A system can include a model to represent a volumetric deformation of a brain corresponding to brain tissue that has been displaced by at least one of disease, surgery or anatomical changes. A fusion engine can perform a coarse and/or fine fusion to align a first image of the brain with respect to a second image of the brain after a region of the brain has been displaced and to employ the deformation model to adjust one or more points on a displacement vector extending through a displaced region of the brain to compensate for spatial deformations that occur between the first and second image of the brain.