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Elsevier Lago, MA.; Rupérez Moreno, MJ.; Martínez Martínez, F.; Monserrat Aranda, C.; Larra, E.; Gueell, JL.; Peris-Martinez, C. (2015). A new methodology for the in vivo estimation of the elastic constants that characterize the patient-specific biomechanical behavior of the human cornea. Journal of Biomechanics. 48(1): 38-43. doi:10.1016/j.jbiomech.2014.11.009. A new methodology for the in-vivo estimation of the elastic constants that characterize the patient-specific biomechanical behavior of the human cornea AbstractThis work presents a methodology for the in-vivo characterization of the complete biomechanical behavior of the human cornea of each patient. Specifically, the elastic constants of a hyperelastic, second-order Ogden model were estimated for 24 corneas corresponding to 12 patients. The finite element method was applied to simulate the deformation of human corneas due to non-contact tonometry, and an iterative search controlled by a genetic heuristic was used to estimate the elastic parameters that most closely approximates the simulated deformation to the real one. The results from a synthetic experiment showed that these parameters can be estimated with an error of about 5%. The results of 24 in-vivo corneas showed an overlap of about 90% between simulation and real deformed cornea and a modified Hausdorff distance of 25µm, which indicates the great accuracy of the proposed methodology.

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Elsevier Lago, MA.; Rupérez Moreno, MJ.; Martínez Martínez, F.; Monserrat Aranda, C.; Larra, E.; Gueell, JL.; Peris-Martinez, C. (2015). A new methodology for the in vivo estimation of the elastic constants that characterize the patient-specific biomechanical behavior of the human cornea. Journal of Biomechanics. 48(1): 38-43. doi:10.1016/j.jbiomech.2014.11.009. A new methodology for the in-vivo estimation of the elastic constants that characterize the patient-specific biomechanical behavior of the human cornea AbstractThis work presents a methodology for the in-vivo characterization of the complete biomechanical behavior of the human cornea of each patient. Specifically, the elastic constants of a hyperelastic, second-order Ogden model were estimated for 24 corneas corresponding to 12 patients. The finite element method was applied to simulate the deformation of human corneas due to non-contact tonometry, and an iterative search controlled by a genetic heuristic was used to estimate the elastic parameters that most closely approximates the simulated deformation to the real one. The results from a synthetic experiment showed that these parameters can be estimated with an error of about 5%. The results of 24 in-vivo corneas showed an overlap of about 90% between simulation and real deformed cornea and a modified Hausdorff distance of 25µm, which indicates the great accuracy of the proposed methodology.

Model observers have a long history of success in predicting human observer performance in clinically-relevant detection tasks. New 3D image modalities provide more signal information but vastly increase the search space to be scrutinized. Here, we compared standard linear model observers (ideal observers, non-pre-whitening matched filter with eye filter, and various versions of Channelized Hotelling models) to human performance searching in 3D 1/f 2.8 filtered noise images and assessed its relationship to the more traditional location known exactly detection tasks and 2D search. We investigated two different signal types that vary in their detectability away from the point of fixation (visual periphery). We show that the influence of 3D search on human performance interacts with the signal's detectability in the visual periphery. Detection performance for signals difficult to detect in the visual periphery deteriorates greatly in 3D search but not in 3D location known exactly and 2D search. Standard model observers do not predict the interaction between 3D search and signal type. A proposed extension of the Channelized Hotelling model (foveated search model) that processes the image with reduced spatial detail away from the point of fixation, explores the image through eye movements, and scrolls across slices can successfully predict the interaction observed in humans and also the types of errors in 3D search. Together, the findings highlight the need for foveated model observers for image quality evaluation with 3D search.

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The field of medical image quality has relied on the assumption that metrics of image quality for simple visual detection tasks are a reliable proxy for the more clinically realistic visual search tasks. Rank order of signal detectability across conditions often generalizes from detection to search tasks. Here, we argue that search in 3D images represents a paradigm shift in medical imaging: radiologists typically cannot exhaustively scrutinize all regions of interest with the high acuity fovea requiring detection of signals with extra-foveal areas (visual periphery) of the human retina. We hypothesize that extra-foveal processing can alter the detectability of certain types of signals in medical images with important implications for search in 3D medical images. We compare visual search of two different types of signals in 2D vs. 3D images. We show that a small microcalcification-like signal is more highly detectable than a larger mass-like signal in 2D search, but its detectability largely decreases (relative to the larger signal) in the 3D search task. Utilizing measurements of observer detectability as a function retinal eccentricity and observer eye fixations we can predict the pattern of results in the 2D and 3D search studies. Our findings: 1) suggest that observer performance findings with 2D search might not always generalize to 3D search; 2) motivate the development of a new family of model observers that take into account the inhomogeneous visual processing across the retina (foveated model observers).

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