I. Introduction
Computed tomography (CT) has become an indispensable diagnostic tool in recent years[1]. Accurate organ segmentation in CT images provides important support for disease diagnosis and quantitative analysis, surgical planning and navigation, monitoring of treatment effects, and various other clinical tasks. [2]. Semantic segmentation methods for CT images without metal implants have already achieved outstanding results. However, when metal artifacts are present in CT images, these artifacts can significantly degrade image quality, leading to numerous errors in the segmentation results. This issue is particularly challenging when metal implants of varying shapes and sizes are present in the body. Even after artifact reduction, CT images still contain metal implants and incomplete tissue structure edges. Conventional segmentation methods struggle to recognize the relevant features of metal and incomplete tissue structure edges in the images, leading to the misclassification of metal as tissue and the inability to effectively identify incomplete edges. Therefore, developing a segmentation method for CT images with reduced metal artifacts is an important research direction.