This paper presents a novel graph cut algorithm that can take into account multi-shape constraints with neighbor prior constraints, and reports on a lung segmentation process from a three-dimensional computed tomography (CT) image based on this algorithm. The major contribution of this paper is the proposal of a novel segmentation algorithm that improves lung segmentation for cases in which the lung has a unique shape and pathologies such as pleural effusion by incorporating multiple shapes and prior information on neighbor structures in a graph cut framework. We demonstrate the efficacy of the proposed algorithm by comparing it to conventional one using a synthetic image and clinical thoracic CT volumes.
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