Comparação de quatro métodos para avaliação morfométrica de feridas

Anselmo Queiroz  Alves; Rubens Pedro Lorena Silva; Alexandre José da Silva Góes; Mariza Severina de Lima Silva; Antonio Gomes de Castro Neto; Flávio Ferreira da Silva; Antonio José Alves; Valdemiro Amaro da Silva Junior

doi:10.33448/rsd-v11i5.28187

Authors

Anselmo Queiroz Alves Maxiclínica Médica Ltda https://orcid.org/0000-0002-8857-7001
Rubens Pedro Lorena Silva Universidade Federal de Pernambuco https://orcid.org/0000-0001-9297-6577
Alexandre José da Silva Góes Universidade Federal de Pernambuco https://orcid.org/0000-0002-3202-2074
Mariza Severina de Lima Silva Universidade Federal de Pernambuco https://orcid.org/0000-0002-0833-4238
Antonio Gomes de Castro Neto Centro Universitário Maurício de Nassau
Flávio Ferreira da Silva Secretaria de Educação do estado de Pernambuco https://orcid.org/0000-0003-3730-6305
Antonio José Alves Universidade Federal de Pernambuco https://orcid.org/0000-0002-2668-6931
Valdemiro Amaro da Silva Junior Universidade Federal Rural de Pernambuco https://orcid.org/0000-0002-1894-7337

DOI:

https://doi.org/10.33448/rsd-v11i5.28187

Keywords:

Measurement of wounds; Digital planimetry; Digital photography; Image Softwares.

Abstract

Measurement of wounds to document the healing process have an important role in the management of wounds. Digital cameras in smartphones are available and easy to use and taking pictures of wounds has becoming a routine. Analyzing digital pictures with appropriate software provides a rapid, clean and easy-to-use tool for measuring of wound area. A set of 160 digital pictures of wounds in rats was the basis of this study. Digital photographs were made by placing a rule next to the wound in parallel with the healthy skin and visualized with Image Tool, ImageJ, and AutoCaD® softwares. Measurement of wound area was carried out and was performed paired Student’s t-test and Principal Component Analysis (PCA) to compare manual rule-based technique and all softwares measurement of wounds. In conclusion, the manual rule-based technique overestimated wound size and Image Tools software provided a better, faster, and accurate measurement of the wound area. This software could routinely be used to document wound healing process.

References

Almeida, C. A. M., Schellini, A. S., Gregório, E. A., & Pellizzon, C. H. (2007) Utilização do AutoCAD 2004 para quantificação de pesquisas usando fotomicrografias eletrônicas. Rev Bras Oftalmol. 66(4): 227-230.

Almeida, R. M. (2006). Avaliação do processo de cicatrização de lesões, tratadas com laser de baixa intensidade, através de sistema de aquisição e tratamento de imagem. Dissertação de Mestrado, Programa de Pós-Graduação em Engenharia Mecânica, Faculdade de Engenharia Mecânica, Universidade Federal de Minas Gerais.

Alves, A. Q., Neves, W. W., Souza Nt Jr, J. C., Góes, A. J. S., Silva Jr, V. A., & Alves, A. J. (2014). Morphometric evaluation of pressure ulcers through software Image tool, Image j and Mowa. IV Luso-brazilian congress of the experimental pathology. 6:24. http://www.patolex.org/EPHS/revista/201401_files/11-69%20abs.pdf

Aragón-Sánchez, J., Quintana-Marrero, Y., Aragón-Hernández, C., & Hernández-Herero, M. J. (2017). ImageJ: A Free, Easy, and Reliable Method to Measure Leg Ulcers Using Digital Pictures. Int J Low Extrem Wounds. 16(4):269-273.

Belem, B. (2004). Non-invasive wound assessment by image analysis. University of Glamorgan. https://atweb1.comp.glam.ac.uk/staff/pplassma/MedImaging/Projects/Wounds/ColAnalysis/Thesis(Belem)ByChapter/thesis_front_matters.pdf

Bilgin, M., & Günes, U. Y. (2014). A comparison of 3 wound measurement techniques. J Wound Ostomy Cont. 40(6):590-593.

Bloemen, M. C. T., Boekema, B. K. H. L., Vlig, M., Van, Z., & Middelkoop, E. (2012). Digital image analysis versus clinical assessment of wound epithelialization: A validation study. Burns. 38:501-505.

Boersma, S. M., van den Heuvel, F. A., Cohen, A. F., & Scholtens, R. E. M. (2000). Photogrammetric wound measurement with a three-camera vision system. ISPRS J Photogramm Remote Sens. 33(B5/1, Part 5): 84-91.

Bulstrode, C. J., Goode, A. W., & Scott, P. J. (1986). Stereophotogrammetry for measuring rates of cutaneous healing: a comparison with conventional techniques. Clin Sci (Lond). 71(4):437-443.

Callieri M, Cignoni P, Pingi P, Scopigno R, Coluccia M, Gaggio G, & Romanelli M. N. Derma: Monitoring the Evolution of Skin Lesions with a 3D System. VMV. 2003.

Cardinello, C. C., Lopes, L. P. N., Piero, K. C. D., & Freita, Z. M. F. (2021). Instrumentos para avaliação de feridas: scoping review. Research, Society and Development. 10(11):e144101119246.

Chang, A. C., Dearman, B., & Greenwood, J. E. (2011). A Comparison of Wound Area Measurement Techniques: Visitrak Versus Photography. Eplast. 11:158-166.

Charles, H. (1998). Wound assessment: measuring the area of a leg ulcer. British Journal of Nursing. 7(13):765-772.

Collins, T. J. (2007). ImageJ for microscopy. Biotechniques. 43(1 suppl):25-30.

Cuzzell, J. Z. (1988). The new RYB color code. Am J Nurs. 88(10):1342-1346.

Dealey, C. (1994). The Care of Wounds. Oxford: Blackwell Scientific Publications.

Eberhardt, T. D., Lima, S. B. S., Lopes, L. F. D., Borges, E. L., Weiller, T. H., & Fonseca, G. G. P. (2016). Measurement of the area of venous ulcers using two software programs. Rev Latino-Am Enfermagem. 24:e2862.

Etris, M. B., Pribble, J., & LaBrecque, J. (1994). Evaluation of two wound measurement methods in a multi-center, controlled study. Ostomy Wound Manage. 40(7):44-48.

Ferreira, A. S., Barbieri, C. H., Mazzer, N., Campos, A. D., & Mendonça, A. C. (2008). Mensuração de área de cicatrização por planimetria após aplicação do ultra-som de baixa intensidade em pele de rato. Rev Bras Fisioter. 12(5):351-358.

Flanagan, M. (2003). Wound measurement: can it help us to monitor progression to healing? J Wound Care. 12(5):189-194.

Fuller, F. W., Mansour, E. H., Engler, P. E., & Shuster, B. (1985). The use of planimetry for calculating the surface area of a burn wound. J Burn Care Rehabil. 6(1):47-49.

Galushka, M., Zheng, H., Patterson, D., & Bradley, L. (2005). Case-based tissue classification for monitoring leg ulcer healing. in 18th IEEE Symposium on Computer-Based Medical Systems.

Gethin, G., & Cowman, S. (2006). Wound measurement comparing the use of acetate tracings and Visitrak digital planimetry. J Clin Nurs. 15(4):422-427.

Goldman, R. J., & Salcido, R. (2002). More than one way to measure a wound: an overview of tools and techniques. Adv Skin Wound Care. 15(5):236-243.

Haghpanah, S., Bogie. K., Wang. X., Banks, P. G., & Ho, C. H. (2006). Reliability of electronic versus manual wound measurement techniques. Arch Phys Med Rehabil. 87(10):1396-1402.

Hansen, G. L. (1997). Wound status evaluation using color image processing. IEEE transactions on Medical Imaging. 16(1):78-86.

Hayward, P. G., Hillman, G. R., Quast, M. J., & Robson, M. C. (1993). Surface area measurement of pressure sores using wound molds and computerized imaging. J Am Geriatr Soc. 41(3): 238-240.

Herbin, M., Bom, F. X., Venot, A., Jeanlouis, F., Dubertret, L. M., Dubertret, L., & Strauch, G. (1993). Assessment of healing kinetics through true color image processing. IEEE transactions on Medical Imaging. 12(1):39-43.

Ibrahim, A., Soliman, M., Kotb, S., & Ali, M. M. (2020). Evaluation of fish skin as a biological dressing for metacarpal wounds in donkeys. BMC Vet Res. 16:472.

Jeffcoate, W. J., Musgrove, A. J., & Lincoln, N. B. (2017). Using image J to document healing in ulcers of the foot in diabetes. Int Wound J. 14(6):1137-1139.

Jones, T. D., & Plassmann, P. (2000). An active contour model for measuring the area of leg ulcers. IEEE Transactions on Medical Imaging. 19(12):1202-1210.

Krouskop, T. A., Baker, R., & Wilson, M. S. (2002). A noncontact wound measurement system. J Rehabil Res Dev. 39(3):337-346.

Kundin, J. I. (1989). A new way to size up a wound. Am J Nurs. 89(2):206-207.

Laios, A., Volpi, D., Kumar, R., Traill, Z., Vojnovic, B., & Ahmed, A. A. (2016). A novel optical bioimaging method for direct assessment of ovarian cancer chemotherapy response at laparoscopy. Cancer Inform. 15:243-245.

Langemo, D. K., Melland, H., Hanson, D., Olson, B., Hunter, S., & Henly, S. J. (1998). Two-dimensional wound measurement: comparison of 4 techniques. Adv Wound Care. 11(7):337-343.

Li, S., Mohamedi, A. H., Senkowsky, J., Nair, A., & Tang, L. (2020). Imaging in Chronic Wound Diagnostics. Adv Wound Care. 9(5):245–263.

Liu, X., Kim, W., Schmidt, R., Drerup, B., & Song, J. (2006). Wound measurement by curvature maps: a feasibility study. Physiol Meas. 27(11):1107-1123.

Majeske, C. (1992). Reliability of wound surface area measurements. Phys Ther. 72(2):138-141.

Malian, A., Azizi, A., van den Heuvel, F. A., & Zolfaghari, M. (2005). Development of robust photogrammetri metrology system for monitoring the healing of bedsores. The photogrammetric Record. 20(111):241-273.

Marjanovic, D., Dugdale, R. E., Vowden, P., & Vowden, K. R. (1998). Measurement of the volume of a leg ulcer using a laser scanner. Physiol Meas. 19(4):535-543.

Mayrovitz, H. N., & Soontupe, L. B. (2009). Wound Areas by Computerized Planimetry of Digital Images: Accuracy and Reliability. Adv Skin Wound Care. 22(5):222-229.

Medeiros, G. C. F. (2001). Uso de Texturas para o acompanhamento da Evolução do Tratamento de Úlceras Dermatológicas, Dissertação de Mestrado, Programa de Pós-Graduação em Engenharia Elétrica, Escola de Engenharia de São Carlos, Universidade de São Paulo.

Melhuish, J. M., Plassman, P., & Harding, K. (1994). Circumference, area and volume of the healing wound. J Wound Care. 3:381-384.

Mohafez, H., Ahmad, S. A., & Roohi, S. A., Hadizadeh, M. (2016). Wound Healing Assessment Using Digital Photography: A Review. JBEMi. 3(5):1-13.

Plassmann, P. (1998). Measuring wounds. Journal of Wound Care. 4(6):269-272.

Plassmann, P., & Jones, T. D. (1998). MAVIS: a non-invasive instrument to measure area and volume of wounds. Measurement of area and volume instrument system. Med Eng Phys. 20(5):332-338.

Prata, M., Haddad, C., & Gondenberg, S. (1988). Uso tópico do açúcar em ferida cutânea: estudo experimental em ratos. Acta Bras Cir. 3:43-48.

Rajbhandari, S. M., Harris, N. D., Sutton, M., Lockett, C., Eaton, S., Gadour, M., Tesfaye, S., & Ward, J. D. (1999). Digital imaging: an accurate and easy method of measuring foot ulcers. Diabet Med. 16:339-342.

Reis, C. L. D., Cavalcante, J. M., Rocha Jr, E. P., Neves, R. S., Santana, L. A., Guadagnin, R. V., et al. (2012). Mensuração de área de úlceras por pressão por meio dos softwares Motic e do AutoCAD®. Rev Bras Enferm. 65(2):304-308.

Rodrigues, D. F., Mendes, F. F., Dias, T. A., Lima, A. R., & Silva, L. A. F. (2013). O programa image j como ferramenta de análise morfométrica de feridas cutâneas. Enciclopédia Biosfera. 9(17):1955-63.

Rogers, L. C., Bevilacqua, N. J., Armstrong, D. G., & Andros, G. (2010). Digital planimetry results in more accurate wound measurements: a comparison to standard rule measurements. J Diabetes Sci Technol. 4(4):799-802.

Salmona, K. B. C., Santana, L. A., Neves, R. S., & Guadagnin, R. V. (2016) Estudo comparativo entre as técnicas manual e automática de demarcação de borda para avaliação de área de úlceras por pressão. Enferm Foco. 7(2):42-46.

Santos, C. F. F., Santos, A. P., Machado, T. G. P., Avelar, N. C. P., Oliveira, M. X., Almeida, T. C., França, A. F. A., & Pires, V. A. (2013). Cicatrização de feridas cutâneas em ratos após terapia laser de baixa intensidade (660nm). Revista Vozes dos Vales: Publicações Acadêmicas. 3(II):1-13.

Shetty, R., Sreekar, H., Lamba, S., & Gupta, A. K. (2012). A novel and accurate technique of photographic wound measurement. Indian J Plast Surg. 45:425-429.

Smith, R. B., Rogers, B., Tolstykh, G. P., Walsh, N. E., Davis Jr, M. G., Bunegin, L., et al. (1998). Three-dimensional laser imaging system for measuring wound geometry. Lasers Surg Med. 23(2):87-93.

Sousa, A. T. O., Vasconcelos, J. M. B., & Soares, M. J. G. O. (2012). Software Image Tool 3.0 as an instrument for measuring wounds. Rev enferm UFPE. 6(10):2569-2573.

Sun, Z., Wang, Y., Ji, S., Wang, K., & Zhao, Y. (2015). Computer-aided analysis with Image J for quantitatively assessing psoriatic lesion area. Skin Res Technol. 21:437-443.

Swarts, J. D., Doyle, B. M., & Doyle, W. J. (2011). Relationship between surfasse area and volume of the mastoid air cell system in adult humans. J Laryngol Otol. 125:580-584.

Tavares, A. P. C. (2014). Estudo comparativo entre os métodos de planimetria e fotografia como instrumentos para mensuração de feridas. Trabalho de Conclusão de Curso. Graduação em Enfermagem e Licenciatura, Universidade Federal Fluminense.

Thawer, H. A., Houghton, P. E., Woodbury, M. G., Keast, D., & Campbell, K. (2002). A comparison of computer-assisted and manual wound size measurement. Ostomy Wound Manag. 48(10):46-53.

Treuillet, S., Albouy, B., & Lucas, Y. (2009). Three-dimensional assessment of skin wounds using a standard digital camera. IEEE Transactions on Medical Imaging. 28(5):752-762.

Van Rijswijk, L., & Polansky, M. (1994). Predictors of time to healing deep pressure ulcers. Ostomy Wound Manag. 40(8):40-48.

Wang, Y., Liu, G., Yuan, N., & Ran, X. (2008). A comparison of digital planimetry and transparency tracing based methods for measuring diabetic cutaneous ulcer surface area. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 22:563-566.

Wendelken, M., Berg, W. T., Lichtenstein, P., Markowitz, L., Comfort, C., & Alvarez. O. M. (2011). Wounds measured from digital photographs using photodigital planimetry software: validation and rater reliability. Wounds. 23(9):267-275.

Wunderlich, R. P., Peters, E. J., Armstrong, D. G., & Lavery, L. A. (2000). Reliability of digital videometry and acetate tracing in measuring the surface area of cutaneous wounds. Diabetes Res Clin Pract. 49(2-3):87-92.

Yamamoto, T., Takiwaki, H., Arase, S., & Ohshima, H. (2008). Derivation and clinical application of special imaging by means of digital cameras and Image J freeware for quantification of erythema and pigmentation. Skin Res Technol. 14:26-34.

Zvietcovich, F., Castañeda, B., Valencia, B., & Llanos-Cuentas, A. (2012). A 3D Assessment Tool for Accurate Volume Measurement for Monitoring the Evolution of Cutaneous Leishmaniasis Wounds. 34th Annual International Conference of the IEEE EMBS San Diego, California USA, 28 August - 1 September, 2012 in IEEE Engineering in Medicine and Biology Magazine. August 2012.

Comparison of four methods for morphometric evaluation of wounds

Authors

DOI:

Keywords:

Abstract

References

Downloads

Published

How to Cite

Issue

Section

License

JOURNAL METRICS

Language

Make a Submission