摘要： In this paper, an improved fuzzy connectedness (FC) method was proposed for automatic three-dimensional (3D) liver vessel segmentation in computed tomography (CT) images. The vessel-enhanced image (i.e., vesselness image) was incorporated into the fuzzy a?nity function of FC, rather than the intensity image used by traditional FC. An improved vesselness ?lter was proposed by incorporating adaptive sigmoid ?ltering and a background-suppressing item. The fuzzy scene of FC was automatically initialized by using the Otsu segmentation algorithm and one single seed generated adaptively, while traditional FC required multiple seeds. The improved FC method was evaluated on 40 cases of clinical CT volumetric images from the 3Dircadb (n ? 20) and Sliver07 (n ? 20) datasets. Experimental results showed that the proposed liver vessel segmentation strategy could achieve better segmentation performance than traditional FC, region growing, and threshold level set. Average accuracy, sensitivity, speci?city, and Dice coe?cient of the improved FC method were, respectively, (96.4 ± 1.1)%, (73.7 ± 7.6)%, (97.4 ± 1.3)%, and (67.3 ± 5.7)% for the 3Dircadb dataset and (96.8 ± 0.6)%, (89.1 ± 6.8)%, (97.6 ± 1.1)%, and (71.4 ± 7.6)% for the Sliver07 dataset. It was concluded that the improved FC may be used as a new method for automatic 3D segmentation of liver vessel from CT images.