Abstract: Evaluating a pressure ulcer includes: detecting in a color input image a boundary of the pressure ulcer to get a RGB region of interest (ROI) image; converting the RGB ROI image to a grayscale ROI image; processing the grayscale ROI image using a Linear Combination of Discrete Gaussians (LCDG) process to estimate three main class probabilities of the grayscale ROI image; processing the RGB ROI image using predetermined RGB values to estimate the three main class probabilities of the RGB ROI image; and combining the probabilities of the grayscale ROI image and the probabilities of the RGB ROI image to determine an estimated labeled image; and normalizing and refining the estimated labeled image using a Generalized Gauss-Markov Random Field (GGMRF) process to produce a final segmentation image.