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Beyond the LUMIR challenge: The pathway to foundational registration models.

June 23, 2026pubmed logopapers

Authors

Chen J,Wei S,Honkamaa J,Marttinen P,Zhang H,Liu M,Zhou Y,Tan Z,Wang Z,Wang Y,Zhou H,Hu S,Zhang Y,Tao Q,Förner L,Wendler T,Jian B,Wiestler B,Hable T,Kim J,Ruan D,Madesta F,Sentker T,Heyer W,Zuo L,Dai Y,Wu J,Prince JL,Bai H,Du Y,Liu Y,Hering A,Dorent R,Hansen L,Heinrich MP,Carass A

Affiliations (20)

  • The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical School, Baltimore, MD, USA. Electronic address: [email protected].
  • Image Analysis and Communications Laboratory, Department of Electrical and Computer Engineering, Johns Hopkins University, Baltimore, MD, USA.
  • Department of Computer Science, Aalto University, Espoo, Uusimaa, Finland.
  • Cornell University, New York, NY, USA.
  • College of Electrical and Information Engineering, Hunan University, Changsha, Hunan, China.
  • Canon Medical Systems (China) Co. Ltd., Beijing, China.
  • School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen, Guangdong, China.
  • School of Information Science and Engineering, Linyi University, Linyi, Shandong, China.
  • Department of Imaging Physics, Delft University of Technology, Delft, South Holland, Netherlands.
  • Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Augsburg and Institute of Digital Medicine, Augsburg, Bavaria, Germany.
  • Technical University of Munich and Klinikum Rechts der Isar, Munich, Bavaria, Germany.
  • Institute of Medical Informatics, University of Lübeck, Lübeck, Schleswig-Holstein, Germany.
  • Department of Radiology and Center for Computer Vision and Imaging Biomarkers, University of California Los Angeles, Los Angeles, CA, USA.
  • Institute for Applied Medical Informatics and Institute of Computational Neuroscience, University Medical Center Hamburg, Hamburg, Germany.
  • Department of Electrical and Computer Engineering, Vanderbilt University, Nashville, TN, USA.
  • Radboud University Medical Center, Nijmegen, Gelderland, Netherlands.
  • Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
  • The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical School, Baltimore, MD, USA.
  • Inria, Paris, France; Department of Neurosurgery, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA.
  • EchoScout GmbH, Lübeck, Schleswig-Holstein, Germany.

Abstract

Medical image challenges have played a transformative role in advancing the field, catalyzing innovation and establishing new performance benchmarks. Image registration, a foundational task in neuroimaging, has similarly advanced through the Learn2Reg initiative. Building on this, we introduce the Large-scale Unsupervised Brain MRI Image Registration (LUMIR) challenge, a next-generation benchmark for unsupervised brain MRI registration. Previous challenges relied upon anatomical label maps, however LUMIR provides 4,014 unlabeled T1-weighted MRIs for training, encouraging biologically plausible deformation modeling through self-supervision. Evaluation includes 590 in-domain test subjects and extensive zero-shot tasks across disease populations, imaging protocols, and species. Deep learning methods consistently achieved state-of-the-art performance and produced anatomically plausible, diffeomorphic deformation fields. They outperformed several leading optimization-based methods and remained robust to most domain shifts. These findings highlight the growing maturity of deep learning in neuroimaging registration and its potential to serve as a foundation model for general-purpose medical image registration.

Topics

Journal Article

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