PULPo: Probabilistic Unsupervised Laplacian Pyramid Registration
Leonard Siegert, Paul Fischer, Mattias P. Heinrich, Christian F. Baumgartner
TL;DR
Deformable registration aims to align images while accounting for multiple viable deformations. PULPo formulates registration as a probabilistic generative model with hierarchical latent variables $\mathbf{z}$ across multiple resolutions, where stationary velocity fields are integrated to produce diffeomorphic deformations $\phi(\mathbf{z})$ and combined via a Laplacian pyramid; the likelihood is $p(\mathbf{f}|\mathbf{z},\mathbf{m})=\mathcal{N}(\mathbf{f}; \mathbf{m}\circ \phi(\mathbf{z}), \sigma_I^2 \mathbf{I})$, and an amortized variational posterior $q(\mathbf{z}|\mathbf{m},\mathbf{f})$ is optimized. Empirically, PULPo achieves competitive registration performance while delivering substantially better calibrated uncertainty than the probabilistic VoxelMorph baseline on OASIS-1 and BraTS-Reg, with pronounced uncertainty localized around challenging regions like tumors. The approach enables clinically meaningful interpretation of registration results, supporting tasks such as disease monitoring and neurosurgical planning by providing voxelwise uncertainty maps $\mathrm{var}(\mathbf{m}\circ \phi(\mathbf{z}))$. Overall, PULPo advances uncertainty-aware registration by integrating hierarchical probabilistic modeling with Laplacian-pyramid fusion for fast, diffeomorphic, multi-scale alignment.
Abstract
Deformable image registration is fundamental to many medical imaging applications. Registration is an inherently ambiguous task often admitting many viable solutions. While neural network-based registration techniques enable fast and accurate registration, the majority of existing approaches are not able to estimate uncertainty. Here, we present PULPo, a method for probabilistic deformable registration capable of uncertainty quantification. PULPo probabilistically models the distribution of deformation fields on different hierarchical levels combining them using Laplacian pyramids. This allows our method to model global as well as local aspects of the deformation field. We evaluate our method on two widely used neuroimaging datasets and find that it achieves high registration performance as well as substantially better calibrated uncertainty quantification compared to the current state-of-the-art.
