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Fitting statistical models is a widely employed technique for the segmentation of medical images. While this approach gives impressive results for simple structures, shape models are often not flexible enough to accurately represent complex shapes. We present a fitting approach, which increases the model fitting accuracy without requiring a larger training data-set. Inspired by a local regression approach known from statistics, our method fits the full model to a neighborhood around each point of the domain. This increases the model's flexibility considerably without the need to introduce an artificial segmentation of the structure. By adapting the size of the neighborhood from small to large, we can smoothly interpolate between localized fits, which accurately map the data but are more prone to noise, and global fits, which are less flexible but constrained to valid shapes only. We applied our method for the segmentation of teeth from 3D cone-beam et-scans. Our experiments confirm that our method consistently increases the precision of the segmentation result compared to a standard global fitting approach.
