scholarly journals Hyperspectral index-based metric for burn depth assessment

2018 ◽  
Vol 9 (11) ◽  
pp. 5778 ◽  
Author(s):  
Sorin Viorel Parasca ◽  
Mihaela Antonina Calin ◽  
Dragos Manea ◽  
Sorin Miclos ◽  
Roxana Savastru
Keyword(s):  
Burn Depth ◽  
Burn Depth Assessment

Use of 816 consecutive burn wound biopsies to inform a histologic algorithm for burn depth categorization

2021 ◽  
Author(s):  
Herb A Phelan ◽  
James H Holmes IV ◽  
William L Hickerson ◽  
Clay J Cockerell ◽  
Jeffrey W Shupp ◽  
...  
Keyword(s):  
New Technologies ◽  
A Priori ◽  
Machine Learning Algorithms ◽  
Burn Wound ◽  
Prospective Multicenter Study ◽  
Reticular Dermis ◽  
Burn Wounds ◽  
Misclassification Rates ◽  
Burn Depth ◽  
Burn Depth Assessment

Abstract Introduction Burn experts are only 77% accurate when subjectively assessing burn depth, leaving almost a quarter of patients to undergo unnecessary surgery or conversely suffer a delay in treatment. To aid clinicians in burn depth assessment (BDA), new technologies are being studied with machine learning algorithms calibrated to histologic standards. Our group has iteratively created a theoretical burn biopsy algorithm (BBA) based on histologic analysis, and subsequently informed it with the largest burn wound biopsy repository in the literature. Here, we sought to report that process. Methods The was an IRB-approved, prospective, multicenter study. A BBA was created a priori and refined in an iterative manner. Patients with burn wounds assessed by burn experts as requiring excision and autograft underwent 4mm biopsies procured every 25cm 2. Serial still photos were obtained at enrollment and at excision intraoperatively. Burn biopsies were histologically assessed for presence/absence of epidermis, papillary dermis, reticular dermis, and proportion of necrotic adnexal structures by a dermatopathologist using H&E with whole slide scanning. First degree and superficial 2 nd degree were considered to be burn wounds likely to have healed without surgery, while deep 2 nd and 3 rd degree burns were considered unlikely to heal by 21 days. Biopsy pathology results were correlated with still photos by five burn experts for consensus of final burn depth diagnosis. Results Sixty-six subjects were enrolled with 117 wounds and 816 biopsies. The BBA was used to categorize subjects’ wounds into 4 categories: 7% of burns were categorized as 1 st degree, 13% as superficial 2 nd degree, 43% as deep 2 nd degree, and 37% as 3 rd degree. Therefore 20% of burn wounds were incorrectly judged as needing excision and grafting by the clinical team as per the BBA. As H&E is unable to assess the viability of papillary and reticular dermis, with time our team came to appreciate the greater importance of adnexal structure necrosis over dermal appearance in assessing healing potential. Conclusions Our study demonstrates that a BBA with objective histologic criteria can be used to categorize BDA with clinical misclassification rates consistent with past literature. This study serves as the largest analysis of burn biopsies by modern day burn experts and the first to define histologic parameters for BDA.

Dermoscopic insight into skin microcirculation – Burn depth assessment

Burns ◽  
2015 ◽  
Vol 41 (8) ◽  
pp. 1708-1716 ◽  
Author(s):  
Kyomi Mihara ◽  
Tomoko Nomiyama ◽  
Koji Masuda ◽  
Hajime Shindo ◽  
Maki Yasumi ◽  
...  
Keyword(s):  
Skin Microcirculation ◽  
Burn Depth ◽  
Insight Into ◽  
Burn Depth Assessment

Burn depth assessment by a cell-phone

2014 ◽  
Author(s):  
S. Ragol ◽  
I. Remer ◽  
Y. Shoham ◽  
S. Hazan ◽  
I. Sinelnikov ◽  
...  
Keyword(s):  
Cell Phone ◽  
A Cell ◽  
Burn Depth ◽  
Burn Depth Assessment

Burn depth assessment using hyperspectral imaging in a prospective single center study

Burns ◽  
2021 ◽  
Author(s):  
Torsten Schulz ◽  
Jörg Marotz ◽  
Sebastian Seider ◽  
Stefan Langer ◽  
Sebastian Leuschner ◽  
...  
Keyword(s):  
Hyperspectral Imaging ◽  
Single Center ◽  
Single Center Study ◽  
Burn Depth ◽  
Burn Depth Assessment ◽  
Center Study

Burn depth assessment

2019 ◽  
pp. 77-88
Author(s):  
Peter George Dziewulski ◽  
Quentin Frew
Keyword(s):  
Hypertrophic Scar ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Wound Care ◽  
Scar Formation ◽  
Wound Management ◽  
Burn Wound ◽  
Increased Risk ◽  
Burn Depth ◽  
Burn Depth Assessment

Burn depth assessment is key assessing healing potential and risk of scarring. It informs wound management and surgical planning. The dynamic and evolving nature of a burn wound can make this difficult. Burns which are likely to take longer than 3 weeks to heal have a significantly increased risk of hypertrophic scar formation leading to functional and aesthetic morbidity. Assessing healing potential allows the treating clinician to optimize wound care and the need for surgical intervention.

Confirmation of Accuracy and Deriviation of a New Color Palette for Laser Doppler Imaging in Burn Depth Assessment

2006 ◽  
Vol 27 (Supplement) ◽  
pp. S91
Author(s):  
R J. Spence ◽  
S J. Monstrey ◽  
D Wilson ◽  
J C. Jeng ◽  
H Hoeksema ◽  
...  
Keyword(s):  
Laser Doppler ◽  
Doppler Imaging ◽  
Laser Doppler Imaging ◽  
Color Palette ◽  
Burn Depth ◽  
Burn Depth Assessment

The use of laser doppler imaging for burn depth assessment after application of flammacerium

Burns ◽  
2007 ◽  
Vol 33 (3) ◽  
pp. 396-397 ◽  
Author(s):  
Darren Ng ◽  
Sherilyn Tay ◽  
Simon Booth ◽  
Philip M. Gilbert ◽  
Baljit S. Dheansa
Keyword(s):  
Laser Doppler ◽  
Doppler Imaging ◽  
Laser Doppler Imaging ◽  
Burn Depth ◽  
Burn Depth Assessment
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