The Use of Visible-Light Hyperspectral Imaging in Evaluating Burn Wounds: A Case Report
| Autor: | Janice F. Lalikos, Melissa McCarthy, SeungJu Jackie Oh, Victoria Irene Prete, Jorge Lujan-Hernandez, D. Stamer, Garrick Gu |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Physical examination 01 natural sciences 010309 optics 03 medical and health sciences 0302 clinical medicine 0103 physical sciences Medical imaging medicine Humans Skin Wound Healing Debridement medicine.diagnostic_test Third-Degree Burn business.industry Rehabilitation Hyperspectral imaging Soft tissue Hyperspectral Imaging Thermal burn 030220 oncology & carcinogenesis Emergency Medicine Imaging technology Surgery Radiology business Burns |
| Zdroj: | Journal of burn careresearch : official publication of the American Burn Association. 42(4) |
| ISSN: | 1559-0488 |
| Popis: | Burn depth is a critical factor in determining the healing potential of a burn as the extent of injury ultimately guides overall treatment. Visible-Light Hyperspectral Imaging is an FDA-approved, noninvasive, and noncontrast imaging technology that uses light waves within the visible spectrum to evaluate skin and superficial soft tissue perfusion. In this case report, visible-light hyperspectral imaging was used to evaluate a 37-year-old male who presented to the Emergency Department with a thermal burn of the trunk, back, and right upper extremity. Images were taken at initial evaluation, 6 hours postinjury, and again during daily dressing changes until hospital day 5 when the patient underwent surgical debridement. In this patient, operative treatment was postponed until 89.7 hours postinjury, at which point the clinical examination showed clear visual demarcation in regions of irreversible damage. Comparatively, visible-light hyperspectral imaging analysis of the permanently injured tissue demonstrated acute but varying changes in both oxygenated hemoglobin and deoxygenated hemoglobin at the time of initial evaluation. The most dramatic change in tissue oxygenation occurred between 6.5 and 39.3 hours, demonstrating visible-light hyperspectral imaging’s ability to detect significant differences in oxygenation values between areas of second-degree superficial burns and areas of second-degree deep and third-degree burns in the acute period. The data suggest that the utilization of visible-light hyperspectral imaging in this 6.5- to 39.3-hour window may help predict final burn depth before clinical assessment, potentially allowing for surgical intervention within the first 48 hours following injury. |
| Databáze: | OpenAIRE |
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