全面评估感染、氧合作用和伤口分析的多模态成像设备--一项试点研究

IF 3.8 3区 医学 Q2 CELL BIOLOGY
Rajesh Kesavan, Changam Sheela Sasikumar
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引用次数: 0

摘要

伤口分析、感染检测和氧合测量是进行适当伤口护理的三个关键前提条件。虽然目前已有设备能独立快速检测上述参数,但还没有一种护理点设备能同时具备这三种功能。通过这项研究,我们介绍并评估了Illuminate Pro Max的性能--一种新型、快速、手持式非接触护理点多模态成像设备,可测量三种伤口评估参数。在这里,我们使用Illuminate Pro Max对60名糖尿病足溃疡患者进行了成像,以检测生物负荷、测量血氧饱和度(StO2)水平和伤口尺寸(大小和深度)。结果将进一步与目前针对各项参数的金标准技术进行评估,即用培养测试检测生物负载、用经皮氧压(TcPO2)测量设备--Perimed Periflux 5000测量氧合、用纸尺测量伤口大小。培养测试报告显示,42 个样本感染阳性,18 个样本感染阴性。与培养报告相比,该设备在检测生物负载方面的灵敏度为 88%,PPV 为 86%。伤口尺寸(长和宽)与纸片测量值相当。设备还能报告伤口深度。设备生成的 StO2 图显示了伤口不同区域的组织氧合水平。总之,这种新颖、全面的护理点多光谱成像设备是快速评估伤口的有效工具,有助于及时治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multimodal imaging device to comprehensively assess infection, oxygenation, and wound analytics—A pilot study
Wound analytics, infection detection, and oxygenation measurement are the three critical prerequisites for appropriate wound care. Although devices that rapidly detect the above‐mentioned parameters independently exist, there is no single point‐of‐care device that is enabled with all the three functionalities. Through this study, we are introducing and evaluating the performance of Illuminate Pro Max—a novel, rapid, hand‐held non‐contact, point‐of‐care multimodal imaging device that is equipped to measure the three wound assessment parameters. Here, a total of 60 diabetic foot ulcer patients were imaged using Illuminate Pro Max to detect bioburden and measure StO2 levels and wound dimensions (size and depth). The results were further evaluated against the current gold standard technique for each parameter, that is, culture test to detect bioburden, a transcutaneous oxygen pressure (TcPO2) measuring device—Perimed Periflux 5000 to measure oxygenation, and paper ruler to measure wound size. Culture tests reported 42 samples as infection‐positive and 18 samples as infection‐negative. On comparing with the culture report, the device showed 88% sensitivity and 86% PPV in detecting the bioburden. Wound dimensions (length and width) were comparable with the paper scale measurements. Wound depth was also reported by the device. The StO2 map generated by the device depicted the tissue oxygenation levels in various regions of the wound. In conclusion, this novel, comprehensive point‐of‐care multispectral imaging device can be an effective tool for rapid wound assessment which can help in prompt treatment.
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来源期刊
Wound Repair and Regeneration
Wound Repair and Regeneration 医学-皮肤病学
CiteScore
5.90
自引率
3.40%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Wound Repair and Regeneration provides extensive international coverage of cellular and molecular biology, connective tissue, and biological mediator studies in the field of tissue repair and regeneration and serves a diverse audience of surgeons, plastic surgeons, dermatologists, biochemists, cell biologists, and others. Wound Repair and Regeneration is the official journal of The Wound Healing Society, The European Tissue Repair Society, The Japanese Society for Wound Healing, and The Australian Wound Management Association.
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