Guiding Registration with Emergent Similarity from Pre-Trained Diffusion Models

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Main Authors: Tursynbek, Nurislam, Greer, Hastings, Demir, Basar, Niethammer, Marc
Format: Preprint
Published: 2025
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author Tursynbek, Nurislam
Greer, Hastings
Demir, Basar
Niethammer, Marc
author_facet Tursynbek, Nurislam
Greer, Hastings
Demir, Basar
Niethammer, Marc
contents Diffusion models, while trained for image generation, have emerged as powerful foundational feature extractors for downstream tasks. We find that off-the-shelf diffusion models, trained exclusively to generate natural RGB images, can identify semantically meaningful correspondences in medical images. Building on this observation, we propose to leverage diffusion model features as a similarity measure to guide deformable image registration networks. We show that common intensity-based similarity losses often fail in challenging scenarios, such as when certain anatomies are visible in one image but absent in another, leading to anatomically inaccurate alignments. In contrast, our method identifies true semantic correspondences, aligning meaningful structures while disregarding those not present across images. We demonstrate superior performance of our approach on two tasks: multimodal 2D registration (DXA to X-Ray) and monomodal 3D registration (brain-extracted to non-brain-extracted MRI). Code: https://github.com/uncbiag/dgir
format Preprint
id arxiv_https___arxiv_org_abs_2506_02419
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Guiding Registration with Emergent Similarity from Pre-Trained Diffusion Models
Tursynbek, Nurislam
Greer, Hastings
Demir, Basar
Niethammer, Marc
Computer Vision and Pattern Recognition
Diffusion models, while trained for image generation, have emerged as powerful foundational feature extractors for downstream tasks. We find that off-the-shelf diffusion models, trained exclusively to generate natural RGB images, can identify semantically meaningful correspondences in medical images. Building on this observation, we propose to leverage diffusion model features as a similarity measure to guide deformable image registration networks. We show that common intensity-based similarity losses often fail in challenging scenarios, such as when certain anatomies are visible in one image but absent in another, leading to anatomically inaccurate alignments. In contrast, our method identifies true semantic correspondences, aligning meaningful structures while disregarding those not present across images. We demonstrate superior performance of our approach on two tasks: multimodal 2D registration (DXA to X-Ray) and monomodal 3D registration (brain-extracted to non-brain-extracted MRI). Code: https://github.com/uncbiag/dgir
title Guiding Registration with Emergent Similarity from Pre-Trained Diffusion Models
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2506.02419