1. A computer-implemented method for triple region image segmentation on a picture archiving and communication system, said method comprising: forming, using a processor, an initial contour for an image including three regions using principal component analysis and a support vector machine, the principal component analysis extracting features from the image, the extracted image features used to form reduced dimension feature vectors for use by the support vector machine to form the initial contour, wherein one or more reference images are used to train the support vector machine to form the initial contour after principal component analysis of the image; segmenting, using a processor, the image into three regions using a single level set function based on the initial contour; and a supervised segmentation engine using one or more reference images to train the support vector machine to form the initial contour after principal component analysis of the image, the principal component analysis extracting features from the image, wherein extracted image features are used to form reduced dimension feature vectors for use by the support vector machine to form the initial contour.