Deep regression 2D‐3D ultrasound registration for liver motion correction in focal tumour thermal ablation

Abstract Liver tumour ablation procedures require accurate placement of the needle applicator at the tumour centroid. The lower‐cost and real‐time nature of ultrasound (US) has advantages over computed tomography for applicator guidance, however, in some patients, liver tumours may be occult on US and tumour mimics can make lesion identification challenging. Image registration techniques can aid in interpreting anatomical details and identifying tumours, but their clinical application has been hindered by the tradeoff between alignment accuracy and runtime performance, particularly when compensating for liver motion due to patient breathing or movement. Therefore, we propose a 2D–3D US registration approach to enable intra‐procedural alignment that mitigates errors caused by liver motion. Specifically, our approach can correlate imbalanced 2D and 3D US image features and use continuous 6D rotation representations to enhance the model's training stability. The dataset was divided into 2388, 196, and 193 image pairs for training, validation and testing, respectively. Our approach achieved a mean Euclidean distance error of 2.28mm ± 1.81mm and a mean geodesic angular error of ± , with a runtime of 0.22s per 2D–3D US image pair. These results demonstrate that our approach can achieve accurate alignment and clinically acceptable runtime, indicating potential for clinical translation.