Breast cancer wound imaging: evaluation of the cross-localisation method.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-04-01 DOI:10.12968/jowc.2021.0297

Xin Peng, Huizi Zhao, Chufeng Lv, Ping Gao, Yi Ren, Jing Cheng, Juan Zhou

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引用次数: 0

Abstract

Objective: Wound image acquisition has been widely used in wound care; however, there are few reports on scientifically accurate technology in wound image acquisition for wound evaluation. This study compared the effectiveness of a cross-localisation method with a direct photographic method for image acquisition of breast cancer wounds.

Method: The wounds of eligible patients were assessed by direct measurement, direct photography, and by a cross-localisation method using the Bates-Jensen Wound Assessment Tool (BWAT) with 13 items. After four months, the wound images were re-evaluated and re-recorded for consistency assessment.

Results: The experimental cohort comprised 150 patients. The consistency of the total BWAT score between the direct photograph acquisition and direct measurement methods was poor (Kappa=0.375). Only wound size, induration and exudate type presented general consistency. There was a good consistency between the cross-localisation image method and the direct measurement method (Kappa=0.786). The wound size, depth, oedema, induration and granulation tissue demonstrated complete consistency between the direct measurement and cross-localisation methods (Kappa=1.000).

Conclusion: Wound imaging using direct photography does not present the wound characteristics with complete clarity; however cross-localisation with an objective reference showed optimal performance in this study. The cross-localisation method can provide more specific and accurate wound evaluation.

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乳腺癌伤口成像：交叉定位方法的评价。

目的：伤口图像采集在伤口护理中得到广泛应用；然而，科学准确的伤口图像采集技术用于伤口评估的报道很少。本研究比较了交叉定位方法与直接摄影方法对乳腺癌伤口图像采集的有效性。方法：采用贝茨-詹森创面评估工具（BWAT），采用直接测量、直接摄影和交叉定位法对符合条件的患者创面进行评估。4个月后，重新评估伤口图像并重新记录以评估一致性。结果：实验队列包括150例患者。直接照片采集法与直接测量法的总BWAT评分一致性较差（Kappa=0.375）。仅伤口大小、硬结和渗出类型基本一致。交叉定位图像法与直接测量法具有较好的一致性（Kappa=0.786）。伤口大小、深度、水肿、硬结和肉芽组织在直接测量和交叉定位方法之间表现出完全一致（Kappa=1.000）。结论：直接摄影不能完全清晰地显示创面特征；然而，具有客观参考的交叉定位在本研究中表现出最佳性能。交叉定位方法可以提供更具体和准确的伤口评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.