Individual tooth segmentation from CT images using level set method with shape and intensity prior

3D visualization of teeth from CT images provides important assistance for dentists performing orthodontic surgery and treatment. However, dental CT images present several major challenges for the segmentation of tooth, which touches with adjacent teeth as well as surrounding periodontium and jaw bones. Moreover, tooth contour suffers from topological changes and splits into several branches. In this work, we focus on the segmentation of individual teeth with complete crown and root parts. To this end, we propose adaptive active contour tracking algorithms: single level set method tracking for root segmentation to handle the complex image conditions as well as the root branching problem, and coupled level set method tracking for crown segmentation in order to separate the touching teeth and create the virtual common boundaries between them. Furthermore, we improve the variational level set method in several aspects: gradient direction is introduced into the level set framework to prevent catching the surrounding object boundaries; in addition to the shape prior, intensity prior is introduced to provide adaptive shrinking or expanding forces in order to deal with the topological changes. The test results for both tooth segmentation and 3D reconstruction show that the proposed method can visualize individual teeth with high accuracy and efficiency. (C) 2010 Elsevier Ltd. All rights reserved.