Artificial Intelligence in Medicine
Volume 45, Issue 2 , Pages 185-196, February 2009

Liver segmentation from computed tomography scans: A survey and a new algorithm

  • Paola Campadelli

      Affiliations

    • Università degli Studi di Milano, Dipartimento di Scienze dell’Informazione, Via Comelico 39/41, 20135 Milano, Italy
  • ,
  • Elena Casiraghi

      Affiliations

    • Università degli Studi di Milano, Dipartimento di Scienze dell’Informazione, Via Comelico 39/41, 20135 Milano, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39 02 50316275; fax: +39 02 50316373.
  • ,
  • Andrea Esposito

      Affiliations

    • Ospedale Maggiore Policlinico Mangiagalli e Regina Elena di Milano, Dipartimento di Radiologia, Via Francesco Sforza 35, 20135 Milano, Italy

Received 6 October 2007; received in revised form 24 July 2008; accepted 25 July 2008.

Summary 

Objective

In the recent years liver segmentation from computed tomography scans has gained a lot of importance in the field of medical image processing since it is the first and fundamental step of any automated technique for the automatic liver disease diagnosis, liver volume measurement, and 3D liver volume rendering.

Methods

In this paper we report a review study about the semi-automatic and automatic liver segmentation techniques, and we describe our fully automatized method.

Results

The survey reveals that automatic liver segmentation is still an open problem since various weaknesses and drawbacks of the proposed works must still be addressed. Our gray-level based liver segmentation method has been developed to tackle all these problems; when tested on 40 patients it achieves satisfactory results, comparable to the mean intra- and inter-observer variation.

Conclusions

We believe that our technique outperforms those presented in the literature; nevertheless, a common test set with its gold standard traced by experts, and a generally accepted performance measure are required to demonstrate it.

Keywords: Computed tomography images, Automatic liver segmentation, Survey, Graph cut

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PII: S0933-3657(08)00142-5

doi:10.1016/j.artmed.2008.07.020

Artificial Intelligence in Medicine
Volume 45, Issue 2 , Pages 185-196, February 2009