Modality-Agnostic Structural Image Representation Learning for Deformable Multi-Modality Medical Image Registration

Tony C. W. Mok, Zi Li, Yunhao Bai, Jianpeng Zhang, Wei Liu +7 more
2/9/2026

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Abstract

Establishing dense anatomical correspondence across distinct imaging modalities is a foundational yet challenging procedure for numerous medical image analysis studies and image-guided radiotherapy. Existing multimodality image registration algorithms rely on statistical-based similarity measures or local structural image representations. However, the former is sensitive to locally varying noise, while the latter is not discriminative enough to cope with complex anatomical structures in multimodal scans, causing ambiguity in determining the anatomical correspon-dence across scans with different modalities. In this paper, we propose a modality-agnostic structural representation learning method, which leverages Deep Neighbour-hood Self-similarity (DNS) and anatomy-aware contrastive learning to learn discriminative and contrast-invariance deep structural image representations (DSIR) without the need for anatomical delineations or pre-aligned training images. We evaluate our method on multiphase CT, abdomen MR-CT, and brain MR T1w-T2w registration. Comprehensive results demonstrate that our method is superior to the conventional local structural representation and statistical-based similarity measures in terms of discriminability and accuracy.

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Cite this paper

@article{mok2026modalityagnostic,
  title  = {Modality-Agnostic Structural Image Representation Learning for Deformable Multi-Modality Medical Image Registration},
  author = {Tony C. W. Mok and Zi Li and Yunhao Bai and Jianpeng Zhang and Wei Liu and Yan-Jie Zhou and Ke Yan and D. Jin and Yu Shi and Xiaoli Yin and Le Lu and Ling Zhang},
  year   = {2026},
  eprint = {2402.18933},
  archivePrefix = {arXiv},
  url    = {https://arxiv.org/pdf/2402.18933},
  journal = {CVPR 2024 2024}
}

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