Random walks with statistical shape prior for cochlea and inner ear segmentation in micro-CT images

A cochlear implant is an electronic device which can restore sound to completely or partially deaf patients. For surgical planning, a patient-specific model of the inner ear must be built using high-resolution images accurately segmented. We propose a new framework for segmentation of micro-CT cochlear images using random walks, where a region term estimated by a Gaussian mixture model is combined with a shape prior initially obtained by a statistical shape model (SSM). The region term can then take advantage of the high contrast between the background and foreground, while the shape prior guides the segmentation to the exterior of the cochlea and to less contrasted regions inside the cochlea. The prior is obtained via a non-rigid registration regularized by a statistical shape model. The SSM constrains the inner parts of the cochlea and ensures valid output shapes of the inner ear.