Image segmentation, the process of separating a digital image into multiple sections for individual examination, is frequently used in medical image analysis. For example, segmentation in ultrasound footage helps identify boundaries and regions of interest (ROI) that facilitate image interpretation. Efficient segmentation of ultrasound videos, however, is often complicated by low contrast, shadow effects, and complex "noise" statistics (unexplained variations). In addition, real-time applications such as navigation during operational surgery require efficient algorithms.