Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis

Skin ulcers are open wounds on the skin characterized by the loss of epidermal tissue. Skin ulcers can be acute or chronic, with chronic ulcers persisting for over six weeks and often being difficult to heal. Treating chronic wounds involves periodic visual inspections to control infection and maint...

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Main Authors: Rosanna Cavazzana, Angelo Faccia, Aurora Cavallaro, Marco Giuranno, Sara Becchi, Chiara Innocente, Giorgia Marullo, Elia Ricci, Jacopo Secco, Enrico Vezzetti, Luca Ulrich
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/2/833
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author Rosanna Cavazzana
Angelo Faccia
Aurora Cavallaro
Marco Giuranno
Sara Becchi
Chiara Innocente
Giorgia Marullo
Elia Ricci
Jacopo Secco
Enrico Vezzetti
Luca Ulrich
author_facet Rosanna Cavazzana
Angelo Faccia
Aurora Cavallaro
Marco Giuranno
Sara Becchi
Chiara Innocente
Giorgia Marullo
Elia Ricci
Jacopo Secco
Enrico Vezzetti
Luca Ulrich
author_sort Rosanna Cavazzana
collection DOAJ
description Skin ulcers are open wounds on the skin characterized by the loss of epidermal tissue. Skin ulcers can be acute or chronic, with chronic ulcers persisting for over six weeks and often being difficult to heal. Treating chronic wounds involves periodic visual inspections to control infection and maintain moisture balance, with edge and size analysis used to track wound evolution. This condition mostly affects individuals over 65 years old and is often associated with chronic conditions such as diabetes, vascular issues, heart diseases, and obesity. Early detection, assessment, and treatment are crucial for recovery. This study introduces a method for automatically detecting and segmenting skin ulcers using a Convolutional Neural Network and two-dimensional images. Additionally, a three-dimensional image analysis is employed to extract key clinical parameters for patient assessment. The developed system aims to equip specialists and healthcare providers with an objective tool for assessing and monitoring skin ulcers. An interactive graphical interface, implemented in Unity3D, allows healthcare operators to interact with the system and visualize the extracted parameters of the ulcer. This approach seeks to address the need for precise and efficient monitoring tools in managing chronic wounds, providing a significant advancement in the field by automating and improving the accuracy of ulcer assessment.
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spelling doaj-art-ae861c3b814e447b83bbb1573ca71b072025-01-24T13:20:59ZengMDPI AGApplied Sciences2076-34172025-01-0115283310.3390/app15020833Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D AnalysisRosanna Cavazzana0Angelo Faccia1Aurora Cavallaro2Marco Giuranno3Sara Becchi4Chiara Innocente5Giorgia Marullo6Elia Ricci7Jacopo Secco8Enrico Vezzetti9Luca Ulrich10Department of Electronic Engineering and Telecommunications (DET), Politecnico di Torino, 10129 Turin, ItalyDepartment of Electronic Engineering and Telecommunications (DET), Politecnico di Torino, 10129 Turin, ItalyDepartment of Management and Production Engineering (DIGEP), Politecnico di Torino, 10129 Turin, ItalyDepartment of Management and Production Engineering (DIGEP), Politecnico di Torino, 10129 Turin, ItalyDepartment of Electronic Engineering and Telecommunications (DET), Politecnico di Torino, 10129 Turin, ItalyDepartment of Management and Production Engineering (DIGEP), Politecnico di Torino, 10129 Turin, ItalyDepartment of Management and Production Engineering (DIGEP), Politecnico di Torino, 10129 Turin, ItalyVulnology Unit, Clinica Eporediese, 10015 Ivrea, ItalyDepartment of Electronic Engineering and Telecommunications (DET), Politecnico di Torino, 10129 Turin, ItalyDepartment of Management and Production Engineering (DIGEP), Politecnico di Torino, 10129 Turin, ItalyDepartment of Management and Production Engineering (DIGEP), Politecnico di Torino, 10129 Turin, ItalySkin ulcers are open wounds on the skin characterized by the loss of epidermal tissue. Skin ulcers can be acute or chronic, with chronic ulcers persisting for over six weeks and often being difficult to heal. Treating chronic wounds involves periodic visual inspections to control infection and maintain moisture balance, with edge and size analysis used to track wound evolution. This condition mostly affects individuals over 65 years old and is often associated with chronic conditions such as diabetes, vascular issues, heart diseases, and obesity. Early detection, assessment, and treatment are crucial for recovery. This study introduces a method for automatically detecting and segmenting skin ulcers using a Convolutional Neural Network and two-dimensional images. Additionally, a three-dimensional image analysis is employed to extract key clinical parameters for patient assessment. The developed system aims to equip specialists and healthcare providers with an objective tool for assessing and monitoring skin ulcers. An interactive graphical interface, implemented in Unity3D, allows healthcare operators to interact with the system and visualize the extracted parameters of the ulcer. This approach seeks to address the need for precise and efficient monitoring tools in managing chronic wounds, providing a significant advancement in the field by automating and improving the accuracy of ulcer assessment.https://www.mdpi.com/2076-3417/15/2/833automatic segmentationconvolutional neural networkedge detection3D analysisinteractive interfacechronic wound
spellingShingle Rosanna Cavazzana
Angelo Faccia
Aurora Cavallaro
Marco Giuranno
Sara Becchi
Chiara Innocente
Giorgia Marullo
Elia Ricci
Jacopo Secco
Enrico Vezzetti
Luca Ulrich
Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis
Applied Sciences
automatic segmentation
convolutional neural network
edge detection
3D analysis
interactive interface
chronic wound
title Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis
title_full Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis
title_fullStr Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis
title_full_unstemmed Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis
title_short Enhancing Clinical Assessment of Skin Ulcers with Automated and Objective Convolutional Neural Network-Based Segmentation and 3D Analysis
title_sort enhancing clinical assessment of skin ulcers with automated and objective convolutional neural network based segmentation and 3d analysis
topic automatic segmentation
convolutional neural network
edge detection
3D analysis
interactive interface
chronic wound
url https://www.mdpi.com/2076-3417/15/2/833
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