Evaluation of Deformable Image Registration under Alignment-Regularity Trade-of

Evaluating deformable image registration (DIR) is challenging due to the inherent trade-off between achieving high alignment accuracy and maintaining deformation regularity. However, most existing DIR works either address this trade-off inadequately or overlook it altogether. In this paper, we highlight the issues with existing practices and propose an evaluation scheme that captures the trade-off continuously to holistically evaluate DIR methods. We first introduce the alignment regularity characteristic (ARC) curves, which describe the performance of a given registration method as a spectrum under various degrees of regularity. We demonstrate that the ARC curves reveal unique insights that are not evident from existing evaluation practices, using experiments on representative deep learning DIR methods with various network architectures and transformation models. We further adopt a HyperNetwork based approach that learns to continuously interpolate across the full regularization range, accelerating the construction and improving the sample density of ARC curves. Finally, we provide general guidelines for a nuanced model evaluation and selection using our evaluation scheme for both practitioners and registration researchers.