A novel method for objectively, rapidly and accurately evaluating burn depth via near infrared spectroscopy

Author:

Yin Meifang1,Li Yongming2,Luo Yongquan3,Yuan Mingzhou4,Armato Ubaldo15,Prà Ilaria Dal5,Zhang Lijun1,Zhang Dayong3,Wei Yating1,Yang Guang1,Huang Lixian3,Wang Pin2,Wu Jun1

Affiliation:

1. Department of Burn and Plastic Surgery, Institute Translational Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen 518035, China

2. School of Microelectronics and Communication Engineering, Chongqing University, Chongqing 400044, China

3. Institute of Fluid Physics, China Academy of Engineering Physics, Mianyang, Sichuan 621900, China

4. Department of Burn Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China

5. Human Histology & Embryology Section, Department of Surgery, Dentistry, Pediatrics & Gynecology, University of Verona Medical School, Strada Le Grazie 8, Verona 37134, Italy

Abstract

Abstract The accurate and objective evaluation of burn depth is a significant challenge in burn wound care. Herein, we used near infrared spectroscopy (NIRS) technology to measure the different depth of thermal burns in ex vivo porcine models. Based on the intensity of the spectral signals and the diffuse reflection theory, we extracted the optical parameters involved in functional (total hemoglobin and water content) and structural (tissue scattered size and scattered particles) features that reflect the changes in burn depth. Next, we applied support vector regression to construct a model including the optical property parameters and the burn depth. Finally, we histologically verified the burn depth data collected via NIRS. The results showed that our inversion model could achieve an average relative error of about 7.63%, while the NIRS technology diagnostic accuracy was in the range of 50 μm. For the first time, this novel technique provides physicians with real-time burn depth information objectively and accurately.

Funder

National Natural Science Foundation of China

Publisher

Oxford University Press (OUP)

Subject

Critical Care and Intensive Care Medicine,Dermatology,Biomedical Engineering,Emergency Medicine,Immunology and Allergy,Surgery

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