Registration of brain scans with pathologies is difficult, yet important research area. The importance of this task motivated researchers to organize the BraTS-Reg challenge, jointly with IEEE ISBI 2022 and MICCAI 2022 conferences. The organizers introduced the task of aligning pre-operative to follow-up magnetic resonance images of glioma. The main difficulties are connected with the missing data leading to large, nonrigid, and noninvertible deformations. In this work, we describe our contributions to both the editions of the BraTS-Reg challenge. The proposed method is based on combined deep learning and instance optimization approaches. First, the instance optimization enriches the state-of-the-art LapIRN method to improve the generalizability and fine-details preservation. Second, an additional objective function weighting is introduced, based on the inverse consistency. The proposed method is fully unsupervised and exhibits high registration quality and robustness. The quantitative results on the external validation set are: (i) IEEE ISBI 2022 edition: 1.85, and 0.86, (ii) MICCAI 2022 edition: 1.71, and 0.86, in terms of the mean of median absolute error and robustness respectively. The method scored the 1st place during the IEEE ISBI 2022 version of the challenge and the 3rd place during the MICCAI 2022. Future work could transfer the inverse consistency-based weighting directly into the deep network training.

Federated learning (FL) is a decentralized method enabling hospitals to collaboratively learn a model without sharing private patient data for training. In FL, participant hospitals periodically exchange training results rather than training samples with a central server. However, having access to model parameters or gradients can expose private training data samples. To address this challenge, we adopt secure multiparty computation (SMC) to establish a privacy-preserving federated learning framework. In our proposed method, the hospitals are divided into clusters. After local training, each hospital splits its model weights among other hospitals in the same cluster such that no single hospital can retrieve other hospitals' weights on its own. Then, all hospitals sum up the received weights, sending the results to the central server. Finally, the central server aggregates the results, retrieving the average of models' weights and updating the model without having access to individual hospitals' weights. We conduct experiments on a publicly available repository, The Cancer Genome Atlas (TCGA). We compare the performance of the proposed framework with differential privacy and federated averaging as the baseline. The results reveal that compared to differential privacy, our framework can achieve higher accuracy with no privacy leakage risk at a cost of higher communication overhead.

Prof. Kristy K. Brock is currently a Professor with tenure in the Department of Imaging Physics at the University of Texas MD Anderson Cancer Center, where she is the Director for the Image-Guided Cancer Therapy Research Program. Her research has focused on image guided cancer therapy, where she has developed a biomechanical model-based deformable image registration algorithm to integrate imaging into treatment planning, delivery, and response assessment as well as to understand and validate imaging signals through correlative pathology. Her algorithm was licensed and incorporated into a commercial treatment planning system. She is board certified by the American Board of Radiology in Therapeutic Medical Physics and holds a joint appointment with the Department of Radiation Physics at MD Anderson. Dr. Brock has published over 150 papers in peer-reviewed journals, is the Editor of the book'Image Processing in Radiation Therapy' and has been the PI/co-PI on over 25 peer-reviewed, industry, and institutional grants.