Image Fusion is an effective approach utilized to draw out all the significant information from the source images, which supports experts in evaluation and quick decision making. Multi modal medical image fusion produces a composite fused image utilizing various sources to improve quality and extract complementary information. It is extremely challenging to gather every piece of information needed using just one imaging method. Therefore, images obtained from different modalities are fused Additional clinical information can be gleaned through the fusion of several types of medical image pairings. This study's main aim is to present a thorough review of medical image fusion techniques which also covers steps in fusion process, levels of fusion, various imaging modalities with their pros and cons, and the major scientific difficulties encountered in the area of medical image fusion. This paper also summarizes the quality assessments fusion metrics. The various approaches used by image fusion algorithms that are presently available in the literature are classified into four broad categories i) Spatial fusion methods ii) Multiscale Decomposition based methods iii) Neural Network based methods and iv) Fuzzy Logic based methods. the benefits and pitfalls of the existing literature are explored and Future insights are suggested. Moreover, this study is anticipated to create a solid platform for the development of better fusion techniques in medical applications
