A method for segmentation of 2D structures in CT and MR images is provided. The method is based on 2D ray propagation by mean-shift analysis with a smoothness constraint. Ray propagation is used to guide an evolving curve due to its computational efficiency and shape priors are incorporated for robust convergence. The method includes the steps of receiving 2D image data; visualizing the 2D image data on a display device; selecting a structure in the 2D image data by placing a seed in the structure; initializing a plurality of rays from the seed to form a curve; determining a speed function of each of the rays; evolving the curve by propagating the rays based on the speed function of each of the rays; converging the rays on a boundary of the structure; and segmenting the structure when all of the rays have converged on the structure's boundary.