A method called morphology-based brain segmentation (MBRASE) has been devel
oped for fully automatic segmentation of the brain from T1-weighted MR imag
e data. The starting point is a supervised segmentation technique, which ha
s proven highly effective and accurate for quantitation and visualization p
urposes. The proposed method automates the required user interaction, i.e.,
defining a seed point and a threshold range, and is based on the simple op
erations thresholding, erosion, and geodesic dilation. The thresholds are d
etected in a region growing process and are defined by connections of the b
rain to other tissues. The method is first evaluated on three computer simu
lated datasets by comparing the automated segmentations with the original d
istributions. The second evaluation is done on a total of 30 patient datase
ts, by comparing the automated segmentations with supervised segmentations
carried out by a neuroanatomy expert. The comparison between two binary seg
mentations is performed both quantitatively and qualitatively. The automate
d segmentations are found to be accurate and robust. Consequently, the prop
osed method can be used as a default segmentation for quantitation and visu
alization of the human brain from T1-weighted MR images in routine clinical
procedures. (C) 2000 Academic Press.