Systems and methods for image cropping and anatomical structure segmentation in medical imaging

One or more medical images of a patient are processed by a first neural network model to determine a region-of-interest (ROI) or a cut-off plane. Information from the first neural network model is used to crop the medical images, which serves as input to a second neural network model. The second neural network model processes the cropped medical images to determine contours of anatomical structures in the medical images of the patient. Each of the first and second neural network models are deep neural network models. By use of cropped images in the training and inference phases of the second neural network model, contours are produced with sharp edges or flat surfaces.