便携式三维伤口评估工具临床应用的研究进展

doi:10.3761/j.issn.2096-7446.2024.07.017

摘要/Abstract

摘要： 随着信息技术及人工智能的快速发展,便携式三维（three-dimensional,3D）伤口评估工具或成为最有潜力的伤口评估方式。该文对不同测量原理的便携式3D伤口评估工具进行综述,总结该类评估工具的技术原理、评估方式及临床应用现状,分析不同原理评估工具的优势和局限性,为后续便携式3D伤口评估工具的临床应用及推广提供参考。但国内该类评估工具相关研究尚处于起步阶段,需进一步积累循证证据,同时进行功能优化以提高特殊形状伤口的测量准确性。

关键词: 便携式设备, 非接触式测量, 三维测量技术, 伤口评估

Abstract: With the rapid development of information technology and artificial intelligence,portable three-dimensional（3D） wound assessment tools may become the most promising wound assessment method. This article reviews portable 3D wound assessment tools with different measurement principles,summarizes the technical principles,evaluation methods,and clinical application status of these assessment tools,analyzes the advantages and limitations of different assessment tools,providing reference for the clinical application and promotion of portable 3D wound assessment tools in the future. However,research on such tools in China is still in its early stage,and further evidence-based accumulation is needed. At the same time,functional optimization is needed to improve the measurement accuracy of special wounds.

Key words: Portable Devices, Non-Contact Measurement, Three-Dimensional Measurement, Wound Assessment

林红. 便携式三维伤口评估工具临床应用的研究进展[J]. 中华急危重症护理杂志, 2024, 5(7): 669-672.

LIN Hong. Research progress on the clinical application of portable three-dimensional wound assessment tools[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(7): 669-672.

参考文献

[1] 肖文鹤. 人工智能在医疗信息服务中的应用研究[D]. 南宁:广西民族大学,2022.
Xiao WH.Research on the application of artificial intelligence in medical information service[D]. Nanning:Guangxi University for Nationalities,2022.
[2] Kecelj Leskovec N,Perme MP,Jezersek M,et al.Initial healing rates as predictive factors of venous ulcer healing:the use of a laser-based three-dimensional ulcer measurement[J]. Wound Repair Regen,2008,16(4):507-512.
[3] Kuang B,Pena G,Szpak Z,et al.Assessment of a smartphone-based application for diabetic foot ulcer measurement[J]. Wound Repair Regen,2021,29(3):460-465.
[4] 邓启寰. 基于线激光扫描的双目三维识别定位系统[D]. 杭州:浙江大学,2021.
Deng QH.Binocular three-dimensional recognition and posi-tioning system based on line laser scanning[D]. Hangzhou:Zhe-jiang University,2021.
[5] Toygar I,Simsir IY,Cetinkalp S.Evaluation of three different techniques for measuring wound area in diabetic foot ulcers:a reproducibility study[J]. J Wound Care,2020,29(9):518-524.
[6] Chan KS,Liang SY,Cho YT,et al.Clinical validation of a machine-learning-based handheld 3-dimensional infrared wound imaging device in venous leg ulcers[J]. Int Wound J,2022,19(2):436-446.
[7] Chiang N,Rodda OA,Kang AN,et al.Clinical evaluation of portable wound volumetric measurement devices[J]. Adv Skin Wound Care,2018,31(8):374-380.
[8] Pavlovčič et alU,Diaci J,Možina J,. Wound perimeter,area,and volume measurement based on laser 3D and color acquisition[J]. Biomed Eng Online,2015,14:39.
[9] Kecelj-Leskovec N,Jezersek M,Mozina J,et al.Measurement of venous leg ulcers with a laser-based three-dimensional method:comparison to computer planimetry with photography[J]. Wound Repair Regen,2007,15(5):767-771.
[10] Yee A,Harmon J,Yi S.Quantitative monitoring wound healing status through three-dimensional imaging on mobile platforms[J]. J Am Coll Clin Wound Spec,2016,8(1/2/3):21-27.
[11] Stockton KA,McMillan CM,Storey KJ,et al. 3D photography is as accurate as digital planimetry tracing in determining burn wound area[J]. Burns,2015,41(1):80-84.
[12] Davis AJ,Nishimura J,Seton J,et al. Repeatability and clinical utility in stereophotogrammetric measurements of wounds[J]. J Wound Care,2013,22(2):90-92,94-97.
[13] Chaby G,Lok C,Thirion JP,et al.Three-dimensional digital imaging is as accurate and reliable to measure leg ulcer area as transparent tracing with digital planimetry[J]. J Vasc Surg Venous Lymphat Disord,2017,5(6):837-843.
[14] Gaur A,Sunkara R,Raj ANJ,et al.Efficient wound measurements using RGB and depth images[J]. Int J Biomed Eng Technol,2015,18(4):333-58.
[15] Hammond CE,Nixon MA.The reliability of a handheld wound measurement and documentation device in clinical practice[J]. J Wound Ostomy Continence Nurs,2011,38(3):260-264.
[16] Williams KJ,Sounderajah V,Dharmarajah B,et al.Simulated wound assessment using digital planimetry versus three-dimensional cameras:implications for clinical assessment[J]. Ann Vasc Surg,2017,41:235-240.
[17] Pena G,Kuang B,Szpak Z,et al.Evaluation of a novel three-dimensional wound measurement device for assessment of diabetic foot ulcers[J]. Adv Wound Care,2020,9(11):623-631.
[18] Pavlovčič U Jezeršek M. Handheld 3-dimensional wound measuring system[J]. Skin Res Technol,2018,24(2):326-333.
[19] Jørgensen LB,Skov-Jeppesen SM,Halekoh U,et al.Validation of three-dimensional wound measurements using a novel 3D-WAM camera[J]. Wound Repair Regen,2018,26(6):456-462.
[20] Lasschuit JWJ,Featherston J,Tonks KTT.Reliability of a three-dimensional wound camera and correlation with routine ruler measurement in diabetes-related foot ulceration[J]. J Diabetes Sci Technol,2021,15(6):1361-1367.
[21] Jun D,Choi H,Kim J,et al.Efficacy of the mobile three-dimensional wound measurement system in pressure ulcer assessment[J]. J Wound Manag Res,2019,15(2):78-84.
[22] Zahia S,Garcia-Zapirain B,Elmaghraby A.Integrating 3D model representation for an accurate non-invasive assessment of pressure injuries with deep learning[J]. Sensors,2020,20(10):2933.
[23] 鲁晋. 三维伤口扫描系统在伤口评估中的应用[D]. 上海:第二军医大学,2017.
Lu J.Assessment study of computer-aided three-dimensional wound evaluation system[D]. Shanghai:Second Military Medical University,2017.
[24] Liu CH,Fan XY,Guo ZZ,et al.Wound area measurement with 3D transformation and smartphone images[J]. BMC Bioinformatics,2019,20(1):724.
[25] Zenteno O,González E,Treuillet S,et al.Volumetric monitoring of cutaneous leishmaniasis ulcers:can camera be as accurate as laser scanner?[J]. Comput Meth Biomech Biomed Eng Imag Vis,2019,7(5/6):667-675.
[26] Jørgensen LB,Halekoh U,Jemec GBE,et al.Monitoring wound healing of diabetic foot ulcers using two-dimensional and three-dimensional wound measurement techniques:a prospective cohort study[J]. Adv Wound Care,2020,9(10):553-563.