A pilot study comparing two burn wound stereophotogrammetry systems in a paediatric population. Issue 1 (February 2022)

• Record Type: Journal Article
• Authors: Bairagi, Anjana; Frear, Cody; Sweeting, Caitlin; Kimble, Roy; Griffin, Bronwyn
• Is Part Of: Burns. Volume 48:Issue 1(2022)
• Page Start: 85
• Page End: 90
• Publication Date: 2022-02
• Subjects: 3D three-dimensional -- 2D two-dimensional -- AuSHI Australian Centre for Health Services Innovation -- BRACS Biobrane® RECELL® Autologous skin Cell suspension and Silver dressings -- CI confidence interval -- cm centimetre -- DOI date of injury -- HREC Hospital Research Ethics Committee -- ICC inter-rater class correlation -- ICMJE International Committee of Medical Journal Editors -- IQR interquartile range -- MS microsoft -- QUT Queensland University of Technology -- SONATA in C study of negative pressure wound therapy as an adjunct treatment for acute burns in children -- SPG stereophotogrammetry -- TBSA-B burn total body surface area; Burn wound -- 3D camera -- Child -- Total body surface area -- Stereophotogrammetry -- Burn size measurement; Burns and scalds -- Periodicals; 617.11
• DOI: 10.1016/j.burns.2021.04.014
• Languages: English
• ISSNs: 0305-4179

Abstract

Highlights: Stereophotogrammetry imaging of burn wounds require ongoing refinement for useability, particularly in larger burns. Intel® RealSense™ D415/Wound Measure showed strong agreement with the LifeVizII®/Dermapix® stereophotogrammetry system. Curved anatomical locations are problematic when measuring wound size. Abstract: Background: Stereophotogrammetry (SPG) provides a more objective measurement of burn wound area than traditional clinical assessments. The recently developed Intel® RealSense™ D415/Wound Measure SPG system has yet to undergo formal evaluation in a paediatric population. Methods: A pilot study comparing the Intel® RealSense™ D415/Wound Measure to the previously validated LifeVizII®/DermaPix® SPG system, for burn assessment was conducted at a tertiary paediatric burn centre. Both systems were used to photograph and analyse the same acute wounds for each patient. Three independent raters measured wound area and perimeter. Level of agreement between systems and raters was estimated by calculating the intra-class correlation coefficient. Results: Wound area measurements were completed in both systems for 25 burns from 13 patients (median age, 2 years). The participants were mainly female (n = 9), with a median TBSA-B of 9% (IQR 3–20%). There was strong agreement between the systems 0.757 (95% CI 0.521, 0.885, p < 0.001). Within each SPG system, there was excellent inter-rater reliability. Conclusion: The Intel® RealSense™ D415/Wound Measure system may be a viable addition to the clinician's toolkit in the assessment of paediatric burn wound area. As with other SPG systems, there were significant challenges measuring wounds to highly contoured surfaces.