“…First, because of their large variability in shape and curvature between different patients, scoliotic ribs would not be properly detected using parametric curve fitting techniques [2,3,4,5] or parametric curve-searching algorithms such as the modified Hough transform [3,6]. Also, techniques using global spatial filtering and rib reconnection through rule-based reasoning [2,3,4,5,7] would often miss the edges at rib crossings near the rib cage border, due to high overlapping and locally reduced contrast. In addition, methods based on vertical profile analysis [4,5,8,9] would also encounter major Semi-Automatic Detection of Scoliotic Rib Borders From Postero-anterior Chest Radiographs Frédéric Plourde, Farida Cheriet, Associate Member, IEEE, Jean Dansereau S limitations, as they greatly rely on assumptions that the ribs are strictly horizontally-oriented (in their dorsal portions) and that the intercostal space is approximately constant from one rib to another, which is clearly not the case with scoliotic ribs, as observed in [10].…”