Medical image segmentation using genetic algorithms

A Two stage deep learning network for automated femoral segmentation in bilateral lower limb CT scans

This study presents the development of a deep learning-based two-stage network designed for the efficient and precise segmentation of the femur in full lower limb CT images. The proposed network incorporates a dual-phase approach: rapid delineation of regions of interest followed by semantic segmentation of the femur. The experimental dataset comprises 100 samples obtained from a hospital, partitioned into 85 for training, 8 for validation, and 7 for testing. In the first stage, the model achieves an average Intersection over Union of 0.9671 and a mean Average Precision of 0.9656, effectively delineating the femoral region with high accuracy. During the second stage, the network attains an average Dice coefficient of 0.953, sensitivity of 0.965, specificity of 0.998, and pixel accuracy of 0.996, ensuring precise segmentation of the femur. When compared to the single-stage SegResNet architecture, the proposed two-stage model demonstrates faster convergence during training, reduced inference times, higher segmentation accuracy, and overall superior performance. Comparative evaluations against the TransUnet model further highlight the network's notable advantages in accuracy and robustness. In summary, the proposed two-stage network offers an efficient, accurate, and autonomous solution for femur segmentation in large-scale and complex medical imaging datasets. Requiring relatively modest training and computational resources, the model exhibits significant potential for scalability and clinical applicability, making it a valuable tool for advancing femoral image segmentation and supporting diagnostic workflows.

Evaluation of droplet deposition parameters based on the Genetic-Otsu algorithm

Pesticide spraying is a cost-effective way to control crop pests and diseases. The effectiveness of this method relies on the deposition and distribution of the spray droplets within the targeted application area. There is a critical need for an accurate and stable detection algorithm to evaluate the liquid droplet deposition parameters on the water-sensitive paper (WSP) and reduce the impact of image noise. This study acquired 90 WSP samples with diverse coverage through field spraying experiments. The droplets on the WSP were subsequently isolated, and the coverage and density were computed, employing the fixed threshold method, the Otsu threshold method, and our Genetic-Otsu threshold method. Based on the benchmark of manually measured data, an error analysis was conducted on the accuracy of three methods, and a comprehensive evaluation was carried out. The relative error results indicate that the Genetic-Otsu method proposed in this research demonstrates superior performance in detecting droplet coverage and density. The relative errors of droplet density in the sparse, medium, and dense droplet groups are 2.7%, 1.5%, and 2.0%, respectively. The relative errors of droplet coverage are 1.5%, 0.88%, and 1.2%, respectively. These results demonstrate that the Genetic-Otsu algorithm outperforms the other two algorithms. The proposed algorithm effectively identifies small-sized droplets and accurately distinguishes the multiple independent contours of adjacent droplets even in dense droplet groups, demonstrating excellent performance. Overall, the Genetic-Otsu algorithm offered a reliable solution for detecting droplet deposition parameters on WSP, providing an efficient tool for evaluating droplet deposition parameters in UAV pesticide spraying applications.

Design and Conceptual Proposal of an Intelligent Clinical Decision Support System for the Diagnosis of Suspicious Obstructive Sleep Apnea Patients from Health Profile

Obstructive Sleep Apnea (OSA) is a chronic sleep-related pathology characterized by recurrent episodes of total or partial obstruction of the upper airways during sleep. It entails a high impact on the health and quality of life of patients, affecting more than one thousand million people worldwide, which has resulted in an important public health concern in recent years. The usual diagnosis involves performing a sleep test, cardiorespiratory polygraphy, or polysomnography, which allows characterizing the pathology and assessing its severity. However, this procedure cannot be used on a massive scale in general screening studies of the population because of its execution and implementation costs; therefore, causing an increase in waiting lists which would negatively affect the health of the affected patients. Additionally, the symptoms shown by these patients are often unspecific, as well as appealing to the general population (excessive somnolence, snoring, etc.), causing many potential cases to be referred for a sleep study when in reality are not suffering from OSA. This paper proposes a novel intelligent clinical decision support system to be applied to the diagnosis of OSA that can be used in early outpatient stages, quickly, easily, and safely, when a suspicious OSA patient attends the consultation. Starting from information related to the patient's health profile (anthropometric data, habits, comorbidities, or medications taken), the system is capable of determining different alert levels of suffering from sleep apnea associated with different apnea-hypopnea index (AHI) levels to be studied. To that end, a series of automatic learning algorithms are deployed that, working concurrently, together with a corrective approach based on the use of an Adaptive Neuro-Based Fuzzy Inference System (ANFIS) and a specific heuristic algorithm, allow the calculation of a series of labels associated with the different levels of AHI previously indicated. For the initial software implementation, a data set with 4600 patients from the Álvaro Cunqueiro Hospital in Vigo was used. The results obtained after performing the proof tests determined ROC curves with AUC values in the range 0.8-0.9, and Matthews correlation coefficient values close to 0.6, with high success rates. This points to its potential use as a support tool for the diagnostic process, not only from the point of view of improving the quality of the services provided, but also from the best use of hospital resources and the consequent savings in terms of costs and time.

Segmentation on remote sensing imagery for atmospheric air pollution using divergent differential evolution algorithm

Air pollution is a global issue causing major health hazards. By proper monitoring of air quality, actions can be taken to control air pollution. Satellite remote sensing is an effective way to monitor global atmosphere. Various sensors and instruments fitted to satellites and airplanes are used to obtain the radar images. These images are quite complex with various wavelength differentiated by very close color differences. Clustering of such images based on its wavelengths can provide the much-needed relief in better understanding of these complex images. Such task related to image segmentation is a universal optimization issue that can be resolved with evolutionary techniques. Differential Evolution (DE) is a fairly fast and operative parallel search algorithm. Though classical DE algorithm is popular, there is a need for varying the mutation strategy for enhancing the performance for varied applications. Several alternatives of classical DE are considered by altering the trial vector and control parameter. In this work, a new alteration of DE technique labeled as DiDE (Divergent Differential Evolution Algorithm) is anticipated. The outcomes of this algorithm were tested and verified with the traditional DE techniques using fifteen benchmark functions. The new variant DiDE exhibited much superior outcomes compared to traditional approaches. The novel approach was then applied on remote sensing imagery collected form TEMIS, a web based service for atmospheric satellite images and the image was segmented. Fuzzy Tsallis entropy method of multi-level thresholding technique is applied over DiDE to develop image segmentation. The outcomes obtained were related with the segmented results using traditional DE and the outcome attained was found to be improved profoundly. Experimental results illustrate that by acquainting DiDE in multilevel thresholding, the computational delay was greatly condensed and the image quality was significantly improved.

An efficient multilevel thresholding segmentation method based on improved chimp optimization algorithm

To improve the traditional image segmentation, an efficient multilevel thresholding segmentation method based on improved Chimp Optimization Algorithm (IChOA) is developed in this paper. Kapur entropy is utilized as the objective function. The best threshold values for RGB images’ three channels are found using IChOA. Meanwhile, several strategies are introduced including population initialization strategy combining with Gaussian chaos and opposition-based learning, the position update mechanism of particle swarm algorithm (PSO), the Gaussian-Cauchy mutation and the adaptive nonlinear strategy. These methods enable the IChOA to raise the diversity of the population and enhance both the exploration and exploitation. Additionally, the search ability, accuracy and stability of IChOA have been significantly enhanced. To prove the superiority of the IChOA based multilevel thresholding segmentation method, a comparison experiment is conducted between IChOA and 5 six meta-heuristic algorithms using 12 test functions, which fully demonstrate that IChOA can obtain high-quality solutions and almost does not suffer from premature convergence. Furthermore, by using 10 standard test images the IChOA-based multilevel thresholding image segmentation method is compared with other peers and evaluated the segmentation results using 5 evaluation indicators with the average fitness value, PSNR, SSIM, FSIM and computational time. The experimental results reveal that the presented IChOA-based multilevel thresholding image segmentation method has tremendous potential to be utilized as an image segmentation method for color images because it can be an effective swarm intelligence optimization method that can maintain a delicate balance during the segmentation process of color images.

Artificial intelligence optimized image segmentation techniques for renal cyst detection

The vast number of image modalities available nowadays has given rise and access to a number of medical images. These images perhaps suffer issues such as low contrast, noise, ill-defined boundaries and poor visualisation. Therefore, a need for effective segmentation arises. Medical image segmentation plays a significant role in identifying a disorder, treatment planning, routine follow ups and computer-guided surgery respectively. The paper presents automatic medical image segmentation to overcome the imaging concerns and demarcate each notch & boundary in an image. The proposed algorithm identifies the existing kidney cyst precisely as they may be related to extreme disorders that may affect kidney function. The algorithm has been further tested on automatic segmentation using Genetic Algorithm, Ant Colony Optimisation and Fuzzy C Means Clustering. In terms of visualisation of valuable pathology, GA stands out and further helps in better assessment of the extent of the disease providing with better representation of the kidney cysts thereby giving a better diagnostic assurance and understanding of the nature of any disorder helping the medical practitioners as well as the patients. Experimental results on segmentation of kidney CT images conclusively demonstrate that the Genetic Algorithm is much more effective and robust.

DCAU-Net: dense convolutional attention U-Net for segmentation of intracranial aneurysm images

Segmentation of intracranial aneurysm images acquired using magnetic resonance angiography (MRA) is essential for medical auxiliary treatments, which can effectively prevent subarachnoid hemorrhages. This paper proposes an image segmentation model based on a dense convolutional attention U-Net, which fuses deep and rich semantic information with shallow-detail information for adaptive and accurate segmentation of MRA-acquired aneurysm images with large size differences. The U-Net model serves as a backbone, combining dense block and convolution block attention module (CBAM). The dense block is composed of a batch normalization layer, an randomly rectified linear unit activation function, and a convolutional layer, for mitigation of vanishing gradients, for multiplexing of aneurysm features, and for improving the network training efficiency. The CBAM is composed of a channel attention module and a spatial attention module, improving the segmentation performance of feature discrimination and enhancing the acquisition of key feature information. Owing to the large variation of aneurysm sizes, multi-scale fusion is performed during up-sampling, for adaptive segmentation of MRA-acquired aneurysm images. The model was tested on the MICCAI 2020 ADAM dataset, and its generalizability was validated on the clinical aneurysm dataset (aneurysm sizes: < 3 mm, 3–7 mm, and > 7 mm) supplied by the Affiliated Hospital of Qingdao University. A good clinical application segmentation performance was demonstrated.

A bibliometric of publication trends in medical image segmentation: Quantitative and qualitative analysis

PURPOSE

Medical images are important in diagnosing disease and treatment planning. Computer algorithms that describe anatomical structures that highlight regions of interest and remove unnecessary information are collectively known as medical image segmentation algorithms. The quality of these algorithms will directly affect the performance of the following processing steps. There are many studies about the algorithms of medical image segmentation and their applications, but none involved a bibliometric of medical image segmentation.

METHODS

This bibliometric work investigated the academic publication trends in medical image segmentation technology. These data were collected from the Web of Science (WoS) Core Collection and the Scopus. In the quantitative analysis stage, important visual maps were produced to show publication trends from five different perspectives including annual publications, countries, top authors, publication sources, and keywords. In the qualitative analysis stage, the frequently used methods and research trends in the medical image segmentation field were analyzed from 49 publications with the top annual citation rates.

RESULTS

The analysis results showed that the number of publications had increased rapidly by year. The top related countries include the Chinese mainland, the United States, and India. Most of these publications were conference papers, besides there are also some top journals. The research hotspot in this field was deep learning-based medical image segmentation algorithms based on keyword analysis. These publications were divided into three categories: reviews, segmentation algorithm publications, and other relevant publications. Among these three categories, segmentation algorithm publications occupied the vast majority, and deep learning neural network-based algorithm was the research hotspots and frontiers.

CONCLUSIONS

Through this bibliometric research work, the research hotspot in the medical image segmentation field is uncovered and can point to future research in the field. It can be expected that more researchers will focus their work on deep learning neural network-based medical image segmentation.

EvoSeg: Automated Electron Microscopy Segmentation through Random Forests and Evolutionary Optimization

Electron Microscopy Maps are key in the study of bio-molecular structures, ranging from borderline atomic level to the sub-cellular range. These maps describe the envelopes that cover possibly a very large number of proteins that form molecular machines within the cell. Within those envelopes, we are interested to find what regions correspond to specific proteins so that we can understand how they function, and design drugs that can enhance or suppress a process that they are involved in, along with other experimental purposes. A classic approach by which we can begin the exploration of map regions is to apply a segmentation algorithm. This yields a mask where each voxel in 3D space is assigned an identifier that maps it to a segment; an ideal segmentation would map each segment to one protein unit, which is rarely the case. In this work, we present a method that uses bio-inspired optimization, through an Evolutionary-Optimized Segmentation algorithm, to iteratively improve upon baseline segments obtained from a classical approach, called watershed segmentation. The cost function used by the evolutionary optimization is based on an ideal segmentation classifier trained as part of this development, which uses basic structural information available to scientists, such as the number of expected units, volume and topology. We show that a basic initial segmentation with the additional information allows our evolutionary method to find better segmentation results, compared to the baseline generated by the watershed.

FAU-Net: Fixup Initialization Channel Attention Neural Network for Complex Blood Vessel Segmentation

Medical image segmentation based on deep learning is a central research issue in the field of computer vision. Many existing segmentation networks can achieve accurate segmentation using fewer data sets. However, they have disadvantages such as poor network flexibility and do not adequately consider the interdependence between feature channels. In response to these problems, this paper proposes a new de-normalized channel attention network, which uses an improved de-normalized residual block structure and a new channel attention module in the network for the segmentation of sophisticated vessels. The de-normalized network sends the extracted rough features to the channel attention network. The channel attention module can explicitly model the interdependence between channels and pay attention to the correlation with crucial information in multiple feature channels. It can focus on the channels with the most association with vital information among multiple feature channels, and get more detailed feature results. Experimental results show that the network proposed in this paper is feasible, is robust, can accurately segment blood vessels, and is particularly suitable for complex blood vessel structures. Finally, we compared and verified the network proposed in this paper with the state-of-the-art network and obtained better experimental results.

Brain Tumor Detection Based on Multilevel 2D Histogram Image Segmentation Using DEWO Optimization Algorithm

Brain tumor detection from magnetic resonance (MR)images is a tedious task but vital for early prediction of the disease which until now is solely based on the experience of medical practitioners. Multilevel image segmentation is a computationally simple and efficient approach for segmenting brain MR images. Conventional image segmentation does not consider the spatial correlation of image pixels and lacks better post-filtering efficiency. This study presents a Renyi entropy-based multilevel image segmentation approach using a combination of differential evolution and whale optimization algorithms (DEWO) to detect brain tumors. Further, to validate the efficiency of the proposed hybrid algorithm, it is compared with some prominent metaheuristic algorithms in recent past using between-class variance and the Tsallis entropy functions. The proposed hybrid algorithm for image segmentation is able to achieve better results than all the other metaheuristic algorithms in every entropy-based segmentation performed on brain MR images.

Segmentation of MR Brain Images Through Hidden Markov Random Field and Hybrid Metaheuristic Algorithm

Image segmentation is one of the most critical tasks in Magnetic Resonance (MR) images analysis. Since the performance of most current image segmentation methods is suffered by noise and intensity non-uniformity artifact (INU), a precise and artifact resistant method is desired. In this work, we propose a new segmentation method combining a new Hidden Markov Random Field (HMRF) model and a novel hybrid metaheuristic method based on Cuckoo search (CS) and Particle swarm optimization algorithms (PSO). The new model uses adaptive parameters to allow balancing between the segmented components of the model. In addition, to improve the quality of searching solutions in the Maximum a posteriori (MAP) estimation of the HMRF model, the hybrid metaheuristic algorithm is introduced. This algorithm takes into account both the advantages of CS and PSO algorithms in searching ability by cooperating them with the same population in a parallel way and with a solution selection mechanism. Since CS and PSO are performing exploration and exploitation in the search space, respectively, hybridizing them in an intelligent way can provide better solutions in terms of quality. Furthermore, initialization of the population is carefully taken into account to improve the performance of the proposed method. The whole algorithm is evaluated on benchmark images including both the simulated and real MR brain images. Experimental results show that the proposed method can achieve satisfactory performance for images with noise and intensity inhomogeneity, and provides better results than its considered competitors.

A Survey on Computer-Aided Diagnosis of Brain Disorders through MRI Based on Machine Learning and Data Mining Methodologies with an Emphasis on Alzheimer Disease Diagnosis and the Contribution of the Multimodal Fusion

Computer-aided diagnostic (CAD) systems use machine learning methods that provide a synergistic effect between the neuroradiologist and the computer, enabling an efficient and rapid diagnosis of the patient’s condition. As part of the early diagnosis of Alzheimer’s disease (AD), which is a major public health problem, the CAD system provides a neuropsychological assessment that helps mitigate its effects. The use of data fusion techniques by CAD systems has proven to be useful, they allow for the merging of information relating to the brain and its tissues from MRI, with that of other types of modalities. This multimodal fusion refines the quality of brain images by reducing redundancy and randomness, which contributes to improving the clinical reliability of the diagnosis compared to the use of a single modality. The purpose of this article is first to determine the main steps of the CAD system for brain magnetic resonance imaging (MRI). Then to bring together some research work related to the diagnosis of brain disorders, emphasizing AD. Thus the most used methods in the stages of classification and brain regions segmentation are described, highlighting their advantages and disadvantages. Secondly, on the basis of the raised problem, we propose a solution within the framework of multimodal fusion. In this context, based on quantitative measurement parameters, a performance study of multimodal CAD systems is proposed by comparing their effectiveness with those exploiting a single MRI modality. In this case, advances in information fusion techniques in medical imagery are accentuated, highlighting their advantages and disadvantages. The contribution of multimodal fusion and the interest of hybrid models are finally addressed, as well as the main scientific assertions made, in the field of brain disease diagnosis.

Impact of circadian tuning on the illuminance and color uniformity of a multichannel luminaire with spatially optimized LED placement

Potential advantages offered by multichannel luminaires with regards to spectral tuning are frequently overshadowed by its design challenges, a major one being the non-uniformity in illuminance and color distribution. In this paper, we present a formulation using genetic algorithm (GA) to optimize the Light Emitting Diode (LED) placement, yielding 40% superior uniformity in illuminance and color distributions compared to existing analytical formulations, substantially reducing the reliance on optical design for this purpose. It is specifically shown that our approach is employable for circadian tuning applications, even when heavily constrained by industry specifications on panel size and minimum LED separation.

Comparative Approach of MRI-Based Brain Tumor Segmentation and Classification Using Genetic Algorithm

The detection of a brain tumor and its classification from modern imaging modalities is a primary concern, but a time-consuming and tedious work was performed by radiologists or clinical supervisors. The accuracy of detection and classification of tumor stages performed by radiologists is depended on their experience only, so the computer-aided technology is very important to aid with the diagnosis accuracy. In this study, to improve the performance of tumor detection, we investigated comparative approach of different segmentation techniques and selected the best one by comparing their segmentation score. Further, to improve the classification accuracy, the genetic algorithm is employed for the automatic classification of tumor stage. The decision of classification stage is supported by extracting relevant features and area calculation. The experimental results of proposed technique are evaluated and validated for performance and quality analysis on magnetic resonance brain images, based on segmentation score, accuracy, sensitivity, specificity, and dice similarity index coefficient. The experimental results achieved 92.03% accuracy, 91.42% specificity, 92.36% sensitivity, and an average segmentation score between 0.82 and 0.93 demonstrating the effectiveness of the proposed technique for identifying normal and abnormal tissues from brain MR images. The experimental results also obtained an average of 93.79% dice similarity index coefficient, which indicates better overlap between the automated extracted tumor regions with manually extracted tumor region by radiologists.

A fast segmentation-free fully automated approach to white matter injury detection in preterm infants

White matter injury (WMI) is the most prevalent brain injury in the preterm neonate leading to developmental deficits. However, detecting WMI in magnetic resonance (MR) images of preterm neonate brains using traditional WM segmentation-based methods is difficult mainly due to lack of reliable preterm neonate brain atlases to guide segmentation. Hence, we propose a segmentation-free, fast, unsupervised, atlas-free WMI detection method. We detect the ventricles as blobs using a fast linear maximally stable extremal regions algorithm. A reference contour equidistant from the blobs and the brain-background boundary is used to identify tissue adjacent to the blobs. Assuming normal distribution of the gray-value intensity of this tissue, the outlier intensities in the entire brain region are identified as potential WMI candidates. Thereafter, false positives are discriminated using appropriate heuristics. Experiments using an expert-annotated dataset show that the proposed method runs 20 times faster than our earlier work which relied on time-consuming segmentation of the WM region, without compromising WMI detection accuracy. Graphical Abstract Key Steps of Segmentation-free WMI Detection.

Evolution-based hierarchical feature fusion for ultrasonic liver tissue characterization

This paper presents an evolution-based hierarchical feature fusion system that selects the dominant features among multiple feature vectors for ultrasonic liver tissue characterization. After extracting the spatial gray-level dependence matrices, multiresolution fractal feature vectors and multiresolution energy feature vectors, the system utilizes evolution-based algorithms to select features. In each feature space, features are selected independently to compile a feature subset. As the features of different feature vectors contain complementary information, a feature fusion process is used to combine the subsets generated from different vectors. Features are then selected from the fused feature vector to form a fused feature subset. The selected features are used to classify ultrasonic images of liver tissue into three classes: hepatoma, cirrhosis, and normal liver. Experiment results show that the classification accuracy of the fused feature subset is superior to that derived by using individual feature subsets. Moreover, the findings demonstrate that the proposed algorithm is capable of selecting discriminative features among multiple feature vectors to facilitate the early detection of hepatoma and cirrhosis via ultrasonic liver imaging.

An evolutionary approach for image segmentation

The paper explores the use of evolutionary techniques in dealing with the image segmentation problem. An image is modeled as a weighted undirected graph, where nodes correspond to pixels, and edges connect similar pixels. A genetic algorithm that uses a fitness function based on an extension of the normalized cut criterion is proposed. The algorithm employs the locus-based representation of individuals, which allows for the partitioning of images without setting the number of segments beforehand. A new concept of nearest neighbor that takes into account not only the spatial location of a pixel, but also the affinity with the other pixels contained in the neighborhood, is also defined. Experimental results show that our approach is able to segment images in a number of regions that conform well to human visual perception. The visual perceptiveness is substantiated by objective evaluation methods based on uniformity of pixels inside a region, and comparison with ground-truth segmentations available for part of the used test images.

A MULTISCALE PHASE FIELD METHOD FOR JOINT SEGMENTATION-RIGID REGISTRATION — APPLICATION TO MOTION ESTIMATION OF HUMAN KNEE JOINT

Image based registration of rigid objects has been frequently addressed in the literature to obtain an object's motion parameters. In this paper, a new approach of joint segmentation-rigid registration, within the variational framework of the phase field approximation of the Mumford-Shah's functional, is proposed. The defined functional consists of two Mumford-Shah equations, extracting the discontinuity set of the reference and target images due to a rigid spatial transformation. Multiscale minimization of the proposed functional after finite element discretization provided a sub-pixel, robust algorithm for edge extraction as well as edge based rigid registration. The implementation considerations of the proposed method, including memory usage, convergence rate and effects of parameters selection, was discussed and its efficacy was examined in a comprehensive set of synthetic, phantom and clinical experiments. It was found that the proposed joint segmentation-rigid registration method provides improved results, in comparison with the currently available methods which are often based on maximizing images similarities, especially when the reference and target images are of different qualities. A high registration accuracy was obtained when estimating the knee joint kinematics through MR images taken at different joint configurations. It was concluded that the proposed method can be effectively used in applications where 3D image registration of rigid objects is concerned, e.g. for estimation of the motion parameters of human joints.

A Modified Watershed Segmentation Method to Segment Renal Calculi in Ultrasound Kidney Images

Segmentation of stones from abdominal ultrasound images is a unique challenge to the researchers because these images have heavy speckle noise and attenuated artifacts. In the previous renal calculi segmentation method, the stones were segmented from the medical ultra sound kidney stone images using Adaptive Neuro Fuzzy Inference System (ANFIS). But, the method lacks in sensitivity and specificity measures. The segmentation method is inadequate in its performance in terms of these two parameters. So, to avoid these drawbacks, a new segmentation method is proposed in this paper. Here, new region indicators and new modified watershed transformation is utilized. The proposed method is comprised of four major processes, namely, preprocessing, determination of outer and inner region indictors, modified watershed segmentation with ANFIS performance. The method is implemented and the results are analyzed in terms of various statistical performance measures. The results show the effectiveness of proposed segmentation method in segmenting the kidney stones and the achieved improvement in sensitivity and specificity measures. Furthermore, the performance of the proposed technique is evaluated by comparing with the other segmentation methods.

Medial-based deformable models in nonconvex shape-spaces for medical image segmentation

We explore the application of genetic algorithms (GA) to deformable models through the proposition of a novel method for medical image segmentation that combines GA with nonconvex, localized, medial-based shape statistics. We replace the more typical gradient descent optimizer used in deformable models with GA, and the convex, implicit, global shape statistics with nonconvex, explicit, localized ones. Specifically, we propose GA to reduce typical deformable model weaknesses pertaining to model initialization, pose estimation and local minima, through the simultaneous evolution of a large number of models. Furthermore, we constrain the evolution, and thus reduce the size of the search-space, by using statistically-based deformable models whose deformations are intuitive (stretch, bulge, bend) and are driven in terms of localized principal modes of variation, instead of modes of variation across the entire shape that often fail to capture localized shape changes. Although GA are not guaranteed to achieve the global optima, our method compares favorably to the prevalent optimization techniques, convex/nonconvex gradient-based optimizers and to globally optimal graph-theoretic combinatorial optimization techniques, when applied to the task of corpus callosum segmentation in 50 mid-sagittal brain magnetic resonance images.