in Medical Image Registration: A Review](https://mlsanity.com/paper/1912.12318/) (2019)
- [CycleMorph: Cycle Consistent Unsupervised Deformable Image Registration](https://mlsanity.com/paper/2008.05772/) (2020)
- [Unbox the Black-box for the Medical Explainable AI via Multi-modal and Multi-centre Data Fusion: A Mini-Review, Two Showcases and Beyond](https://mlsanity.com/paper/2102.01998/) (2021)
- [End-to-End Unsupervised Deformable Image Registration with a Convolutional Neural Network](https://mlsanity.com/paper/1704.06065/) (2017)
- [BIRNet: Brain Image Registration Using Dual-Supervised Fully Convolutional Networks](https://mlsanity.com/paper/1802.04692/) (2018)
- [Cross-modal Attention for MRI and Ultrasound Volume Registration](https://mlsanity.com/paper/2107.04548/) (2021)
- [FIRE: Unsupervised bi-directional inter-modality registration using deep networks](https://mlsanity.com/paper/1907.05062/) (2019)

## Abstract (arXiv)

Clinical decision making from magnetic resonance imaging (MRI) combines complementary information from multiple MRI sequences (defined as 'modalities'). MRI image registration aims to geometrically 'pair' diagnoses from different modalities, time points and slices. Both intra- and inter-modality MRI registration are essential components in clinical MRI settings. Further, an MRI image processing pipeline that can address both afine and non-rigid registration is critical, as both types of deformations may be occuring in real MRI data scenarios. Unlike image classification, explainability is not commonly addressed in image registration deep learning (DL) methods, as it is challenging to interpet model-data behaviours against transformation fields. To properly address this, we incorporate Grad-CAM-based explainability frameworks in each major component of our unsupervised multi-modal and multi-organ image registration DL methodology. We previously demonstrated that we were able to reach superior performance (against the current standard Syn method). In this work, we show that our DL model becomes fully explainable, setting the framework to generalise our approach on further medical imaging data.