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Fig 1.

Generalized block diagram of proposed LCM based automatic Cobb angle measurement method.

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Fig 2.

Region of interest cropping from the original image.

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Fig 3.

Method of CM computation on an image, Cn = {Cn,1, Cn,2, …Cn,4} of the nth pixel of k = 4iterations.

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Fig 4.

Principle of calculated centre of mass: (a) Intensity profile of an image (fn, blue) calculated local CM (Cn, red) and the identity line (n, dotted green) (b) Calculated weighting (Wm,n) of centre of mass.

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Fig 5.

Cobb angle calculation procedure: (a) Centre curve, marking centre point and point of intersection; (b) Cobb angle calculation method on spine image.

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Fig 6.

Algorithm flow chart to find Cobb angle for image directory.

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Fig 7.

X-ray Image Segmentation of Scoliosis in (a) Thoracic region (b) Thoraco-Lumbar region.

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Fig 8.

Left: Intensity profile of the horizontal blue line in Fig 7 (top, left), indicated in blue. Additionally, the local CM in red and the identity line as a dotted green line are presented. Right: Depiction of the weighting (wm,n).

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Table 1.

Optimal values of the parameters chosen for the two methods.

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Table 2.

Quantitative analysis of LCM and GMM-HMRF segmentation methods.

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Fig 9.

Background subtraction process to separate spinal region: (a) input spine image; (b) LCM segmented image with predefined colors; (c) binary matrix of the mask; (d) cropped image after background subtraction; (e) after canny edge detection; (f) center line marking.

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Fig 10.

Measurement of Cobb angle using the proposed method on various scoliosis cases.

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Fig 11.

The bias of measured Cobb angle from the actual angle obtained from ground truth images for 50 subjects.

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