Artificial Intelligence Methods for Diagnostic and Decision-Making Assistance in Chronic Wounds: A Systematic Review.

Chronic wounds, which take over four weeks to heal, are a major global health issue linked to conditions such as diabetes, venous insufficiency, arterial diseases, and pressure ulcers. These wounds cause pain, reduce quality of life, and impose significant economic burdens. This systematic review ex...

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Published in:Journal of Medical Systems Vol. 49; no. 1; pp. 1 - 40
Main Authors: Reifs Jiménez, David, Casanova-Lozano, Lorena, Grau-Carrión, Sergi, Reig-Bolaño, Ramon
Format: research systematic review tables/charts Journal Article
Published: Springer Nature 2/19/2025
Online Access:View this record in EBSCOhost
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        atl: Artificial Intelligence Methods for Diagnostic and Decision-Making Assistance in Chronic Wounds: A Systematic Review.
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          Reifs Jiménez, David
          Casanova-Lozano, Lorena
          Grau-Carrión, Sergi
          Reig-Bolaño, Ramon
        affil: https://ror.org/006zjws59 Digital Care Research Group, University of Vic, C/ Sagrada Familia, 7, 08500, Vic, Barcelona, Spain
      sug:
        subj:
          Artificial Intelligence Methods
          Wounds, Chronic Diagnosis
          Decision Making, Clinical
          Image Processing, Computer Assisted
          Human
          Systematic Review
          PubMed
          Data Analysis
          Tissue Analysis
          Wound Measurement
          Wounds, Chronic Etiology
          Wound Healing
          Wounds, Chronic Therapy
          Quality Improvement
          Health Care Costs
          Diabetic Foot Diagnosis
          Pressure Ulcer Diagnosis
          Venous Ulcer Diagnosis
          Surgical Wound Diagnosis
          Deep Learning
          Algorithms
          Machine Learning
          Sensitivity and Specificity
          False Positive Results
          Convolutional Neural Networks
          Support Vector Machine
          Random Forest
      ab: Chronic wounds, which take over four weeks to heal, are a major global health issue linked to conditions such as diabetes, venous insufficiency, arterial diseases, and pressure ulcers. These wounds cause pain, reduce quality of life, and impose significant economic burdens. This systematic review explores the impact of technological advancements on the diagnosis of chronic wounds, focusing on how computational methods in wound image and data analysis improve diagnostic precision and patient outcomes. A literature search was conducted in databases including ACM, IEEE, PubMed, Scopus, and Web of Science, covering studies from 2013 to 2023. The focus was on articles applying complex computational techniques to analyze chronic wound images and clinical data. Exclusion criteria were non-image samples, review articles, and non-English or non-Spanish texts. From 2,791 articles identified, 93 full-text studies were selected for final analysis. The review identified significant advancements in tissue classification, wound measurement, segmentation, prediction of wound aetiology, risk indicators, and healing potential. The use of image-based and data-driven methods has proven to enhance diagnostic accuracy and treatment efficiency in chronic wound care. The integration of technology into chronic wound diagnosis has shown a transformative effect, improving diagnostic capabilities, patient care, and reducing healthcare costs. Continued research and innovation in computational techniques are essential to unlock their full potential in managing chronic wounds effectively.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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