An automatic method for segmentation of images of skin cancer and other pig
mented lesions is presented. This method first reduces a color image into a
n intensity image and approximately segments the image by intensity thresho
lding. Then, it refines the segmentation using image edges. Double threshol
ding is used to focus on an image area where a lesion boundary potentially
exists. Image edges are then used to localize the boundary in that area. A
closed elastic curve is fitted to the initial boundary, and is locally shru
nk or expanded to approximate edges in its neighborhood in the area of focu
s. Segmentation results from 20 randomly selected images show an average er
ror that is about the same as that obtained by four experts manually segmen
ting the images. (C) 1999 Elsevier Science B.V. All rights reserved.