  Multi-atlas segmentation is a widely used tool in medical image analysis,
providing robust and accurate results by learning from annotated atlas
datasets. However, the availability of fully annotated atlas images for
training is limited due to the time required for the labelling task.
Segmentation methods requiring only a proportion of each atlas image to be
labelled could therefore reduce the workload on expert raters tasked with
annotating atlas images. To address this issue, we first re-examine the
labelling problem common in many existing approaches and formulate its solution
in terms of a Markov Random Field energy minimisation problem on a graph
connecting atlases and the target image. This provides a unifying framework for
multi-atlas segmentation. We then show how modifications in the graph
configuration of the proposed framework enable the use of partially annotated
atlas images and investigate different partial annotation strategies. The
proposed method was evaluated on two Magnetic Resonance Imaging (MRI) datasets
for hippocampal and cardiac segmentation. Experiments were performed aimed at
(1) recreating existing segmentation techniques with the proposed framework and
(2) demonstrating the potential of employing sparsely annotated atlas data for
multi-atlas segmentation.
