Unified Brain Surface and Volume Registration
S. Mazdak Abulnaga, Andrew Hoopes, Malte Hoffmann, Robin Magnet, Maks Ovsjanikov, Lilla Z\"ollei, John Guttag, Bruce Fischl, Adrian Dalca

TL;DR
This paper introduces NeurAlign, a deep learning framework that jointly registers brain surface and volume MRI scans using a unified spherical representation, achieving superior accuracy and speed over traditional methods.
Contribution
NeurAlign is the first method to integrate surface and volume registration into a single deep learning framework with a spherical intermediate space.
Findings
Outperforms classical and ML registration methods with up to 7-point Dice score improvement.
Significantly faster inference than standard registration techniques.
Requires no additional inputs beyond MRI scans.
Abstract
Accurate registration of brain MRI scans is fundamental for cross-subject analysis in neuroscientific studies. This involves aligning both the cortical surface of the brain and the interior volume. Traditional methods treat volumetric and surface-based registration separately, which often leads to inconsistencies that limit downstream analyses. We propose a deep learning framework, NeurAlign, that registers D brain MRI images by jointly aligning both cortical and subcortical regions through a unified volume-and-surface-based representation. Our approach leverages an intermediate spherical coordinate space to bridge anatomical surface topology with volumetric anatomy, enabling consistent and anatomically accurate alignment. By integrating spherical registration into the learning, our method ensures geometric coherence between volume and surface domains. In a series of experiments on…
Peer Reviews
Decision·ICLR 2026 Poster
- This paper proposes a real and valuable challenge in MRI registration: current pipelines split surface vs volume. - Key technical idea (soft consistency energy on cortical surface) is simple, plausible, and seems to explain gains; ablation supports this. - Sufficient comparison to the right classical joint method (CVS) and to current learning baselines (SynthMorph variants, uniGradICON). - It is great to test on two additional held-out datasets.
- The author claims, "Unlike other methods that require additional inputs (cortical meshes, segmentations) at inference, our method requires only structural MRI images." However, they also mention, "For each image, we use FreeSurfer to generate anatomical segmentations" in the experiment setup. Therefore, it is not truly "only structural MRI images" as input. If you plan to integrate this with your model as a complete pipeline, do you include the time spent on segmentation when comparing to CVS?
1. UCS couples volumetric and spherical registration networks, promoting anatomical consistency across domains. 2. UCS outperforms classical (CVS) and modern deep learning methods (SynthMorph, uniGradICON) in both cortical and subcortical Dice scores.
1. The authors claim that their approach provides a unified solution for the registration of cortical and subcortical structures. And the key idea is to use correspondence between surface areas as additional supervision signal. This idea is not novel; a similar approach was presented in https://doi.org/10.1016/j.media.2019.101540 2. From the title, I had the expectation that the proposed approach would have some special designs for the registration of subcortical structures. However, such desig
1. The mathematical formulation is very well defined, easy to follow, and technically sound. Usual papers in this topic are rather sloppy with overloaded notation or hand wavy definitions, but this paper is much clearer in that sense. 2. Most of the formulation is consistent with a typical deep learning registration framework, and the coupling term is the major technical novelty in the paper, which is easy to undeerstand. 3. Results are shown on a few popular clinical MRI datasets
1. The premise of the paper "While effective for aligning subcortical structures and global anatomy, volumetric deformable registration often fails in the cortex. The cortex is a thin, highly curved surface with significant inter-subject variability in folding patterns that is difficult to align in Euclidean space" is not substantiated in any way except for the experiments in the paper. Most methods trained on SynthSeg or Freesurfer labels (e.g. OASIS dataset) have achieved overall dice scores i
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Taxonomy
TopicsMedical Image Segmentation Techniques · Functional Brain Connectivity Studies · Advanced Neuroimaging Techniques and Applications
