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Fig 1.

Patients with retinoblastoma.

(a)-(b) Two example patients imaged with 3D T1-Weighted (T1w) VIBE & T2-Weighted (T2w) MRI (c) The eye lens (dark blue), vitreous humor (red) and sclera / cornea (light blue) are highlighted. Endophytic tumors delineated in yellow. All annotated regions were delineated manually by an expert radiologist.

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Fig 1 Expand

Fig 2.

Proposed framework for automatic whole eye segmentation.

T1w and T2w 3D volumes are combined with EPSF features. These features are used to train a RF / Convolutional Neural Network (CNN) classifier, serving as the data term in Graph-Cut optimization.

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Fig 2 Expand

Fig 3.

Learning a Pathological Eye Model (PM).

We follow the steps in [15] to (a) automatically detect the eye in the 3D MRI, followed by a set of b) image pre-processing techniques to learn information of pathological and healthy structures jointly using c) intensity profiles containing pathological information.

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Fig 3 Expand

Table 1.

Eye anatomy DSC: Our Pathological Model (PM) shows more accurate results than the Healthy Model (HM) from [15] and the Combined Model (CM), especially for the region of the lens.

(*) p < 0.05. The table indicates both the Dice Similarity Coefficient (DSC) and the maximum surface segmentation error or Hausdorff Distance (HD), in mm.

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Table 1 Expand

Fig 4.

Classification performance.

(a) ROC curve depicting the effect of varying amounts of (training/test) data for RF classification with and without EPSF. (b) ROC curve for both experiments (CNN / RF) with STD and with EPSF. (c) DSC tumor segmentation results for STD vs. EPSF. The latter shows better results for both cases (** = p < 0.01).

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Table 2.

DSC performance for different scenarios before and after Graph-cut (GC) inference.

Hausdorff Distance (HD) and Mean Distance Error after GC inference. Complete results in S1 Table. Experiments were computed on ⋄: Macbook Pro Intel-Core™ i7 16GB—2, 5 GHZ & †: Intel-Core™ i7 6700 32GB with Nvidia GTX Titan X®.

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Table 2 Expand

Fig 5.

DSC vs. Tumor size.

Average results for different combination of classifiers and feature sets. EPSF improves overall classification results over STD features consistently.

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Fig 5 Expand

Fig 6.

Example segmentation results.

the tumor ground truth is delineated in red. Probability Maps, P(fi|Yi), for worst (RF-STD) and best (CNN-EPSF) scenarios. Final column shows the pathological model (PM) eye segmentation results.

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Fig 6 Expand