Software-Based Method for Automated Segmentation and Measurement of Wounds on Photographs Using Mask R-CNN: a Validation Study.

In clinical routine, wound documentation is one of the most important contributing factors to treating patients with acute or chronic wounds. The wound documentation process is currently very time-consuming, often examiner-dependent, and therefore imprecise. This study aimed to validate a software-b...

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Publicado en:Journal of Digital Imaging Vol. 34; no. 4; pp. 788 - 798
Autores principales: Privalov, Maxim, Beisemann, Nils, Barbari, Jan El, Mandelka, Eric, Müller, Michael, Syrek, Hannah, Grützner, Paul Alfred, Vetter, Sven Yves
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
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      pub: Springer Nature
      place: New York, New York
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        atl: Software-Based Method for Automated Segmentation and Measurement of Wounds on Photographs Using Mask R-CNN: a Validation Study.
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        au:
          Privalov, Maxim
          Beisemann, Nils
          Barbari, Jan El
          Mandelka, Eric
          Müller, Michael
          Syrek, Hannah
          Grützner, Paul Alfred
          Vetter, Sven Yves
        affil: BG Trauma Center Ludwigshafen, Trauma and Orthopaedic Surgery, Ludwigshafen am Rhein, Germany
      sug:
        subj:
          Software
          Automation
          Wound Measurement Methods
          Photography
          Image Processing, Computer Assisted
          Neural Networks (Computer)
          Human
          Validation Studies
          Analysis of Variance
          Repeated Measures
      ab: In clinical routine, wound documentation is one of the most important contributing factors to treating patients with acute or chronic wounds. The wound documentation process is currently very time-consuming, often examiner-dependent, and therefore imprecise. This study aimed to validate a software-based method for automated segmentation and measurement of wounds on photographic images using the Mask R-CNN (Region-based Convolutional Neural Network). During the validation, five medical experts manually segmented an independent dataset with 35 wound photographs at two different points in time with an interval of 1 month. Simultaneously, the dataset was automatically segmented using the Mask R-CNN. Afterwards, the segmentation results were compared, and intra- and inter-rater analyses performed. In the statistical evaluation, an analysis of variance (ANOVA) was carried out and dice coefficients were calculated. The ANOVA showed no statistically significant differences throughout all raters and the network in the first segmentation round (F = 1.424 and p > 0.228) and the second segmentation round (F = 0.9969 and p > 0.411). The repeated measure analysis demonstrated no statistically significant differences in the segmentation quality of the medical experts over time (F = 6.05 and p > 0.09). However, a certain intra-rater variability was apparent, whereas the Mask R-CNN consistently provided identical segmentations regardless of the point in time. Using the software-based method for segmentation and measurement of wounds on photographs can accelerate the documentation process and improve the consistency of measured values while maintaining quality and precision.
      pubtype: Academic Journal
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        research
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    language: English
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