A method for processing image data includes obtaining a first set of 3D volumetric image data. The 3D volumetric image data includes a volume of voxels. Each voxel has an intensity. The method further includes obtaining a local voxel noise estimate for each of the voxels of the volume. The method further includes processing the volume of voxels based at least on the intensity of the voxels and the local voxel noise estimates of the voxels. An image data processor (124) includes a computer processor that at least one of: generate a 2D direct volume rendering from first 3D volumetric image data based on voxel intensity and individual local voxel noise estimates of the first 3D volumetric image data, or registers second 3D volumetric image data and first 3D volumetric image data based at least one individual local voxel noise estimates of second and first 3D volumetric image data sets.