# Fracture interactive geodesic active contours for bone segmentation

arXiv: https://arxiv.org/abs/2509.14817 · HTML: https://mlsanity.com/paper/2509.14817/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 13 of its 44 references that are in the map.
- First posted on arXiv 18 Sep 2025.

## Builds on (most cited first, 13 of 13)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [3D U-Net: Learning Dense Volumetric Segmentation from Sparse Annotation](https://mlsanity.com/paper/1606.06650/) (2016)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Road Extraction by Deep Residual U-Net](https://mlsanity.com/paper/1711.10684/) (2017)
- [SA-UNet: Spatial Attention U-Net for Retinal Vessel Segmentation](https://mlsanity.com/paper/2004.03696/) (2020)
- [Deep Learning to Segment Pelvic Bones: Large-scale CT Datasets and Baseline Models](https://mlsanity.com/paper/2012.08721/) (2020)
- [Rethinking the Unpretentious U-net for Medical Ultrasound Image Segmentation](https://mlsanity.com/paper/2209.07193/) (2022)
- [Global Minimum for a Finsler Elastica Minimal Path Approach](https://mlsanity.com/paper/1612.00343/) (2016)
- [The iterative convolution-thresholding method (ICTM) for image segmentation](https://mlsanity.com/paper/1904.10917/) (2019)
- [A Region-based Randers Geodesic Approach for Image Segmentation](https://mlsanity.com/paper/1912.10122/) (2019)

## Abstract (arXiv)

For bone segmentation, the classical geodesic active contour model is usually limited by its indiscriminate feature extraction, and then struggles to handle the phenomena of edge obstruction, edge leakage and bone fracture. Thus, we propose a fracture interactive geodesic active contour algorithm tailored for bone segmentation, which can better capture bone features and perform robustly to the presence of bone fractures and soft tissues. Inspired by orthopedic knowledge, we construct a novel edge-detector function that combines the intensity and gradient norm, which guides the contour towards bone edges without being obstructed by other soft tissues and therefore reduces mis-segmentation. Furthermore, distance information, where fracture prompts can be embedded, is introduced into the contour evolution as an adaptive step size to stabilize the evolution and help the contour stop at bone edges and fractures. This embedding provides a way to interact with bone fractures and improves the accuracy in the fracture regions. Experiments in pelvic and ankle segmentation demonstrate the effectiveness on addressing the aforementioned problems and show an accurate, stable and consistent performance, indicating a broader application in other bone anatomies. Our algorithm also provides insights into combining the domain knowledge and deep neural networks.