Segmenting complex 3D geometry is a challenging task due to rich structural details and complex appearance variations of target object. Shape representation and foreground-background delineation are two of the core components of segmentation. Explicit shape models, such as mesh based representations, suffer from poor handling of topological changes. On the other hand, implicit shape models, such as level-set based representations, have limited capacity for interactive manipulation. Fully automatic segmentation for separating foreground objects from background generally utilizes non-interoperable machine learning methods, which heavily rely on the off-line training dataset and are limited to the discrimination power of the chosen model. To address these issues, we propose a novel semi-implicit representation method, namely Non-Uniform Implicit B-spline Surface (NU-IBS), which adaptively distributes parametrically blended patches according to geometrical complexity. Then, a two-stage cascade classifier is introduced to carry out efficient foreground and background delineation, where a simplistic Naïve-Bayesian model is trained for fast background elimination, followed by a stronger pseudo-3D Convolutional Neural Network (CNN) multi-scale classifier to precisely identify the foreground objects. A localized interactive and adaptive segmentation scheme is incorporated to boost the delineation accuracy by utilizing the information iteratively gained from user intervention. The segmentation result is obtained via deforming an NU-IBS according to the probabilistic interpretation of delineated regions, which also imposes a homogeneity constrain for individual segments. The proposed method is evaluated on a 3D cardiovascular Computed Tomography Angiography (CTA) image dataset and Brain Tumor Image Segmentation Benchmark 2015 (BraTS2015) 3D Magnetic Resonance Imaging (MRI) dataset.

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