General Registration (Elastix) for two CT-Volumes with differing Voxel Size

The similarity metric computation ignores the voxel size, it just takes samples from the images at random physical 3D coordinates. It does not matter what you choose as fixed or moving image, as sample positions are are random in physical space, not snapped to voxel center positions.

The computed transform is not related to the input image voxels either: the transformation defines a continuous mapping between two physical 3D spaces.

1 Like