Burn Wound Dynamics Measured with Hyperspectral Imaging

<b>Introduction:</b> Hyperspectral Imaging (HSI) combined with an augmented model-based data processing enables the measurement of the depth-resolved perfusion of burn wounds. With these methods, the fundamental problem of the wound dynamics (wound conversion or progression) in the first...

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Main Authors: Thomas Wild, Jörg Marotz, Ahmed Aljowder, Frank Siemers
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:European Burn Journal
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Online Access:https://www.mdpi.com/2673-1991/6/1/7
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author Thomas Wild
Jörg Marotz
Ahmed Aljowder
Frank Siemers
author_facet Thomas Wild
Jörg Marotz
Ahmed Aljowder
Frank Siemers
author_sort Thomas Wild
collection DOAJ
description <b>Introduction:</b> Hyperspectral Imaging (HSI) combined with an augmented model-based data processing enables the measurement of the depth-resolved perfusion of burn wounds. With these methods, the fundamental problem of the wound dynamics (wound conversion or progression) in the first 4 days should be parametrically analyzed and evaluated. <b>Material and Methods:</b> From a cohort of 59 patients with burn injuries requiring medical intervention, 281 homogenous wound segments were selected and subjected to clinical classification based on the duration of healing. The classification was retrospectively assigned to each segment during the period from day 0 to day 2 post-burn. The perfusion parameters were presented in two parameter spaces describing the upper and deeper perfusion. <b>Results:</b> The investigation of value distributions within the parameter spaces pertaining to four distinct categories of damage from superficial dermal to full-thickness burns during the initial four days reveals the inherent variability and distinct patterns associated with wound progression, depending on the severity of damage. The analysis highlights the challenges associated with estimating the burn degrees during this early stage and elucidates the significance of deeper tissue perfusion in the classification process, which cannot be discerned through visual inspections. <b>Conclusions:</b> The feasibility of early classification on day 0 or 1 was assessed, and the findings indicate a restricted level of reliability, particularly on day 0, primarily due to the substantial variability observed in wound characteristics and inherent dynamics.
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spelling doaj-art-cd34ddb83f4b4e4fbf2c7eb50022c2cc2025-08-20T03:43:30ZengMDPI AGEuropean Burn Journal2673-19912025-02-0161710.3390/ebj6010007Burn Wound Dynamics Measured with Hyperspectral ImagingThomas Wild0Jörg Marotz1Ahmed Aljowder2Frank Siemers3Clinic for Plastic and Handsurgery and Burn Center, BG-Clinics Bergmannstrost, D-06002 Halle (Saale), GermanyClinic for Plastic and Handsurgery and Burn Center, BG-Clinics Bergmannstrost, D-06002 Halle (Saale), GermanyClinic of Dermatology, King Hamad University Hospital, Shaikh Isa Bin Salman Causeway, Al Sayh 24343, BahrainClinic for Plastic and Handsurgery and Burn Center, BG-Clinics Bergmannstrost, D-06002 Halle (Saale), Germany<b>Introduction:</b> Hyperspectral Imaging (HSI) combined with an augmented model-based data processing enables the measurement of the depth-resolved perfusion of burn wounds. With these methods, the fundamental problem of the wound dynamics (wound conversion or progression) in the first 4 days should be parametrically analyzed and evaluated. <b>Material and Methods:</b> From a cohort of 59 patients with burn injuries requiring medical intervention, 281 homogenous wound segments were selected and subjected to clinical classification based on the duration of healing. The classification was retrospectively assigned to each segment during the period from day 0 to day 2 post-burn. The perfusion parameters were presented in two parameter spaces describing the upper and deeper perfusion. <b>Results:</b> The investigation of value distributions within the parameter spaces pertaining to four distinct categories of damage from superficial dermal to full-thickness burns during the initial four days reveals the inherent variability and distinct patterns associated with wound progression, depending on the severity of damage. The analysis highlights the challenges associated with estimating the burn degrees during this early stage and elucidates the significance of deeper tissue perfusion in the classification process, which cannot be discerned through visual inspections. <b>Conclusions:</b> The feasibility of early classification on day 0 or 1 was assessed, and the findings indicate a restricted level of reliability, particularly on day 0, primarily due to the substantial variability observed in wound characteristics and inherent dynamics.https://www.mdpi.com/2673-1991/6/1/7burn depth assessmentburn wound dynamicshyperspectral imaging
spellingShingle Thomas Wild
Jörg Marotz
Ahmed Aljowder
Frank Siemers
Burn Wound Dynamics Measured with Hyperspectral Imaging
European Burn Journal
burn depth assessment
burn wound dynamics
hyperspectral imaging
title Burn Wound Dynamics Measured with Hyperspectral Imaging
title_full Burn Wound Dynamics Measured with Hyperspectral Imaging
title_fullStr Burn Wound Dynamics Measured with Hyperspectral Imaging
title_full_unstemmed Burn Wound Dynamics Measured with Hyperspectral Imaging
title_short Burn Wound Dynamics Measured with Hyperspectral Imaging
title_sort burn wound dynamics measured with hyperspectral imaging
topic burn depth assessment
burn wound dynamics
hyperspectral imaging
url https://www.mdpi.com/2673-1991/6/1/7
work_keys_str_mv AT thomaswild burnwounddynamicsmeasuredwithhyperspectralimaging
AT jorgmarotz burnwounddynamicsmeasuredwithhyperspectralimaging
AT ahmedaljowder burnwounddynamicsmeasuredwithhyperspectralimaging
AT franksiemers burnwounddynamicsmeasuredwithhyperspectralimaging