Objective To study a semi-automatic segmentation framework for liver complex lesion in CT images. Methods A multiphase level set method of image segmentation based on C-V model was proposed, which was in connection with the complex information in the pathological changes area of liver. Depending on the overall characteristics of the image, the active curve contour of C-V model stopped on the edge of objects. It was possible for the segmentation of multi-objects because multi-phase level set was drawn into. Simultaneously, the problem of overlapping and hollow caused by more level set function was avoided. Results The method behaved well in the segmentation of CT images of the liver lesion, two different area were separated. Conclusion The segmentation tests prove that the proposed segmenting method makes a good result.

Objective To investigate the expression of pepsin in vocal cord polyps and vocal cord cancer,and to compare the difference of pepsin expression.Methods From May 2020 to December 2021,27 patients with vocal cord polyp,27 patients with vocal cord cancer and 23 healthy volunteers were selected.RSI and RFS scoring scales were used for scoring,pepsin detection kit was used for saliva pepsin detection,and immunohistochemical methods were used to detect the expression of pepsin in vocal cord tissues of patients with vocal cord polyps and vocal cord cancer.Results The RSI score,RFS score and pepsin test kit results of vocal cord polyp group and vocal cord canc-er group were higher than those of non-vocal cord disease group,and the differences of the three indexes were statis-tically significant(P＜0.05).RSI score,pepsin detection kit results and pepsin immunohistochemistry results of vocal cord polyp group showed no significant difference compared with vocal cord cancer group(P＞0.05).The RFS score of vocal cord polyp group was significantly different from that of vocal cord cancer group(P＜0.05).Conclusion Pepsin may be an important pathogenic factor of vocal cord polyp and vocal cord cancer,and play an im-portant role in the occurrence of these two diseases.The difference of pepsin expression in vocal cord polyp and vo-cal cord cancer suggests that pepsin may have different pathogenesis.