This paper presents a novel liver segmentation algorithm. This is a model-driven approach; however, unlike previous techniques which use a statistical model obtained from a training set, we initialize patient-specific models directly from their own pre-segmentation. As a result, the non-trivial problems such as landmark correspondences, model registration etc. can be avoided. Moreover, by dividing the liver region into three sub-regions, we convert the problem of building one complex shape model into constructing three much simpler models, which can be fitted independently, greatly improving the computation efficiency. A robust graph-based narrow band optimal surface fitting scheme is also presented. The proposed approach is evaluated on 35 CT images. Compared to contemporary approaches, our approach has no training requirement and requires significantly less processing time, with an RMS error of 2.440.53mm against manual segmentation
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