The clinical implementation of conformal radiotherapy and IMRT has substantially increased the demand for automated contouring tools. The contouring for head and neck (HN) treatment planning requires many hours of meticulous manual delineation on individual slices of CT data. The objective of this work is to develop and assess an automated method to efficiently and accurately delineate organs-at-risk and uninvolved (N0) lymph node regions in the head and neck. A model-based segmentation framework was developed that deforms a standard HN model to conform to the corresponding structures in individual CT data using a minimum of manual segmentation. Planning CT data of seven patients with small volume primary disease (T1-2) in the nasopharynx, oropharynx, or glottis and N0 levels I-V were retrospectively selected. These patients had normal organs-at-risk and preserved N0 lymph node anatomy to limit the degree of geometrical variability for an initial segmentation study. Manual contouring was carried out for external contour, brain, brainstem, spinal cord, parotids, mandible, clavicles, and N0 lymph node regions Ib-V (International Consensus Guidelines) for all patients. The Ib-V nodal contours were combined to form single right and left volumes. In addition, for model generation, the anatomically bounding structures of the nodal regions such as submandibular gland and hyoid were contoured in two cases. The model stored a multi-modal set of prior knowledge: typical shape of each structure represented by surface meshes, geometrical orientation of structures with respect to one another, and object-specific CT contrast characteristics as a function of location on the mesh surfaces. The model generated from the first case was applied to the remaining cases. The 2nd case was used for model generation to assess the accuracy of the segmentation method for the first case. After manual translation and rotation of the model to the CT anatomy of each case, the algorithm automatically deformed the model to adapt to corresponding boundaries in the image. The algorithm only required manual segmentation of the parotids for anatomical guidance. The segmentation accuracy of the node regions was assessed by compiling the distances between each point on the surface of the auto-segmentation and the closest point on the manual contours. The duration of the procedure was recorded. The average discrepancy between automated and manual segmentation was .24 ± .28 cm (SD) for left Ib-V, and .21 ± .23 cm (SD) for right Ib-V. The maximum error ranged from 1.9 cm (left level V) to 0.7 cm (right level III). On average, 75% (left) and 84% (right) of the nodal area surfaces were within .3 cm distance of the manual contours. The entire segmentation procedure (positioning and adaptation) was performed on average within 118 seconds ± 46 seconds (SD). A model-based segmentation method was developed and quantitatively evaluated for lymph node regions from CT images in the head and neck. Future work will increase the degree of automation, and expand the applicability of the model to include patients with normal variations in anatomy, accommodation of primary disease, and variable degree of nodal involvement as well as consistency and efficiency of output.