How to convert medical imaging data into CAD data?

Right now I select my preferred geometry out of a set of DICOM Images and build an STL model of spoken geometry. After that I tried to convert it into the IGES file format. This often times doenst work well, because the geometry is to complex.
I append the STL model of my geometry, so that you can see its complexity.

Therefor my question: Is it possible to generate an IGES model right out of my medical image set?

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Use reverse engineering software and convert manually. tedious process.

 
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