A new image segmentation model based on level sets approach is presented herein. We deal with radiographic medical images where boundaries are not salient, and objects of interest have the same gray level as other structures in the image. Thus, an a priori information about the shape we look for is integrated in the level set evolution for good segmentation results. The proposed model also accounts a penalization term that forces the level set to be close to a signed distance function (SDF), which then avoids the re-initialization procedure. In addition, a variant and complete Mumford-Shah model is used in our functional; the added Hausdorff measure helps to better handle zones where boundaries are occluded or not salient. Finally, a weighted area term is added to the functional to make the level set drive rapidly to object's boundaries. The segmentation model is formulated in a variational framework, which, thanks to calculus of variations, yields to partial differential equations (PDEs) to guide the level set evolution. Results obtained on both synthetic and digital radiographs reconstruction (DRR) show that the proposed model improves on existing prior and non-prior shape based image segmentation.