The Use of Infrared Thermography (IRT) in Burns Depth Assessment: A Diagnostic Accuracy Meta-Analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-09-01 DOI:10.3390/ebj3030038

A. Asif, Constantinos Poyiatzis, F. Raheman, D. Rojoa

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引用次数: 0

Abstract

Background: The timely diagnosis of burns depth is crucial to avoid unnecessary surgery and delays in adequate management of patients with burn injuries. Whilst it is mostly a clinical diagnosis, indocyanine green, laser Doppler imaging and infrared thermography have been used alongside clinical findings to support the diagnosis. Infrared thermography is a noninvasive technique which uses temperature differences to diagnose tissue burn depth. Our study aims to assess its use in differentiating between superficial and deep burns. Methods: We conducted a systematic literature review and meta-analysis using electronic databases. We used a mixed-effects logistic regression bivariate model to estimate summary sensitivity and specificity and developed hierarchical summary receiver operating characteristic (HSROC) curves. Results: We identified 6 studies reporting a total of 197 burns, of which 92 were proven to be deep burns. The reference standard was clinical assessment at the time of injury and burn healing time. The pooled estimates for sensitivity and specificity were 0.84 (95%CI 0.71–0.92) and 0.76 (95%CI 0.56–0.89), respectively. Conclusions: IRT is a promising burns assessment modality which may allow surgeons to correctly classify burn injuries at the time of presentation. This will allow a more efficient management of burns and timely surgical intervention.

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红外热成像(IRT)在烧伤深度评估中的应用:诊断准确性荟萃分析

背景:及时诊断烧伤深度对于避免不必要的手术和延误对烧伤患者的适当处理至关重要。虽然这主要是一种临床诊断，但吲哚菁绿、激光多普勒成像和红外热像仪已与临床结果一起用于支持诊断。红外热像仪是一种利用温差诊断组织烧伤深度的无创技术。我们的研究旨在评估其在区分浅表和深度烧伤中的应用。方法:我们使用电子数据库进行了系统的文献综述和meta分析。我们使用混合效应逻辑回归双变量模型来估计汇总敏感性和特异性，并建立了分层汇总接收者操作特征(HSROC)曲线。结果:我们确定了6项研究，共报告了197例烧伤，其中92例被证明是深度烧伤。参照标准为损伤时的临床评价和烧伤愈合时间。敏感性和特异性的合并估计分别为0.84 (95%CI 0.71-0.92)和0.76 (95%CI 0.56-0.89)。结论:IRT是一种很有前途的烧伤评估方式，可以让外科医生在出现烧伤时正确分类。这将允许更有效的烧伤管理和及时的手术干预。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.