Burn depths evaluation based on active dynamic IR thermal imaging--a preliminary study.

Renkielska A, Nowakowski A, Kaczmarek M, Ruminski J.

Source

Department of Plastic Surgery and Burns, Medical University of Gdansk, il. Debinki 7, 80-211 Gdansk, Poland. aren@mlyniec.gda.pl

Abstract

Proper diagnostic assessment of burn wound depth is of the highest importance in selecting the mode of burn wound treatment. Several diagnostic methods--clinical and histopathological evaluation, as well as methods employing IR imaging--static thermography and active dynamic thermography (ADT)--are compared on the basis of in vivo experiments conducted on three domestic pigs (23 burn wounds). ADT is presented here as a new, reliable and quantitative method of assessing burn wound depth on the basis of discrimination of the thermal properties of burnt tissue. In the case of ADT registration of thermal images was performed following thermal pulse excitation. A series of captured infrared images was used as the basis for calculating the thermal time constant tau for each pixel. The parameter values were compared with histopathological and clinical assessments of burn depth. The mean value of tau was found for burns, which heal within 3 weeks (tau=12.08+/-1.94s) and for burns, which did not heal during this period (tau=9.07+/-0.68s), p<0.05. The accuracy, sensitivity and specificity of all the methods tested were compared, the best results coming from ADT. The ADT method is fast, non-invasive and relatively inexpensive, although it still requires further animal experimentation as well as clinical study to confirm the results.