We present a robust intrasubject registration method for the synergist
ic use of multiple neuroimaging modalities, with applications to magne
tic resonance imaging (MRI), functional MRI, perfusion MRI, MR spectro
scopy, and single-photon emission computed tomography (SPECT). This me
thod allows user-friendly processing of difficult examinations (low sp
atial resolution, advanced pathology, motion during acquisition, and l
arge areas of focal activation). Registration of three-dimensional (3D
) brain scans is initially estimated by first-order moment matching, f
ollowed by iterative anisotrophic chamfer matching of brain surfaces.
Automatic brain surface extraction is performed in all imaging modalit
ies. A new generalized distance definition and new specific methodolog
ies allow registration of scans that cover only a limited range of bra
in surface. A new semiautomated supervision scheme allows fast and int
uitive corrections of possible false automatic registration results. T
he accuracy of the MRI/SPECT anatomical-functional correspondence obta
ined was evaluated using simulations and two difficult clinical popula
tions (tumors and degenerative brain disorders). The average discrimin
ation capability of SPECT (12.4 mm in-plane resolution, 20 mm slice th
ickness) was found to be better than 5 mm after registration with MRI
(5 mm slice thickness). Registration accuracy was always better than i
maging resolution. Complete 3D MRI and SPECT registration time ranged
between 6-11 min, in which surface matching represented 2-3 min. No re
gistration failure occurred. In conclusion, the application of several
new image processing techniques allowed efficient and robust registra
tion. (C) 1997 Wiley-Liss, Inc.