This document describes a narrow band region approach for 2D and 3D image segmentation using deformable curves and surfaces. Specifically, it develops a region energy term involving a fixed-width band around the evolving curve or surface. This energy achieves a balance between local gradient features and global region statistics. The region energy is formulated to allow efficient computation on explicit parametric models and implicit level set models. Two different region terms are introduced, each suited to different configurations of the target object and its surroundings. The document derives the mathematical framework for computing the region energies and their gradients to allow minimization via gradient descent. It then discusses numerical implementations and provides experiments segmenting medical and natural images.