A new approach to the problem of multimodality medical image registrat
ion is proposed, using a basic concept from information theory, mutual
information (MI), or relative entropy, as a new matching criterion, T
he method presented in this paper applies MI to measure the statistica
l dependence or information redundancy between the image intensities o
f corresponding voxels in both images, which is assumed to be maximal
if the images are geometrically aligned, Maximization of MI is a very
general and powerful criterion, because Ilo assumptions are made regar
ding the nature of this dependence and no limiting constraints are imp
osed on the image content of the modalities involved, The accuracy of
the MI criterion is validated for rigid body registration of computed
tomography (CT), magnetic resonance (MR), and photon emission tomograp
hy (PET) images by comparison with the stereotactic registration solut
ion, while robustness is evaluated with respect to implementation issu
es, such as interpolation and optimization, and image content, includi
ng partial overlap and image degradation, Our results demonstrate that
subvoxel accuracy with respect to the stereotactic reference solution
can be achieved completely automatically and without any prior segmen
tation, feature extraction, or other preprocessing steps which makes t
his method very well suited for clinical applications.