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Medical imaging poses the great challenge of having compression algorithms that are lossless for diagnostic and legal reasons and yet provide high compression rates for reduced storage and transmission time. The images usually consist of a region of interest representing the part of the body under investigation surrounded by a "background", which is often noisy and not of diagnostic interest. In this paper, we propose a ROI-based 3D coding system integrating both the segmentation and the compression tools. The ROI is extracted by an atlas based 3D segmentation method combining active contours with information theoretic principles, and the resulting segmentation map is exploited for ROI based coding. The system is equipped with a GUI allowing the medical doctors to supervise the segmentation process and eventually reshape the detected contours at any point. The process is initiated by the user through the selection of either one pre-defined reference image or one image of the volume to be used as the 2D "atlas". The object contour is successively propagated from one frame to the next where it is used as the initial border estimation. In this way, the entire volume is segmented based on a unique 2D atlas. The resulting 3D segmentation map is exploited for adaptive coding of the different image regions. Two coding systems were considered: the JPEG3D standard and the 3D-SPITH. The evaluation of the performance with respect to both segmentation and coding proved the high potential of the proposed system in providing an integrated, low-cost and computationally effective solution for CAD and PAC systems.

An interactive toolbox for atlas-based segmentation and coding of volumetric images