# Data-driven registration and modeling of brain deformation for image-guided neurosurgery

arXiv: https://arxiv.org/abs/2602.10155 · HTML: https://mlsanity.com/paper/2602.10155/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 66 of its 199 references that are in the map.
- First posted on arXiv 9 Feb 2026.

## Builds on (most cited first, 30 of 66)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Going Deeper with Convolutions](https://mlsanity.com/paper/1409.4842/) (2014)
- [SuperPoint: Self-Supervised Interest Point Detection and Description](https://mlsanity.com/paper/1712.07629/) (2017)
- [Learning deep representations by mutual information estimation and maximization](https://mlsanity.com/paper/1808.06670/) (2018)
- [VoxelMorph: A Learning Framework for Deformable Medical Image Registration](https://mlsanity.com/paper/1809.05231/) (2018)
- [LIFT: Learned Invariant Feature Transform](https://mlsanity.com/paper/1603.09114/) (2016)
- [Concrete Dropout](https://mlsanity.com/paper/1705.07832/) (2017)
- [A Deep Learning Framework for Unsupervised Affine and Deformable Image Registration](https://mlsanity.com/paper/1809.06130/) (2018)
- [SynthMorph: learning contrast-invariant registration without acquired images](https://mlsanity.com/paper/2004.10282/) (2020)
- [Large Deformation Diffeomorphic Image Registration with Laplacian Pyramid Networks](https://mlsanity.com/paper/2006.16148/) (2020)
- [Learn2Reg: comprehensive multi-task medical image registration challenge, dataset and evaluation in the era of deep learning](https://mlsanity.com/paper/2112.04489/) (2021)
- [Fast Symmetric Diffeomorphic Image Registration with Convolutional Neural Networks](https://mlsanity.com/paper/2003.09514/) (2020)
- [Recursive Cascaded Networks for Unsupervised Medical Image Registration](https://mlsanity.com/paper/1907.12353/) (2019)
- [Weakly-Supervised Convolutional Neural Networks for Multimodal Image Registration](https://mlsanity.com/paper/1807.03361/) (2018)
- [End-to-End Unsupervised Deformable Image Registration with a Convolutional Neural Network](https://mlsanity.com/paper/1704.06065/) (2017)
- [Conditional Deformable Image Registration with Convolutional Neural Network](https://mlsanity.com/paper/2106.12673/) (2021)
- [uniGradICON: A Foundation Model for Medical Image Registration](https://mlsanity.com/paper/2403.05780/) (2024)
- [A survey on deep learning in medical image registration: new technologies, uncertainty, evaluation metrics, and beyond](https://mlsanity.com/paper/2307.15615/) (2023)
- [XMorpher: Full Transformer for Deformable Medical Image Registration via Cross Attention](https://mlsanity.com/paper/2206.07349/) (2022)
- [textttGradICON: Approximate Diffeomorphisms via Gradient Inverse Consistency](https://mlsanity.com/paper/2206.05897/) (2022)
- [Simulation of hyperelastic materials in real-time using Deep Learning](https://mlsanity.com/paper/1904.06197/) (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)
- [Adversarial Uni- and Multi-modal Stream Networks for Multimodal Image Registration](https://mlsanity.com/paper/2007.02790/) (2020)
- [A Robust and Interpretable Deep Learning Framework for Multi-modal Registration via Keypoints](https://mlsanity.com/paper/2304.09941/) (2023)
- [PhysGNN: A Physics-Driven Graph Neural Network Based Model for Predicting Soft Tissue Deformation in Image-Guided Neurosurgery](https://mlsanity.com/paper/2109.04352/) (2021)
- [Learning Soft Tissue Behavior of Organs for Surgical Navigation with Convolutional Neural Networks](https://mlsanity.com/paper/1904.00722/) (2019)
- [Voxelmorph++ Going beyond the cranial vault with keypoint supervision and multi-channel instance optimisation](https://mlsanity.com/paper/2203.00046/) (2022)

## Abstract (arXiv)

Accurate compensation of brain deformation is critical for reliable image-guided neurosurgery. Surgical manipulation and tumor resection induce tissue motion, causing preoperative planning images to become misaligned with the intraoperative anatomy. In this review, we examine data-driven methods developed between 2020 and 2025 for brain deformation registration and modeling, with a particular focus on learning-based approaches. A comprehensive literature search was conducted in PubMed, IEEE Xplore, Scopus, and Web of Science using predefined inclusion and exclusion criteria for computational methods addressing brain deformation in neurosurgical imaging, resulting in 46 eligible studies. We provide a unified analysis of methodological strategies, including deep learning-based image registration, direct deformation field regression, synthesis-driven multimodal alignment, resection-aware architectures for handling missing correspondences, and hybrid models integrating biomechanical priors. We also examine dataset utilization, evaluation metrics, validation protocols, and the assessment of uncertainty and generalization across studies. While learning-based methods demonstrate promising accuracy and computational efficiency, current approaches remain limited by out-of-distribution robustness, standardized benchmarking, interpretability, and readiness for clinical deployment. Our review highlights these gaps and outlines future directions toward more robust, generalizable, and clinically translatable solutions for neurosurgical guidance. By organizing recent advances and critically assessing evaluation practices, this work provides a comprehensive reference for researchers and clinicians working on data-driven registration and modeling of brain deformation.