“…In [17], a semiautomatic method based on the Bezier splines and the Canny edge detector was utilized to segment the knee cartilages from MR database. Knowledge-free methods have low accuracy level in the presence of noise and loss of information [14][15][16][17], while training-based methods are more accurate [6][7][8][9][10][11][12][13]. However, training-based methods have at least one of these limitations: (1) high user interaction needs [8], (2) effectiveness only for healthy cartilage datasets [8,9], (3) dependency on modality [6,7,[9][10][11][12][13], and (4) lack of attention to spatial relationship between the neighboring structures in order to increase the accuracy level and generalization ability [6,8,10,11].…”