This paper introduces a systematic method for segmenting the main trachea and bronchioles in lung computed tomography scans. It begins with a stack-based three-dimensional region growth algorithm to outline the main trachea, which is then refined using morphological techniques to improve accuracy. The segmentation of bronchioles is achieved through domain labeling, lung tissue segmentation, adaptive binarization, and inner product analysis. The main trachea and bronchioles are integrated using an operating room (OR) operation and a novel splicing algorithm to form a complete tracheal tree. The method’s accuracy is validated against manual labeling, showing a Dice coefficient of about 0.99, on average, in lung parenchyma segmentation and a segmentation overlap with expert results ranging from 79.89% to 93.31% in lung trachea tree segmentation. This robust methodology is thoroughly tested and validated.
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Zhang et al. (2024) studied this question.
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