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The morphological skeleton interpolation (MSI) algorithm is presented. It is an efficient, shape-based interpolation method used for interpolating slices in a three-dimensional (3-D) binary object. It is based on morphological skeletonization, which is used for two-dimensional (2-D) slice representation. The proposed morphological skeleton matching process provides translation, rotation, and scaling information at the same time. The interpolated slices preserve the shape of the original object slices, when the slices have similar shapes. It can also modify the shape of an object when the successive slices do not have similar shapes. Applications on artificial and real data are also presented.